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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 414005217
Report Date: 07/17/2025
Date Signed: 07/17/2025 11:39:46 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/22/2025 and conducted by Evaluator Luis Gomez
COMPLAINT CONTROL NUMBER: 05-CC-20250522145648
FACILITY NAME:REZENDE, NATHANY CRISFACILITY NUMBER:
414005217
ADMINISTRATOR:FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 6DATE:
07/17/2025
UNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Beatriz Silva, Nathany RezendeTIME COMPLETED:
11:50 PM
ALLEGATION(S):
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Licensee is over capacity
INVESTIGATION FINDINGS:
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On 7/17/2025 at 8:55AM., Licensing Program Analyst (LPA) Luis Gomez met with Assistant Beatriz Silva. The purpose of today’s inspection was explained and was for an unannounced, complaint inspection. Present was assistant caring for 4 children. Licensee, 5th and 6th child arrived during inspection. ( 2 infant-age, 4 preschool-age). LPA inspected facility for health and safety hazards.

During the course of this investigation, site observation was conducted on 5/28/2025 and 7/17/2025. A review of the facility records was complete, which includes staff files and children files. LPA conducted interviews with licensee, staff, guardians, and involved parties. (REFER TO LIC9099C, FOR CONT.)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 05-CC-20250522145648
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: REZENDE, NATHANY CRIS
FACILITY NUMBER: 414005217
VISIT DATE: 07/17/2025
NARRATIVE
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(Page 2)
Regarding the allegation of licensee is over capacity; Based on evidence collected, LPA was unable to determine if allegation made is valid. During inspection, LPA observed facility operating within capacity limits specified on the license.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; Therefore, the allegation is found to be UNSUBSTANTIATED.

The Notice of site visit was provided to licensee, Nathany Rezende. Website for Forms and Regulations: www.ccld.ca.gov. Appeal rights were provided to licensee.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/17/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2