384002199-1-28-2022-05-CC-GLEG-CB837W-20220131170035

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 384002199
Report Date: 01/28/2022
Date Signed: 01/28/2022 12:43:31 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
11/19/2021 and conducted by Evaluator Sheran Lo

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20211119133101

FACILITY NAME:	FACESSF - BAYVIEW PRESCHOOL		FACILITY NUMBER:	384002199
ADMINISTRATOR:	KING, ROBYN		FACILITY TYPE:	850
ADDRESS:	100 WHITNEY YOUNG CIRCLE		TELEPHONE:	(415) 821-7550
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94124
CAPACITY:	92	CENSUS: 35	DATE:	01/28/2022
		UNANNOUNCED	TIME BEGAN:	10:21 AM
MET WITH:	Robyn King		TIME COMPLETED:	12:22 PM

ALLEGATION(S):

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Staff member hit day care child.

INVESTIGATION FINDINGS:

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On January 28, 2022 at 10:30 AM, Licensing Program Analyst (LPA), Sheran Lo conducted a subsequent complaint inspection and met with Director Robyn King to discuss the above allegation. Purpose of the inspection was explained. Present was Director, 11 staff with 35 children.
During the course of the investigation, interviews were conducted with Director, staff, parents, and relevant documents were gathered. Based on the interviews and relevant documents, there was no sufficient evidence to prove the staff member hit child. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is Unsubstantiated.
LPA conducted exit interview with Director. Report and Notice of Site Visit will be emailed to [email protected] by the end of business day. Notice of Site Visit shall be posted for 30 consecutive days.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE:	DATE: 01/28/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/28/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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