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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004316
Report Date: 06/05/2026
Date Signed: 06/05/2026 05:53:29 PM

Substantiated


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
05/26/2026 and conducted by Evaluator Luis Gomez
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260526110406
FACILITY NAME:BAQUERO, ANGELA V.FACILITY NUMBER:
384004316
ADMINISTRATOR:BAQUERO, ANGELA V.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 539-7696
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:14CENSUS: 9DATE:
06/05/2026
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Angela BaqueroTIME COMPLETED:
06:00 PM
ALLEGATION(S):
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Adult in the home without criminal record clearance
INVESTIGATION FINDINGS:
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On 6/5/2026 at 4:15PM., Licensing Program Analysts (LPA) Luis Gomez and Nicole Tran, met with Licensee, Angela Baquero. The purpose of today’s inspection was explained and was for an unannounced, 10-day complaint inspection. Present was the licensee and helper, S1 caring for 9 children. LPAs inspection facility for health and safety hazards.

During today’s inspection, LPAs conducted interviews, reviewed records, and performed site observation.
Based on observation, interview and record review; LPAs confirmed individual (O1), present in childcare home during operating hours.
Based on evidence collected, the preponderance of evidence standard has been met; Therefore, the allegation is found to be SUBSTANTIATED. (REFER TO LIC9099C, FOR CONT.)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2026
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 4
Control Number 05-CC-20260526110406
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: BAQUERO, ANGELA V.
FACILITY NUMBER: 384004316
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/06/2026
Section Cited
HSC
1568.092(a)(3)
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§1568.092 Officers, directors and employees of licensed facility; prohibited persons; removal; appeal The department may prohibit any person from being a member of the board of directors, an executive director, or an officer of a licensee or a licensee from employing, or continuing the employment of, or allowing in a licensed facility, or allowing contact with clients of a licensed facility by, any employee, prospective employee, or person who is not a client who has: (3) Been denied an exemption to work or to be present in a facility, when that person has been convicted of a crime as defined in Section 1568.09. This requirement was not met as evidenced by:
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Licensee will immediate remove excluded individual (O1) from FCC. Office meeting will be held at the SBRO on later date.
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Based on observation, interview and record review; LPAs confirmed individual (O1), present in childcare home during operating hours. This poses an immediate risk to the health and safety of children in care.
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An Immediate $500.00 dollar civil penalty was issued to licensee.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 05-CC-20260526110406
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: BAQUERO, ANGELA V.
FACILITY NUMBER: 384004316
VISIT DATE: 06/05/2026
NARRATIVE
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(page 2)
Facility was issued 500.00 Civil Penalty.
Facility was issued Type “A” violation and was advised to provide a copy of the ‘Facility Evaluation Report’ and all Type “A” Deficiencies cited, to parents and guardians of children currently enrolled in care and to parents of newly enrolled children during the next 12 months.
The signed LIC 9224, ‘Deficiency and Acknowledgment of Receipt of Licensing Reports; shall be maintained in all children's files.
This report must be available in the facility for public review. Notice was provided and shall remain posted for 30 days. Licensee was advised for additional questions to call San Bruno Regional Office, Mon-Fri, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4