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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004833
Report Date: 09/21/2026
Date Signed: 09/21/2026 02:21:25 PM

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
08/11/2026 and conducted by Evaluator Brendon Van
PUBLIC
COMPLAINT CONTROL NUMBER: 05-CC-20260811131712
FACILITY NAME:CHAN, JENNY S.FACILITY NUMBER:
384004833
ADMINISTRATOR:CHAN, JENNY S.FACILITY TYPE:
810
ADDRESS:TELEPHONE:
(415) 936-4128
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY:14CENSUS: 9DATE:
09/21/2026
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Jenny ChanTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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- Staff did not prevent child from injuring another child.
- Staff did not report incident to child's authorized representative.
INVESTIGATION FINDINGS:
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On September 21, 2026, Licensing Program Manager (LPM) Leung and Licensing Program Analyst (LPA) Van conducted an unannounced inspection to conclude a complaint investigation and deliver the findings to the facility. The investigation addressed allegations that staff did not prevent a child from injuring another child and did not report the incident to the child’s authorized representative.

LPA met with Licensee Jenny Chan. At the time of the inspection, the Licensee and an assistant were supervising 9 children (two infants and seven preschoolers). The facility was operating within its licensed capacity and met all staffing and supervision requirements.

As part of the investigation, LPA conducted interviews and reviewed all relevant records, including communication records. Based on the information obtained, there was insufficient evidence to establish that staff failed to prevent a child from injuring another child or failed to report the incident to the child’s authorized representative. The investigation found that the facility met applicable staffing and supervision requirements. Communication records further showed that the child’s authorized representative was notified of the incident by text message through the facility’s application.
Continued on page 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2026
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 2
Control Number 05-CC-20260811131712
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: CHAN, JENNY S.
FACILITY NUMBER: 384004833
VISIT DATE: 09/21/2026
NARRATIVE
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page 2.
Therefore, the allegations are determined to be UNSUBSTANTIATED. This means that although the alleged violations may have occurred or may be valid, there is not a preponderance of evidence to prove whether the alleged violations did or did not occur.

A Notice of Site Visit was issued and must remain posted for 30 days.

An exit interview was conducted with the Licensee, Jenny Chan. The report was provided to the Licensee
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2