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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 384004958
Report Date: 08/25/2026
Date Signed: 08/25/2026 05:51:26 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
06/24/2026 and conducted by Evaluator Winnie Ly
COMPLAINT CONTROL NUMBER: 05-CC-20260624124011
FACILITY NAME:POTRERO KIDS PRESCHOOLFACILITY NUMBER:
384004958
ADMINISTRATOR:YARENA / NATHANFACILITY TYPE:
860
ADDRESS:810 ILLINOIS STREETTELEPHONE:
(415) 550-3300
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94107
CAPACITY:78CENSUS: 60DATE:
08/25/2026
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Beatriz GomezTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility did no maintain proper staff-child ratios
INVESTIGATION FINDINGS:
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On August 25, 2026, at approximately 2:15pm Licensing Program Analyst (LPA) Ly, arrived at the facility unannounced to close the complaint investigation into the above allegation and met with Site Supervisor Beatriz Gomez. Present during today's visit were 15 classroom staff 3 administrators caring for 60 children.

Based on information gathered through interviews, the preponderance of evidence standards has been met, therefore, the above allegation is found to be SUBSTANTIATED. Type B dificiency has been cited in accordance with the California Code of Regulations, Title 22, Division 12, Chapter 1, are being cited on the attached LIC9099D.

A copy of this report was discussed and left with facility representative whose signature on this form confirm receipt of these report. Notice of Site Visit was provided. Notice to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
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-20260624124011
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: POTRERO KIDS PRESCHOOL
FACILITY NUMBER: 384004958
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/25/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/08/2026
Section Cited
CCR
101216.3(c)(B)(C)
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101216.3 Teacher-Child Ratio
(c) Child development programs funded by the California Department of Education and operating under Title 5 of the California Code of Regulations are not required to meet the teacher-child ratios specified
(B) Toddlers (18 months to 36 months old) - 1:4 adult-child ratio.
(C)Preschool (36 months to enrollment in kindergarten) - 1:8 adult-child ratio
This evidence is not met by:
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Adminstration team will review procedure and will ensure to reponse to classrooms' needs in a timely manner to meet teacher-child ratio.
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Based on interviews, there were some mornings, classroom did not meet teacher-child ratio.
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A written plan of how facility will response to classroom's needs in a timely manner to meet ratio requirement will be submitted to Licensing by 09/08/2026.
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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: Garfield Leung
LICENSING EVALUATOR NAME: Winnie Ly
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2