274400439-10-17-2019-07-CC-MSEA-BH6PC5-20191021111118

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 274400439
Report Date: 10/17/2019
Date Signed: 10/17/2019 03:13:45 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/23/2019 and conducted by Evaluator Fermin Campos-Jaramillo

COMPLAINT CONTROL NUMBER: 07-CC-20190723094344

FACILITY NAME:	ALEGRIA MIGRANT HEAD START		FACILITY NUMBER:	274400439
ADMINISTRATOR:	CASTELLANOS, WILLIAM		FACILITY TYPE:	850
ADDRESS:	521 NORTH RUSS		TELEPHONE:	(805) 544-4355
CITY:	KING CITY	STATE: CA	ZIP CODE:	93930
CAPACITY:	44	CENSUS: 15	DATE:	10/17/2019
		UNANNOUNCED	TIME BEGAN:	01:25 PM
MET WITH:	Camelia Pantoja		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Staff restrained child.

INVESTIGATION FINDINGS:

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Licensing Program Analyst Fermin Campos-Jaramillo met with Camelia Pantoja, Center Supervisor, to deliver findings on the above named allegation. LPA observed that 15 children were present and four staff members were taking care of them.
This Department has interviewed child's parent, staff members and children. Although the allegation noted on this complaint (Staff restrained child) may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. the Department’s finding is that this allegation is UNSUBSTANTIATED.

No deficiencies are cited today.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2019

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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