274410830-6-12-2019-07-CC-SKNT-BF2Q3D-20190814114832

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 274410830
Report Date: 06/12/2019
Date Signed: 06/12/2019 09:50:44 AM

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
05/14/2019 and conducted by Evaluator Joseph Macias

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20190514115649

FACILITY NAME:	MAOF TANIMURA & ANTLE EARLY LEARNING CENTER		FACILITY NUMBER:	274410830
ADMINISTRATOR:	ANGELA MENDEZ		FACILITY TYPE:	850
ADDRESS:	121 SPRECKELS BLVD		TELEPHONE:	(323) 890-9600
CITY:	SPRECKELS	STATE: CA	ZIP CODE:	93962
CAPACITY:	24	CENSUS: 22	DATE:	06/12/2019
		UNANNOUNCED	TIME BEGAN:	08:10 AM
MET WITH:	Maria Becerra		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Facility staff handled child in a rough manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joe Macias conducted an unannounced inspection in order to deliver findings on the complaint investigation of above allegations. LPA met with the Site Supervisor Maria Becerra, and discussed the nature of today's visit.

LPA Macias interviewed the staff, children, and Complainant, observed the classroom, reviewed facility files and obtained copies of pertinent information. The original complaint states, (facility staff handled child in a rough manner). Based on interviews, as well as information gathered; the allegations are UNSUBSTANTIATED. A finding that is unsubstantiated means although the allegations may have happened or is valid, the preponderance of evidence does not prove it.

Exit interview conducted and copy of this report provided to the Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Joseph Macias	TELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:	DATE: 06/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/12/2019

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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