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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274410830
Report Date: 05/27/2020
Date Signed: 05/27/2020 02:40:06 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
02/28/2020 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20200228095413
FACILITY NAME:MAOF TANIMURA & ANTLE EARLY LEARNING CENTERFACILITY NUMBER:
274410830
ADMINISTRATOR:ANGELA MENDEZFACILITY TYPE:
850
ADDRESS:121 SPRECKELS BLVDTELEPHONE:
(323) 890-9600
CITY:SPRECKELSSTATE: CAZIP CODE:
93962
CAPACITY:24CENSUS: 0DATE:
05/27/2020
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Maria Luisa BecerraTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handled day care child in a rough manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met via FaceTime, with Maria Luisa Becerra, Site Director, to deliver findings on the above named allegation. LPA observed the Center is closed for children. Director stated there are not children present and 4 staff members present today just doing paper work and cleaning.
This Department has reviewed documents provided by the center, interviewed some children's parents, and interviewed staff members. Although the allegation noted above on this complaint may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The Department’s findings are that this allegation is UNSUBSTANTIATED.

No deficiencies are cited today.
A NOTICE OF SITE VISIT WAS ISSUED AND EMAILED AND MUST BE POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
This report has been email to the Site Director who will reply to the email in lieu of a signature
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-JaramilloTELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:

DATE: 05/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/27/2020
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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