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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 354415339
Report Date: 12/18/2019
Date Signed: 12/18/2019 11:02:39 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
11/20/2019 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20191120154014
FACILITY NAME:LITTLE LEARNERS CHILDCARE CENTERFACILITY NUMBER:
354415339
ADMINISTRATOR:ADRIANNA CASTELOFACILITY TYPE:
840
ADDRESS:1431 SANTA ANA ROADTELEPHONE:
(831) 637-5065
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY:36CENSUS: 0DATE:
12/18/2019
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Adrianna CasteloTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Provider failed to pick up child from schools
INVESTIGATION FINDINGS:
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LPA Deanna Villagrana met with Director Adrianna Castelo to deliver findings for above allegation. There were not school kids present during visit. LPA obtained copies of sign in and out sheets along with Facility Roster.

Based on interviews conducted and pertinent documents obtained, it was determined the facility failed to pick up child from school. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. An Immediate Civil Penalty of $500.00 has been assessed as a result of this citation.
The following Type A deficiency was cited on the attached page (809-D). Appeal rights were provided to the Director prior to the conclusion of today's inspection.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
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 07-CC-20191120154014
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: LITTLE LEARNERS CHILDCARE CENTER
FACILITY NUMBER: 354415339
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/19/2019
Section Cited
CCR
1012299(a)(1)
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101229(a)(1) Care and Supervision. No child(ren) shall be left without the supervision, including visual observation, of a teacher at any time except as specified in sections 101216.2(e)(1) and 101230(c)(1).
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Director shall forward a written plan of correction by POC date indicating methods and procedures implemented to ensure 100% supervision.
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This requirement was not met as evidenced by interviews conducted and pertinent documents obtained, it was determined the facility failed to pick up child from school. This poses an immediate risk to the Health, Safety or Personal Rights to children in care.
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This page shall be provided to all parents of children currently enrolled and any future children being enrolled for the next 12 months per AB633 requirements.
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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: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
LIC9099 (FAS) - (06/04)
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