354416103-8-7-2019-07-CC-SKNT-BGDNS3-20190926104224

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 354416103
Report Date: 08/07/2019
Date Signed: 08/07/2019 10:34:49 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
07/12/2019 and conducted by Evaluator Joseph Macias

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20190712085342

FACILITY NAME:	HOLLISTER CHILD DEVELOPMENT CENTER, LLC		FACILITY NUMBER:	354416103
ADMINISTRATOR:	ALMA MAY BAYANI, PSYD		FACILITY TYPE:	840
ADDRESS:	331 GATEWAY DRIVE		TELEPHONE:	(831) 625-9284
CITY:	HOLLISTER	STATE: CA	ZIP CODE:	95023
CAPACITY:	56	CENSUS: 15	DATE:	08/07/2019
		UNANNOUNCED	TIME BEGAN:	09:31 AM
MET WITH:	Christina Barrientos		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff allowed daycare children to engage in inappropriate activity resulting in an injury.

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 allegation. LPA Macias met with the Site Supervisor Christina Barrientos to discuss complaint allegation.

LPA Macias interviewed staff, and parents, toured the facility, observed the classroom, and obtained copies of pertinent information. Throughout the investigation process, it was found the allegation (staff allowed daycare children to engage in inappropriate activity resulting in an injury) is UNSUBSTANTIATED; based on interviews, observation, and information gathered by LPA Macias. A finding that is unsubstantiated means although the allegation 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: 08/07/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2019

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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