430700960-2-10-2022-07-CC-JSEA-CBWPHD-20220223101942

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 430700960
Report Date: 02/10/2022
Date Signed: 02/10/2022 10:10:45 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
12/15/2021 and conducted by Evaluator Marilou Monico

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20211215105301

FACILITY NAME:	ACTION DAY NURSERY ON MOORPARK		FACILITY NUMBER:	430700960
ADMINISTRATOR:	STRANGE, BRITTANY		FACILITY TYPE:	850
ADDRESS:	3030 MOORPARK AVENUE		TELEPHONE:	(408) 247-6972
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95128
CAPACITY:	233	CENSUS: 108	DATE:	02/10/2022
		UNANNOUNCED	TIME BEGAN:	09:12 AM
MET WITH:	Brittany Strange		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Day care child sustained injuries while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Marilou Monico conducted an unannounced complaint inspection to deliver investigation findings. LPA met with Site DIrector, Brittany Strange.

Based on the available evidence, including observations of the Facility, police report, record reviews, and interviews completed for the complaint investigation, it is concluded that although the allegation noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

The allegation is thus UNSUBSTANTIATED.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 02/10/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2022

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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