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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430701148
Report Date: 06/03/2021
Date Signed: 06/03/2021 04:19:21 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
04/16/2021 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20210416085326
FACILITY NAME:SOUTH PENINSULA HEBREW DAY SCHOOLFACILITY NUMBER:
430701148
ADMINISTRATOR:SALMAN, LIATFACILITY TYPE:
850
ADDRESS:1030 ASTORIA DRTELEPHONE:
(408) 738-3060
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:135CENSUS: 66DATE:
06/03/2021
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Hang DangTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Unqualified staff caring and supervising children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Fermin Campos-Jaramillo, conducted an unannounced complaint visit to the Facility today. LPA met with Hang Dang, acting director, and explained the nature of today's visit to her. LPA observed 66 were present receiving care in 5 classrooms. LPA observed 13 adult staff providing child care to them.
This Department has obtained and reviewed the academic records of the staff present in the center. It was observed that in classroom #1 (toddler component) none of the staff working in this classroom #1 on 4/21/21 had the required 3 semester units of infant/ toddler classes (ECE). On 4/21/21 LPA observed there were 13 children present, 3 of them were under 2 years old per roster provided by facility staff.
Based on the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, H&S 1596.80, are being cited on the attached LIC. 9099D.

A 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: Fermin Campos-JaramilloTELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021
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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Control Number 07-CC-20210416085326
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: SOUTH PENINSULA HEBREW DAY SCHOOL
FACILITY NUMBER: 430701148
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/03/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/17/2021
Section Cited
CCR
101216.1(c)(1)(A)
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(c) To be a fully qualified teacher, a teacher shall have one of the following:
(1) Twelve post-secondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center
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Site Director shall submit as a Plan Of Correction (POC) by end of business on 6/17/2021 a LIC500 showing that all classrooms during the business hours of the center at least one fully qualified teacher is present in each classroom.
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 or comparable group child care program.
(A) The units specified in (c)(1) above shall include courses that cover the general areas of child growth and development, or human growth and development; child, family and community, or child and family; and program/curriculum. This requirement was not met as evidenced by: Staff lacking ECE infant/toddler classes. This is a potential risk to health and safety to the children in care.
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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: Fermin Campos-JaramilloTELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2021
LIC9099 (FAS) - (06/04)
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