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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430709449
Report Date: 09/12/2019
Date Signed: 09/13/2019 08:25:30 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
09/03/2019 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20190903144739
FACILITY NAME:MORGAN HILL PARENT-CHILD NURSERY SCHOOLFACILITY NUMBER:
430709449
ADMINISTRATOR:JULIE PERRYFACILITY TYPE:
850
ADDRESS:16870 MURPHY AVENUETELEPHONE:
(408) 779-4515
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:24CENSUS: 11DATE:
09/12/2019
UNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:Sally StarzTIME COMPLETED:
03:20 PM
ALLEGATION(S):
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Facility does not have a qualified Director.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Samantha Yip and Nancy Rodriguez conducted an unannounced initial 10 day complaint investigation for the above allegation. LPAs met with Director Sally Starz and explained the reason for the inspection.

Facility notified Licensing office of the change in director on 06/25/2019. An exception request for director qualification was submitted to Licensing office on 07/05/2019. Facilty has hired a fully qualified director, Sally Starz. Paperwork was submitted to Licensing office to change Sally Starz as the new director. LPA reviewed Director Sally Starz's file. LPA observed that Sally Starz does have qualification as a Director.


--------------continues on 9099 dated 09/12/2019 page 2--------------
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
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-20190903144739
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: MORGAN HILL PARENT-CHILD NURSERY SCHOOL
FACILITY NUMBER: 430709449
VISIT DATE: 09/12/2019
NARRATIVE
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-------------continuation of 9099 dated 09/12/2019 page 1------------------------

Based on the information obtained through record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

No deficiencies were cited as a result of this investigation. An exit interview was conducted were this report was discussed and provided to Director Sally Starz. A notice of site visit has been issued and must be posted for 30 consecutive days.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2