434400069-10-6-2022-07-CC-JSEA-CK3SUV-20221010141146

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434400069
Report Date: 10/05/2022
Date Signed: 10/06/2022 08:37:32 AM

Unsubstantiated

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
07/12/2022 and conducted by Evaluator Elizabeth Larios

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20220712123328

FACILITY NAME:	SCHOLARS ACADEMY		FACILITY NUMBER:	434400069
ADMINISTRATOR:	ARSHIA ALI		FACILITY TYPE:	850
ADDRESS:	3703 SILVER CREEK ROAD		TELEPHONE:	(408) 238-2500
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95121
CAPACITY:	167	CENSUS: 87	DATE:	10/05/2022
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Arshia Ali		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Staff member emotionally abused day care child
Staff member physically abused day care child

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannouced inspection to deliver the complaint allegations listed above. LPA met with Directior, Arshia Ali and explained the purpose of the visit.

LPA interviewed Director. Based on the available evidence, it is concluded that although the allegations listed 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 allegations is therefore UNSUBSTANTIATED.

No deficiency was cited. Exit interview was conducted, where this report was reviewed and discussed with Arshia Ali, Director.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth Larios	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 10/05/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/05/2022

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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