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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400316
Report Date: 08/11/2021
Date Signed: 08/11/2021 03:15:46 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
08/06/2021 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210806092345
FACILITY NAME:LITTLE SONSHINE SCHOOLHOUSEFACILITY NUMBER:
434400316
ADMINISTRATOR:SULLIVAN, YOLANDAFACILITY TYPE:
850
ADDRESS:16970 DEWITT AVENUETELEPHONE:
(408) 779-6788
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:53CENSUS: 5DATE:
08/11/2021
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Yolanda SullivanTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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Facility is not requiring children to wear a mask
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Deanna Villagrana met with licensee Yolanda Sullivan to open a complaint for the above allegation. Present were licensee, teacher Lipsa Rath, teacher Casie Piccardo, a parent volunteer Ana Toro and her three children in room2 and five day care children in room 4.

LPA inteviewed Yolanda regarding face mask. Yolanda stated she believed because they are a private school, mask were not required. She stated the children do not wear mask and it is not enforced. Based on LPA's observation and interview which was conducted during the visit, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

LPA provided Yolanda with PIN-21-18-CCP Updated Coronavirus 2019 (COVID-19) industry Guidance for Child Care Settings by email at littlesonshine@gmail.com.

The following type B deficiency was cited.

A Notice of Site was issued and must be posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
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-20210806092345
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: LITTLE SONSHINE SCHOOLHOUSE
FACILITY NUMBER: 434400316
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/11/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/20/2021
Section Cited
CCR
101223(a)(1)
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To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by Yolanda stated she believed because
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Licensee will sumbit a plan stating how she will enforce mask for all children ages 2 years old and above. The plan must include how parents were notified of children wearing mask and sent to CCL by 08/20/2021.
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they are a private school, mask were not required. She stated the children do not wear mask and it is not enforced.
This poses a potential risk Health, Safety Personal Rights risk to 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: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 08/11/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2