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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400381
Report Date: 04/22/2022
Date Signed: 04/22/2022 03:28:36 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/15/2022 and conducted by Evaluator Jonathan Williams
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20220315105942
FACILITY NAME:ELLEN THACHER CHILDREN'S CENTERFACILITY NUMBER:
434400381
ADMINISTRATOR:KIM NAVEFACILITY TYPE:
850
ADDRESS:505 EAST CHARLESTON ROADTELEPHONE:
(650) 494-1467
CITY:PALO ALTOSTATE: CAZIP CODE:
94306
CAPACITY:28CENSUS: 24DATE:
04/22/2022
UNANNOUNCEDTIME BEGAN:
12:55 PM
MET WITH:Kim NaveTIME COMPLETED:
03:44 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit daycare children.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/22/2022, Licensing Program Analyst (LPA) Jonathan Williams arrived to the facility unannounced to conclude investigation into the above allegation. LPA was met by Director, Kim Nave, and six other fingerprint cleared and associated staff members. Present during today's visit were 24 preschool aged children in care.

During the course of the investigation, LPA interviewed staff members, interviewed parents of children in care, interviewed daycare children, and reviewed facility records. LPA recieved conflicting information. While the allegation may have happened is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED.

Exit interview conducted. Appeal Rights provided. Notice of Site Visit was given.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Wynn NoronaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Jonathan WilliamsTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2022
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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