434403520-11-2-2022-07-CC-GKUN-CL7TFP-20221115134153

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434403520
Report Date: 11/01/2022
Date Signed: 11/02/2022 01:50:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
10/10/2022 and conducted by Evaluator Pietro Hernandez

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20221010081112

FACILITY NAME:	MY PRESCHOOL		FACILITY NUMBER:	434403520
ADMINISTRATOR:	SOHAYLA HADIAN		FACILITY TYPE:	850
ADDRESS:	1472 SARATOGA AVENUE		TELEPHONE:	(408) 376-0385
CITY:	SARATOGA	STATE: CA	ZIP CODE:	95070
CAPACITY:	50	CENSUS: 38	DATE:	11/01/2022
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Alba Salerno		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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2) Staff did not provide proper food service to children in care.

3) Staff did not follow proper reporting requirements.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pete Hernandez and (LPM) Licensing Program Manager Gladys Kuizon conducted a subsequent site visit to the child care facility to deliver investigation findings. LPA met with Director Alba Salerno, and Namrate Dodeja, explained the purpose of the visit.
LPA conducted prior interviews and observations with the Director Alba Salerno, Assistant Director Namrate Dodeja, staff and children. Children's Roster, sign in and sign out sheets, staff schedules, timecards from 9/12/22 though 10/12/2022, and the monthly menu. were reviewed and copies were obtained.

All staff who were interviewed stated that all reportable incidents are sent to parents and Community Care Licensing Division (CCLD). Interviewed staff stated food is prepared for all children in care and they have not witnessed any children not being served food or water during daycare hours.

Based on the information obtained, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. Therefore, the allegation is found to be UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2022

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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Control Number 07-CC-20221010081112

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: MY PRESCHOOL	FACILITY NUMBER: 434403520
	VISIT DATE: 11/01/2022

NARRATIVE

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Allegation number 2) Staff do not provide proper food service to the children in care: The LPA was provided a copy of the monthly menu. The food served matched up to the menu and date indicated. The LPA observed the kitchens, food cabinets, refrigerators, and the LPA noticed that all observed locations were fully stocked. The Director or Staff buys fresh food every week to replace that which is needed or low in inventory. LPA conducted interviews of staff and children in addition to observing them during snacks and lunch break. LPA observed the staff meeting special requests of the children if they do not like the particular food being served on a given day. LPA was told that prepared meals are optional, or the children can bring their own food to the facility. There is a standing policy for feeding children is that if they ever forget to bring their food that they are served regardless. If they are still hungry the children are fed by the staff. LPA was able to observe this behavior during the inspection. LPA Hernandez was able to interview children and the staff and there were no discrepancies in the information provided. This allegation is UNSUBSTANTIATED.

Allegation number 3) Staff did not follow proper reporting requirements: LPA was provided a large file of the facility in house forms the facility uses to report all occurrences. Copies are provided to the parents at the end of each day. Any injuries that are more significant are reported as an unusual incident report to CCLD. LPA discussed the best practices for reporting anything on an unusual incident report. Staff exhibited knowledge of the appropriate time to report injuries to CCLD. This allegation is UNSUBSTANTIATED.

Exit interview was conducted, where this report was reviewed with Director Alba Salerno.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED NEAR OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 11/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/01/2022

LIC9099 (FAS) - (06/04)

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