<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434404336
Report Date: 10/12/2021
Date Signed: 10/12/2021 12:21:37 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:STRATFORD SCHOOLFACILITY NUMBER:
434404336
ADMINISTRATOR:FIELD, ANAFACILITY TYPE:
850
ADDRESS:1196 LIME DRIVETELEPHONE:
(408) 732-4424
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:312CENSUS: DATE:
10/12/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Megan EitzenTIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analysts (LPA's) Aman Sharma and Susy Cervantes met with head of school Ramyaa Venkatesh and school director, Megan Eitzen for a case management for an incident that happened on September 27, 2021. This incident was also reported to CDSS San Jose Regional Office on 9/27/2021.

The incident that occurred on 09/27/2021 was in regards to a staff being accused of inappropriately touching a child. Police and facility conducted internal investigation. Police has found this case to be unfounded. LPA's were informed that the child retracted their statement. LPA's conducted interviews with 4 staff and 4 children. Facility roster was provided to LPA's.

EXIT INTERVIEW WAS CONDUCTED AND REPORT WAS REVIEWED WITH THE LICENSEES, RAMYAA VENKATESH AND MEGAN EITZEN.

NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 334-2153
LICENSING EVALUATOR NAME: Aman SharmaTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1