434408081-9-30-2019-07-CC-SKNT-BGLQ49-20191003114957

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434408081
Report Date: 09/30/2019
Date Signed: 09/30/2019 09:03:35 AM

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
07/09/2019 and conducted by Evaluator Tuoc Doan

COMPLAINT CONTROL NUMBER: 07-CC-20190709105604

FACILITY NAME:	CULCASI, MICHELE & ROBERT		FACILITY NUMBER:	434408081
ADMINISTRATOR:	CULCASI, MICHELE		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 733-6739
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94087
CAPACITY:	14	CENSUS: 5	DATE:	09/30/2019
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Michele Culcasi		TIME COMPLETED:	09:10 AM

ALLEGATION(S):

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- Licensee used inappropriate form of discipline.

- Inappropriate use of car seat.

- Facility failed to feed children in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tuoc Doan conducted an unannounced Subsequent Complaint Investigation visit to the day care home. LPA met with Licensee Michele Culcasi and the finding for the above three allegations was also delivered to Licensee during the site visit.

During the course of the investigation, LPA conducted unannounced site inspections and observed the children and staff as they engage in their daily activities. Parents and Staff were interviewed and they provided information about their experience and observation. LPA also spoke to the children. Records were reviewed, which included children's files, reports etc.

Based on the information obtained, although the three allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the three allegations are found be UNSUBSTANTIATED.
A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc Doan	TELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2019

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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