434410797-7-22-2019-07-CC-ASTR-BEM8QR-20190731224330

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434410797
Report Date: 07/19/2019
Date Signed: 07/22/2019 08:43:20 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
05/01/2019 and conducted by Evaluator Zaid Hakim

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20190501140245

FACILITY NAME:	SHIR HADASH EARLY CHILDHOOD CENTER		FACILITY NUMBER:	434410797
ADMINISTRATOR:	ADELMAN, ROBIN		FACILITY TYPE:	850
ADDRESS:	20 CHERRY BLOSSOM LANE		TELEPHONE:	(408) 358-1751
CITY:	LOS GATOS	STATE: CA	ZIP CODE:	95032
CAPACITY:	79	CENSUS: 16	DATE:	07/19/2019
		UNANNOUNCED	TIME BEGAN:	03:05 PM
MET WITH:	Robin Adelman		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Children are not supervised at all times

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zaid Hakim conducted an Unannounced Subsequent Complaint Investigation at the facility today. Upon arrival, LPA observed sixteen (16) preschool age children and at least three (3) staff engaging in daily activities and met with Ms. Robin Adelman, Director. LPA conducted subsequent observations, staff and third party interviews, and reviewed facility policies and procedures in detail with the Director.

Based on the investigation findings and available information LPA has determined the above allegation is Unsubstantiated. LPA notes the level of verifiable and unbiased evidence and information is insufficient at this time to make a clear determination. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A Notice of Site Visit has been issued and must remain posted for 30 consecutive days. No Deficiencies have been cited at this time. Exit interview conducted with Ms. Robin Adelman, Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019

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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