434410797-5-24-2022-07-CC-DSTN-CF8P9F-20220609110700

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434410797
Report Date: 05/24/2022
Date Signed: 05/24/2022 09:11:05 AM

Unsubstantiated

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
03/22/2022 and conducted by Evaluator Ofelia Calivo

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20220322103728

FACILITY NAME:	SHIR HADASH EARLY CHILDHOOD CENTER		FACILITY NUMBER:	434410797
ADMINISTRATOR:	JANET CANNON		FACILITY TYPE:	850
ADDRESS:	20 CHERRY BLOSSOM LANE		TELEPHONE:	(408) 358-1751
CITY:	LOS GATOS	STATE: CA	ZIP CODE:	95032
CAPACITY:	79	CENSUS: 70	DATE:	05/24/2022
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Janet Cannon		TIME COMPLETED:	09:20 AM

ALLEGATION(S):

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Facility is not following admissions agreement

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ofelia Calivo conducted an unannounced follow-up complaint investigation and met with Director Janet Cannon. The purpose of today's follow-up complaint investigation is to deliver investigation finding.

The investigation of the complaint allegation listed above was conducted by LPA Calivo. Based on observations and interviews completed for this complaint investigation, it is concluded that although the allegation noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Ofelia Calivo	TELEPHONE: (408) 334-8551
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2022

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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