434410816-10-21-2022-07-CC-JSEA-CL6P3W-20221114095814

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434410816
Report Date: 10/20/2022
Date Signed: 10/21/2022 09:52:44 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
09/21/2022 and conducted by Evaluator Samantha Yip

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20220921121044

FACILITY NAME:	STRATFORD SCHOOL		FACILITY NUMBER:	434410816
ADMINISTRATOR:	VIOLET SERYANI		FACILITY TYPE:	850
ADDRESS:	410 LLAGAS ROAD		TELEPHONE:	(408) 766-8801
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	85	CENSUS: 55	DATE:	10/20/2022
		UNANNOUNCED	TIME BEGAN:	11:16 AM
MET WITH:	Violet Seryani		TIME COMPLETED:	01:55 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Uncleared adults caring and supervising day care children.
Facility is commingling day care children.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced complaint investigation the above allegations. LPA met with Principal Violet Seryani and explained the reason for the inspection.

During today's inspection, LPA interviewed children and staff. LPA also reviewed name to face attendance sheet. Based on the information obtained, the above allegations are found to be UNSUBSTANTIATED, meaning although, the above allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

As a result of investigation, no deficiencies were issued. Exit interview conducted and report was reviewed with Principal Violet Seryani. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
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)

Page: 1 of 1