434411986-1-17-2020-52-CC-WNOA-BLKTT4-20200207140003

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434411986
Report Date: 01/17/2020
Date Signed: 01/17/2020 01:46:11 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/13/2019 and conducted by Evaluator Mayla Mendoza

PUBLIC

COMPLAINT CONTROL NUMBER: 52-CC-20191113163216

FACILITY NAME:	KIDDIE ACADEMY OF MOUNTAIN VIEW		FACILITY NUMBER:	434411986
ADMINISTRATOR:	LINDA WHITE		FACILITY TYPE:	830
ADDRESS:	205 EAST MIDDLEFIELD ROAD		TELEPHONE:	(650) 960-6900
CITY:	MOUNTAIN VIEW	STATE: CA	ZIP CODE:	94043
CAPACITY:	42	CENSUS: 7	DATE:	01/17/2020
		UNANNOUNCED	TIME BEGAN:	07:50 AM
MET WITH:	Rochelle Westmoreland		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Physical Plant-facility is in disrepair

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Mayla Mendoza and James Sampair met today 1/17/20 with Director Rochelle Westmoreland for the purpose of an unannounced complaint investigative visit for the above allegation.
Interviews were conducted and a census was taken. LPAs observed the white shelf in the infant room looks chipped, but interviews indicated that the staff are cleaning the room as often as they can. Therefore, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

An exit interview is being conducted with Director Westmoreland.

Appeal rights were discussed and a copy was given
A notice of site visit was posted and must remain posted for a period of 30 days for public review

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020

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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