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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434412407
Report Date: 02/04/2020
Date Signed: 02/04/2020 12:08:14 PM



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
11/21/2019 and conducted by Evaluator Dung Mac
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20191121202036
FACILITY NAME:SNELL STATE PRESCHOOL/HEAD STARTFACILITY NUMBER:
434412407
ADMINISTRATOR:JUDY BUGRINFACILITY TYPE:
850
ADDRESS:3550 SNELL ROADTELEPHONE:
(408) 573-3340
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY:72CENSUS: 46DATE:
02/04/2020
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Rocio BlankenshipTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Facility staff handled daycare child in a rough manner.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Dung Mac and Mel Matos arrived at the facility at 10:10am and met with Site Director, Rocio Blankenship, for a follow-up on the complaint investigation. Purpose of today's inspection: interview children and deliver investigation findings.

LPA Mac interviewed the director, four staff, four preschool children and reviewed staff & children's files for this investigation. In concluding the investigation, LPAs conclude that although the allegation noted on this complaint (Staff handled daycare child roughly), may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegation is thus UNSUBSTANTIATED.

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

Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Dung MacTELEPHONE: (408) 334-8550
LICENSING EVALUATOR SIGNATURE:

DATE: 02/04/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2020
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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