<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413199
Report Date: 12/02/2022
Date Signed: 12/02/2022 03:22:15 PM

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
10/06/2022 and conducted by Evaluator James G Santos
COMPLAINT CONTROL NUMBER: 07-CC-20221006153951
FACILITY NAME:LITTLE TREE MONTESSORI INTERNATIONAL SCHOOLFACILITY NUMBER:
434413199
ADMINISTRATOR:JAC QUELINE LUCILLE FUNKFACILITY TYPE:
850
ADDRESS:430 DARRYL DRIVETELEPHONE:
(408) 996-2708
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:168CENSUS: 130DATE:
12/02/2022
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Hui RenTIME COMPLETED:
03:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff used corporal punishment causing injury.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) James Santos conducted an unannounced subsequent complaint investigation at the facility today and met with Director, Hui Ren. The purpose of today's visit was to deliver the investigation finding for the above allegation.

During the couse of the investigation, LPA conducted interviews with staff, parents and children. Per interview with other staff, they have not seen staff (S1) hurt the children. Per interview with the children, they stated the teachers do not hurt them. Per interview with the parents, they do not think that the teachers would hurt the children and they have not seen any injuries on their children. Also, a case was filed with the Campbell PD in regards with the allegation and a copy of the police report was obtained and reviewed by the Department. Per police report, the video footage did not show any over act of abuse by staff.

Based on the information gathered, there was not enough evidence to prove the above allegation, therefore the allegation was UNSUBSTANTIATED. A finding that is unsubstantiated means although the allegation may have happened or is valid, the preponderance of evidence does not prove it.

No deficiencies cited. Exit interview conducted and report was reviewed and a copy was provided to Director, Hui Ren.

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2022
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 3
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
10/06/2022 and conducted by Evaluator James G Santos
COMPLAINT CONTROL NUMBER: 07-CC-20221006153951

FACILITY NAME:LITTLE TREE MONTESSORI INTERNATIONAL SCHOOLFACILITY NUMBER:
434413199
ADMINISTRATOR:JAC QUELINE LUCILLE FUNKFACILITY TYPE:
850
ADDRESS:430 DARRYL DRIVETELEPHONE:
(408) 996-2708
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:168CENSUS: DATE:
12/02/2022
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Hui RenTIME COMPLETED:
03:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff mishandled child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) James Santos conducted an unannounced subsequent complaint investigation at the facility today and met with Director, Hui Ren. The purpose of today's visit was to deliver the investigation finding for the above allegation.

During the course of the investigation, a copy of a video footage was obtained. Per review of the video footage, though there was no evidence of over act of abuse, it was observed that staff (S1) picked up child (C1) by grabbing both his arms and carried him over in the circle time area. S1 was seated and used her knees to prevent C1 from turning or leaving. C1 sat for a while then stood up and S1 responded by lifting C1 up and sat him back on the floor.

Based on the information gathered, the preponderance of evidence standard have been met, therefore the above allegation is found to be SUBSTANTIATED.

See LIC9099D page for deficiency cited. Exit interview conducted and copy of this report and appeal rights form provided to Director, Hui Ren.


NOTICE OF SITE VISIT WAS ISSUED TO DIRECTOR AND WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20221006153951
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LITTLE TREE MONTESSORI INTERNATIONAL SCHOOL
FACILITY NUMBER: 434413199
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/02/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/16/2022
Section Cited
CCR
101223(a)(1)
1
2
3
4
5
6
7
101223 Personal Rights
(a) The licensee shall ensure that each child is accorded the following personal rights:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Site Director agreed to conduct training with staff regarding Personal Rights. Site Director will submit Proof of training to CCL by the POC due date, 12/16/2022.
8
9
10
11
12
13
14
Per review of the video footage, it was observed that staff (S1) picked up child (C1) by grabbing both his arms and carried him over in the circle time area. S1 was seated and used her knees to prevent C1 from turning or leaving. C1 sat for a while then stood up and S1 responded by lifting him up and sat him back on the floor. This poses a potential risk to the Health, Safety or Personal Rights to children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3