434413759-8-29-2019-07-CC-MSEA-BFJUEJ-20190830153109

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434413759
Report Date: 08/29/2019
Date Signed: 08/29/2019 09:54:17 AM

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
06/19/2019 and conducted by Evaluator Melvin S Matos

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20190619110022

FACILITY NAME:	BOOST UP KIDS ACADEMY		FACILITY NUMBER:	434413759
ADMINISTRATOR:	JYOTI DAWRA		FACILITY TYPE:	850
ADDRESS:	743 S WOLFE ROAD		TELEPHONE:	(408) 732-2200
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94086
CAPACITY:	86	CENSUS: 32	DATE:	08/29/2019
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Bhawna Patkar		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff yelled at day care children

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Mel Matos & Peter Tinkelenberg met with Bhawna Patkar, Licensee representative/director, for an unannounced complaint investigation inspection. Purpose of today's inspection: deliver investigation findings.
LPA Matos interviewed Bhawna, six staff, two preschool children, random sampling of day care parents, reviewed facility records, & one child's file for this investigation.

It is thus concluded that although the allegation listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

The investigation findings are thus UNSUBSTANTIATED.
A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME & MUST REMAIN POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S Matos	TELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

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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