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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413934
Report Date: 11/20/2019
Date Signed: 11/20/2019 10:06:34 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
09/04/2019 and conducted by Evaluator Tuoc Doan
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20190904115044
FACILITY NAME:PATEL, DEEPA DARSHANKUMARFACILITY NUMBER:
434413934
ADMINISTRATOR:PATEL, DEEPA DARSHANKUMARFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 642-1913
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:14CENSUS: 3DATE:
11/20/2019
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Deepa Darshankumar PatelTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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- Licensee inappropriately handled day care child.

- Licensee hits day care child.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tuoc Doan conducted an unannounced subsequent site visit to the day care home to investigate the two complaint allegations listed above. LPA met with Licensee Deepa Darshankumar Patel and the finding for the above allegations was also delivered to Licensee during the visit.

Complainant alleges that Licensee inappropriately handled day care child and Licensee hits day care child. LPA had conducted unannounced site inspections of the home and observed the children. Interviews were conducted with Licensee and Assistant Provider. Parents of children who are provided care in the home were also interviewed and they provided information about their experience and observation. Records pertaining to the case, which included Facility and Children's files and reports were also obtained and reviewed.

Based on the information obtained at this time, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. Therefore, the two allegations are found to be UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
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 2
Control Number 07-CC-20190904115044
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: PATEL, DEEPA DARSHANKUMAR
FACILITY NUMBER: 434413934
VISIT DATE: 11/20/2019
NARRATIVE
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Exit Interview was conducted, where this report was reviewed with Licensee and a copy was provided to Licensee at the conclusion of the site visit.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 2