434414541-4-27-2022-07-CC-DSTN-CDXVYG-20220429165104

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434414541
Report Date: 04/27/2022
Date Signed: 04/27/2022 03:37:10 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
02/15/2022 and conducted by Evaluator Melvin S Matos

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20220215142343

FACILITY NAME:	TULIP KIDS ACADEMY		FACILITY NUMBER:	434414541
ADMINISTRATOR:	CLAUDIA ALBORNOZ		FACILITY TYPE:	830
ADDRESS:	1279 LAWRENCE STATION		TELEPHONE:	(669) 255-0540
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94089
CAPACITY:	28	CENSUS: 12	DATE:	04/27/2022
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Claudia Albornoz		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility is not meeting day care child's needs

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mel Matos conducted an unannounced follow up complaint investigation and met with Claudia Albornoz, director. Purpose of today's follow up complaint investigation: deliver investigation findings.

The investigation of the complaint allegation listed in this complaint was conducted by LPA Mel Matos. Based on the available evidence, including observations of the Facility, documents reviewed, and interviews completed for the complaint investigation, it is concluded that although the allegation noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. The allegations are 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 Stephenson	TELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S Matos	TELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2022

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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