434414640-11-2-2022-07-CC-MSEA-CKTQBK-20221103120140

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434414640
Report Date: 11/02/2022
Date Signed: 11/02/2022 01:57:12 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
07/20/2022 and conducted by Evaluator Susy Cervantes

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20220720085130

FACILITY NAME:	CENTRO ARMONIA SPANISH SCHOOL-SANTA TERESA		FACILITY NUMBER:	434414640
ADMINISTRATOR:	CLAUDIA HERNANDEZ		FACILITY TYPE:	830
ADDRESS:	196 MARTINVALE LANE		TELEPHONE:	(408) 644-7614
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95119
CAPACITY:	14	CENSUS: 13	DATE:	11/02/2022
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Claudia Hernandez		TIME COMPLETED:	02:05 PM

ALLEGATION(S):

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Staff pulled day care child’s hair

INVESTIGATION FINDINGS:

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On 11/02/2022 at 1:40 PM, Licensing Program Analyst (LPA) Susy Cervantes met with owner, Claudia Hernandez, and office manager, Shanean Tonick to deliver complaint findings.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited during today's visit. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. Exit interview conducted and report was reviewed with owner, Claudia Hernandez, and office manager, Shanean Tonick.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Susy Cervantes	TELEPHONE: (408) 598-9403
LICENSING EVALUATOR SIGNATURE:	DATE: 11/02/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/02/2022

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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