434414640-5-16-2023-07-CC-MSEA-CRYKAW-20230519074434

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434414640
Report Date: 05/16/2023
Date Signed: 05/16/2023 10:42:02 AM

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
02/07/2023 and conducted by Evaluator Teodoro Trujillo

COMPLAINT CONTROL NUMBER: 07-CC-20230207092422

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:	DATE:	05/16/2023
		UNANNOUNCED	TIME BEGAN:	09:51 AM
MET WITH:	Claudia Hernandez		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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9

Staff failed to move infants to crib after they have fallen asleep
Staff innapropriatley discplined child in care

INVESTIGATION FINDINGS:

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On 05/16/2023 at 9:51 AM, Licensing Program Analysts (LPAs) Teodoro Trujillo and Susy Cervantes met with center director Claudia Hernandez to deliver complaint findings. LPAs explained the nature of today's visit to Director. Four (4) staff and nine (9) infants were in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) 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 the director, Claudia Hernandez.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Teodoro Trujillo	TELEPHONE: (408) 334-8547
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

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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