434414643-9-27-2021-07-CC-ASTR-C7GMZP-20211004100328

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434414643
Report Date: 09/27/2021
Date Signed: 09/27/2021 12:30:43 PM

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
06/29/2021 and conducted by Evaluator James G Santos

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20210629163056

FACILITY NAME:	EARLY CHILDHOOD LEARNING ACADEMY		FACILITY NUMBER:	434414643
ADMINISTRATOR:	ADIDI BOUZIDA		FACILITY TYPE:	850
ADDRESS:	1919 GUNSTON WAY		TELEPHONE:	(408) 314-7060
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95124
CAPACITY:	45	CENSUS: 24	DATE:	09/27/2021
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	Adidi Bouzida, Licensee		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Day care children exposed to harmful chemical smell.
Staff did not provide comfortable temperature for day care children.
Facility is operating out of ratio.
Day care children are not being adequately supervised.
Staff did not provide drinking water for day care children.
Staff did not follow Covid-19 protocols.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), James Santos conducted an unannounced subsequent complaint visit today and met with Licensee, Adidi Bouzida. The purpose of today's visit was to deliver the investigation findings for the above allegations.

During the course of the investigation, interviews were conducted with staff and parents. Copies of school records were also obtained and reviewed.

Based on the interviews, records review and observations, there is not enough evidence to prove that the above allegations occurred. Based on the information gathered, the allegations are UNSUBSTANTIATED. A finding that is unsubstantiated means although the allegation may have happened or are valid, the preponderance of evidence do not prove it.

No deficiencies cited. Exit interview conducted and copy of this report provided to the Licensee.

NOTICE OF SITE VISIT WAS ISSUED. SITE DIRECTOR WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: James G Santos	TELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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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