434415093-8-15-2019-07-CC-ASTR-BFF28A-20190826170959

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415093
Report Date: 08/15/2019
Date Signed: 08/15/2019 01:15:19 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
06/03/2019 and conducted by Evaluator Stephanie C Rangel

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20190603102501

FACILITY NAME:	ROSEMARY INFANT CENTER		FACILITY NUMBER:	434415093
ADMINISTRATOR:	HEATHER ELSTON		FACILITY TYPE:	830
ADDRESS:	401 WEST HAMILTON AVENUE		TELEPHONE:	(408) 341-7127
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY:	16	CENSUS: 10	DATE:	08/15/2019
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Mylene Ignacio		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff failed to provide adequate supervision to children in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Stephanie Rangel, conducted an unannounced complaint inspection to deliver findings. LPA met with assistant director, Mylene Ignacio to explain the nature of today's inspection.

LPA Rangel interviewed parents, staff and toured the facility and obtained copies of pertinent information. Throughout the investigation process, it was found the allegation (Staff failed to provide adequate supervison to children in care) is unsubstantiated. Based on information obtained; there is not enough evidence to prove that the above allegation occurred. Due to the above information, the allegation is UNSUBSTANTIATED. A finding that is unsubstantiated means although the allegation may have happened or is valid , the preponderance of evidence does not prove it.

Exit interview conducted and copy of this report provided to the Licensee.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C Rangel	TELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

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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