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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415153
Report Date: 08/04/2022
Date Signed: 08/04/2022 12:53:19 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
06/10/2022 and conducted by Evaluator James G Santos
COMPLAINT CONTROL NUMBER: 07-CC-20220610143844
FACILITY NAME:7 MAGIC FLOWERS BILINGUAL MONTESSORI PRESCHOOLFACILITY NUMBER:
434415153
ADMINISTRATOR:CHIN-LAN WANGFACILITY TYPE:
850
ADDRESS:1975 CAMBRIANNA DRIVETELEPHONE:
(408) 493-3574
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY:117CENSUS: 73DATE:
08/04/2022
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Li-Fan MockTIME COMPLETED:
01:05 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Child was injured while in care due to lack of supervision.
Facility is operating out of ratio.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), James Santos conducted an unannounced subsequent complaint visit today and met with Licensee, Li-Fan Mock and Director, Chin-Lan Wang. 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, children and parents. LPA also conducted facility inspections and review of records.

Though there was an injury that occurred on the child, there was not enough evidence to prove that there was lack of supervision. On the allegation that the facility is operating out of ratio, based on observations and review of records, there was also not enough evidence to prove that the facility is operating out of ratio.

The Department has conducted the investigation and based on the information gathered the allegations are UNSUBSTANTIATED. A finding that is unsubstantiated means although the allegations may have happened or are valid, the preponderance of evidence does not prove it.

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


NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 08/04/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2022
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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