434415557-2-13-2020-07-CC-SKNT-BN4TTA-20200327150023

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415557
Report Date: 02/12/2020
Date Signed: 02/13/2020 09:17:06 AM

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
01/13/2020 and conducted by Evaluator Stephanie Collins

COMPLAINT CONTROL NUMBER: 07-CC-20200113153145

FACILITY NAME:	FOOTHILL HEAD START		FACILITY NUMBER:	434415557
ADMINISTRATOR:	RENEE GARCIA		FACILITY TYPE:	850
ADDRESS:	2750 RIVERRUN DRIVE		TELEPHONE:	(408) 392-3891
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95127
CAPACITY:	48	CENSUS: 14	DATE:	02/12/2020
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Pedro Sousa		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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9

Day-care child sustained an unexplained injury while in care

INVESTIGATION FINDINGS:

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UNSUBSTANTIATED:

Licensing Program Analyst (LPA)Stephanie Collins conducted an unannounced Subsequent Complaint Investigation visit. LPA met with Director Pedro Sousa and the finding for the above allegation is also delivered to the facility during this visit.

Based on the information obtained, interviews and observations, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the above allegations are found be UNSUBSTANTIATED.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie Collins	TELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2020

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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