<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415723
Report Date: 08/29/2019
Date Signed: 08/29/2019 12:43:58 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
06/12/2019 and conducted by Evaluator Melvin S Matos
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20190612154808
FACILITY NAME:REACH MONTESSORI PRESCHOOLFACILITY NUMBER:
434415723
ADMINISTRATOR:JIAN DENGFACILITY TYPE:
850
ADDRESS:2490 STORY ROADTELEPHONE:
(408) 705-6998
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY:60CENSUS: 21DATE:
08/29/2019
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jian "Annie" DengTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility not providing safe, healthful, & comfortable accommodations, furnishings, & equipment
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Mel Matos & Peter Tinkelenberg met with Jian "Annie" Deng, Licensee representative/director, for an unannounced complaint investigation inspection. Purpose of today's inspection: deliver investigation findings.
LPA Matos toured the Facility, interviewed staff & preschool children, interviewed a random sampling of parents, and reviewed staff files for this investigation. LPA Matos observed 21 preschool children napping in Room 3 during LPA's initial complaint investigation inspection on June 19, 2019. LPA Matos observed that the napping equipment was not arranged to allow each child to have access to a walkway on June 19, 2019. The preponderance of evidence standard has been met and thus the allegation noted on this complaint is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 12 & Chapter 1), is being cited on the attached LIC 9099-D. Copy of appeal rights provided to Jian "Annie" Deng prior to the conclusion of today's inspection.
A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 07-CC-20190612154808
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: REACH MONTESSORI PRESCHOOL
FACILITY NUMBER: 434415723
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/29/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2019
Section Cited
CCR
101239.1(d)
1
2
3
4
5
6
7
Napping Equipment: Napping equipment shall be arranged so that each child has access to a walkway without having to walk on or over the cots or mats of other children. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Jian "Annie" Deng agreed to submit a Plan of Correction indicating the steps implemented to ensure that napping equipment shall be arranged so that each child has access to a walkway to walk on or over the mats of other children.
8
9
10
11
12
13
14
LPA Matos observed 21 preschool children napping in Room 3 on June 19, 2019. LPA Matos observed that the napping equipment was not arranged to allow each child to have access to a walkway on June 19, 2019.
8
9
10
11
12
13
14
This presents a potential risk to the health/safety of children in care.
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
06/12/2019 and conducted by Evaluator Melvin S Matos
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20190612154808

FACILITY NAME:REACH MONTESSORI PRESCHOOLFACILITY NUMBER:
434415723
ADMINISTRATOR:JIAN DENGFACILITY TYPE:
850
ADDRESS:2490 STORY ROADTELEPHONE:
(408) 705-6998
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY:60CENSUS: 21DATE:
08/29/2019
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Jian "Annie" DengTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff raise voice in front of day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Mel Matos & Peter Tinkelenberg met with Jian "Annie" Deng, Licensee representative/director, for an unannounced complaint investigation inspection. Purpose of today's inspection: deliver investigation findings.
LPA Matos toured the Facility, interviewed staff & preschool children, interviewed a random sampling of parents, and reviewed staff files for this investigation.

It is thus concluded that although the allegation listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

The investigation findings are thus UNSUBSTANTIATED.
A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME & MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 08/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4