434416687-10-12-2021-07-CC-ASTR-C85BCD-20211025005721

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434416687
Report Date: 10/12/2021
Date Signed: 10/12/2021 05:07:38 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
08/13/2021 and conducted by Evaluator Samantha Yip

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20210813100317

FACILITY NAME:	HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOL		FACILITY NUMBER:	434416687
ADMINISTRATOR:	JESSICA WATTS		FACILITY TYPE:	850
ADDRESS:	8455 WREN AVENUE		TELEPHONE:	(408) 413-2111
CITY:	GILROY	STATE: CA	ZIP CODE:	95020
CAPACITY:	65	CENSUS: 25	DATE:	10/12/2021
		UNANNOUNCED	TIME BEGAN:	01:34 PM
MET WITH:	Jessica Watts		TIME COMPLETED:	02:55 PM

ALLEGATION(S):

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Facility is not requiring children to wear mask

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced subsequent complaint investigation for the above allegation. LPA met with Director Jessica Watts and explained the reason for the inspection.

Upon arrival of inspection, children were napping; therefore, they were not wearing mask. During the course of this investigation, LPA interviewed staff, children, and third party. Staff stated that children do come in wearing a mask, but will take it off. LPA also reviewed emails sent out to parents with COVID Protocol Policy and email sent out on 05/08/2021 about face covering for children. COVID Protocol Policy did not state that children needed to wear a mask, but email sent on 05/08/2021 stated that children 2 years and older

----------------CONTINUES ON 9099 DATED 10/12/2021 PAGE 2------------------------------------

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

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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Control Number 07-CC-20210813100317

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: HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOL	FACILITY NUMBER: 434416687
	VISIT DATE: 10/12/2021

NARRATIVE

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---------------CONTINUATION OF 9099 DATED 10/12/2021 PAGE 1---------------------

are required to wear a face covering. LPA also conducted observation on 08/19/2021. During observation, children were eating lunch and about to go down for nap. Therefore, LPA did not observe any children wearing a mask. LPA discussed with Director about the COVID guidelines for child care center, which states that children are required to wear a mask. LPA also referred her to PIN 21-18 for a link to the COVID guidelines. Based on the information obtained, the above allegation is found to be UNSUBSTANTIATED, meaning although, the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

As a result of investigation, no deficiencies were cited. An exit interview was conducted where this report was discussed and provided to Director Jessica Watts. A Notice of Site Visit has been issued and must be posted for 30 consecutive days.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2021

LIC9099 (FAS) - (06/04)

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