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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444410811
Report Date: 05/18/2020
Date Signed: 05/19/2020 10:21:11 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
05/15/2020 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20200515095331
FACILITY NAME:COMMUNITY BRIDGES REDWOOD MOUNTAIN CHILD DEV CTRFACILITY NUMBER:
444410811
ADMINISTRATOR:CATHERINE KRENNFACILITY TYPE:
850
ADDRESS:7103A HIGHWAY 9TELEPHONE:
(831) 335-3222
CITY:FELTONSTATE: CAZIP CODE:
95018
CAPACITY:20CENSUS: 5DATE:
05/18/2020
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Rosa MartinezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Facility does not have trash services.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Deanna Villagrana met with Site Supervisor Rosa Martinez via Facetime to open a complaint for the above allegation. There were five children and one other staff present during visit.

LPA observed garbage bags and cardboard boxes were gathering to the left of the facility front door entrance and was informed by Rosa that there has not been garbage service at the facility for about a month and a half due to the main school closing. LPA obtained photos and a copy of the roster from Rosa by email. Based on observations, interview conducted, along with photos, it was determined the above allegation was found to be true. The preponderance of evidence standard has been met, therefore the above allegation was found to be SUBSTANTIATED. The following type B deficiency was cited on the attached page(809-D). Rosa was informed that failure to correct the deficiency by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

NOTICE OF SITE VISIT WAS EMAILED AND MUST REMAIN POSTED FOR 30 DAYS.
This report has been emailed to Licensee and Licensee will reply to email in lieu of a signature.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020
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 3
Control Number 07-CC-20200515095331
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: COMMUNITY BRIDGES REDWOOD MOUNTAIN CHILD DEV CTR
FACILITY NUMBER: 444410811
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/18/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/25/2020
Section Cited
CCR
101238(a)
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101238(a) Buildings and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times. This requirement was not met as evidenced by LPA observed garbage bags and cardboard boxes were gathering to the left of the facility front door entrance
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Site Supervisor will provide pictures showing garbage was picked up and also a copy of the contract for garbage service.
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and was informed by Rosa that there has not been garbage service at the facility for about a month and a half due to the main school closing. This poses a potential risk Health, Safety Personal Rights risk to children in care.
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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: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
05/15/2020 and conducted by Evaluator Deanna Villagrana
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20200515095331

FACILITY NAME:COMMUNITY BRIDGES REDWOOD MOUNTAIN CHILD DEV CTRFACILITY NUMBER:
444410811
ADMINISTRATOR:CATHERINE KRENNFACILITY TYPE:
850
ADDRESS:7103A HIGHWAY 9TELEPHONE:
(831) 335-3222
CITY:FELTONSTATE: CAZIP CODE:
95018
CAPACITY:20CENSUS: 5DATE:
05/18/2020
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Rosa MartinezTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Facility has rodents.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Deanna Villagrana met with Site Supervisor Rosa Martinez via Facetime to open a complaint for the above allegation. There were five children and one other staff present during visit.

The facility has not had the garbage collected in about 6 weeks and this may have lead to vermin being on the premises in the outdoor areas. Facility staff do not report any evidence of vermin inside the facility. Based on the available evidence, LPA concludes that although the allegation listed on this complaint 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 allegation is UNSUBSTANTIATED.

NOTICE OF SITE VISIT WAS EMAILED AND MUST REMAIN POSTED FOR 30 DAYS.
This report has been emailed to Licensee and Licensee will reply to email in lieu of a signature.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2020
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 3