414004827-3-11-2024-05-CC-MROZ-D3QNDG-20240326102216

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414004827
Report Date: 03/11/2024
Date Signed: 03/11/2024 10:17:21 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/22/2023 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20231222130539

FACILITY NAME:	SILICON VALLEY INTERNATIONAL SCHOOL		FACILITY NUMBER:	414004827
ADMINISTRATOR:	ELASSAL, GAMILA		FACILITY TYPE:	850
ADDRESS:	475 POPE STREET		TELEPHONE:	(650) 324-8617
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY:	150	CENSUS: 121	DATE:	03/11/2024
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Director, Gamila Elassal		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in daycare child sustaining injury.

INVESTIGATION FINDINGS:

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On March 11th, 2024 at approximately 8:45m, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced inspection and met with Director, Gamila Elassal. Purpose of the inspection was explained, and it was to report the investigations finding for the above allegation. Complaint was received by the Department on 12/22/24. Present in the facility are Directors and 27 staff caring for a total 121 preschool age children. During today's inspection, LPA and Director inspected the facility for health and safety hazards and conducted interviews.

During the course of the investigation, health and safety inspections and staff interviews were conducted. LPA also received and reviewed pertinent documents. Due to the interviews, inspections, and record reviews that were conducted, it was determined that there is not suffient evidence to prove that staff did not provide adequate supervision resulting in daycare child sustaining injury.

Although the allegation above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the above allegation is UNSUBSTANTIATED.
Upon receipt of this report, Facility shall post the Notice of Site Visit for 30 consecutive days. Failure to maintain posting as required will result in an immediate $100 civil penalty. This report is public and can be reviewed.

Exit interview was conducted and report was reviewed by Director, Gamila Elassal.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 732-0619
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024

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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