430709674-12-8-2023-07-CC-SCES-CYWVYG-20231227155108

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 430709674
Report Date: 12/08/2023
Date Signed: 12/08/2023 10:20:44 AM

Unsubstantiated

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
10/17/2023 and conducted by Evaluator Melvin S Matos

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20231017101630

FACILITY NAME:	HEADSUP CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	430709674
ADMINISTRATOR:	RONA NUNEZ		FACILITY TYPE:	850
ADDRESS:	2841 JUNCTION AVENUE		TELEPHONE:	(408) 432-1644
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95134
CAPACITY:	72	CENSUS: 12	DATE:	12/08/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Rona Nunez		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff does not provide adequate supervision to day care children
Staff are not qualified and trained
Staff to child ratio

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mel Matos conducted an unannounced follow-up complaint investigation and met with Rona Nunez, Director. Purpose of today's follow up complaint investigation: deliver investigation findings. The investigation of the complaint allegations listed above was conducted by LPA Matos. Based on interviews, record reviews, observations, and evidence gathered during the investigation process, it is concluded that although the allegations noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with the Director, Rona Nunez. No deficiencies issued. A notice of site visit was given and must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023

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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