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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434410829
Report Date: 03/27/2024
Date Signed: 03/27/2024 11:42:52 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
03/19/2024 and conducted by Evaluator Cortney Nelson
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240319154506
FACILITY NAME:SAN JOSE CHRISTIAN PRESCHOOLFACILITY NUMBER:
434410829
ADMINISTRATOR:ASHLEY KOEPPLINFACILITY TYPE:
850
ADDRESS:1300 SHEFFIELD AVENUETELEPHONE:
(408) 371-7741
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:84CENSUS: 44DATE:
03/27/2024
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Rochelle LeggettTIME COMPLETED:
11:52 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Daycare child sustained an injury due to lack of supervision.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs), Cortney Nelson and Farida Raja, met with Site Director, Rochelle Leggett, to open 10-day complaint investigation. Upon arrival, LPAs were admitted into the facility by office staff and explained purpose of today's visit.

LPAs conducted interview with the Site Director and staff who were present during incident that resulted in a child's injury. LPAs additionally reviewed sign-in/out and staff files to confirm ratio was met for the children that were present that day. Staff were positioned appropriately outside to supervise children as they engaged in outdoor play and staff-child ratio was compliant. An ouch report was documented for the child and staff appropriately addressed the injury, providing ice and antiseptics after parents were notified.

Based on the available evidence, it is 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 allegation is thus UNSUBSTANTIATED.

Exit interview conducted and the report was reviewed with the Site Director, Rochelle Leggett.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2024
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 2