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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413597
Report Date: 10/06/2021
Date Signed: 10/06/2021 03:56:50 PM

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
05/14/2021 and conducted by Evaluator James G Santos
COMPLAINT CONTROL NUMBER: 07-CC-20210514124757

FACILITY NAME:HEARTS AND HANDS CHRISTIAN CHILDCARE AND PRESCHOOLFACILITY NUMBER:
434413597
ADMINISTRATOR:ROSE, DAIDREFACILITY TYPE:
850
ADDRESS:400 LLEWELLYN AVENUETELEPHONE:
(408) 412-8823
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:70CENSUS: 25DATE:
10/06/2021
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Daidre Rose, Site DirectorTIME COMPLETED:
04:06 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff left child in a soiled diaper for an extended period of time.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) James Santos conducted an unannounced subsequent complaint visit today and met with Director, Daidre Brown. The purpose of today's visit was to deliver the investigation finding for the above allegation.

During the course of the investigation, interviews were conducted with staff and parents. Copies of school records were also obtained and reviewed.

Based on the information obtained during the investigation, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. Therefore, the allegation is found to be UNSUBSTANTIATED.

No deficiencies cited. Exit interview conducted and copy of this report provided to the Site Director.


NOTICE OF SITE VISIT WAS ISSUED. SITE DIRECTOR WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Studebaker
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2021
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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