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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434414441
Report Date: 04/09/2024
Date Signed: 04/09/2024 09:57:28 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 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
03/20/2024 and conducted by Evaluator Jessica Bongardt
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240320150625
FACILITY NAME:EDUCARE CALIFORNIA AT SILICON VALLEY HEADSTART/PSFACILITY NUMBER:
434414441
ADMINISTRATOR:CORTEZ, ELVIRAFACILITY TYPE:
850
ADDRESS:1399 SANTEE DRIVETELEPHONE:
(408) 573-4823
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY:181CENSUS: 96DATE:
04/09/2024
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:TIME COMPLETED:
10:10 AM
ALLEGATION(S):
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Staff handled daycare child in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jessica Bongardt conducted a subsequent complaint visit and met with Josephine Dalit, Site Director today. The purpose of LPA’s visit was to deliver investigation findings.

On March 27, 2024, and April 09, 2024, LPA conducted unannounced inspections of the facility. During the course of the investigation, staff interviews were conducted. Facility records were reviewed. Sign in sheets for the children were obtained.

It was reported to the department that a staff member handled a child in a rough manner while in care. Based on interviews conducted, witnesses stated staff grabbed child’s plate while child (C1) was still eating. No physical contact with C1 was reported.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jessica Bongardt
LICENSING EVALUATOR SIGNATURE:

DATE: 04/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/04/2024
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
Control Number 07-CC-20240320150625
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: EDUCARE CALIFORNIA AT SILICON VALLEY HEADSTART/PS
FACILITY NUMBER: 434414441
VISIT DATE: 04/09/2024
NARRATIVE
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Based on investigation, file review, and interviews, 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.

Notice of Site Visit of given and must be posted for 30 days
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Jessica Bongardt
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2