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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434414879
Report Date: 12/16/2025
Date Signed: 12/16/2025 10:01:20 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
11/14/2025 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20251114102256
FACILITY NAME:CABRILLO MONTESSORI SCHOOL INCFACILITY NUMBER:
434414879
ADMINISTRATOR:MELISSA WYANTFACILITY TYPE:
850
ADDRESS:2495 CABRILLO AVENUETELEPHONE:
(408) 418-3568
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY:89CENSUS: 35DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Annaleen EncinaTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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1. Facility staff caused injury to child while in care
2. Staff did not notify child's authorized person of serious injury in a timely manner
INVESTIGATION FINDINGS:
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On 12/16/25, Licensing Program Analyst(LPA) Anna Morales conducted an Unannounced Subsequent Complaint investigation to deliver the findings for the above allegations. LPA met with Annaleen Encina, Operations Manager.
LPA conducted a tour of each of the classrooms and observed that the facility was operating in compliance with teacher to children ratio requirement.

During the course of the investigation, LPA Morales interviewed children, staff, reviewed supporting documentation and toured the facility. Children interviewed stated that they have never seen any of the teachers hit or grab anyone by the hands. Children stated that they like coming to school and like all of their teachers. Children stated that if they don't listen to the teachers, the teachers will talk to them.

Continue on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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-20251114102256
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: CABRILLO MONTESSORI SCHOOL INC
FACILITY NUMBER: 434414879
VISIT DATE: 12/16/2025
NARRATIVE
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Based on interviews conducted with staff, S1 lifted C1 from C1's underarms to transfer to another area of the classroom, and was observed crying on and off after. Interviews revealed that C1 would point at their elbow and stated, "ouch" and "bookshelf" when asked what happened. Staff immediately assessed C1 and only observed a scab. Staff stated that they did not observe any swelling and provided first aid. Staff notified C1's parent(s)when C1's behavior did not improve.

This Department has investigated the above allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.


Exit Interview was conducted with the Annaleen Encina. Appeal Rights were given. Notice of Site was issued and is to be posted for thirty day(30)days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2