434415360-7-2-2021-07-CC-SKNT-C4NSFH-20210706135022

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415360
Report Date: 06/23/2021
Date Signed: 07/02/2021 11:58:09 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
04/13/2021 and conducted by Evaluator Yangcheng Huang

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20210413192311

FACILITY NAME:	FOOTPRINTS EARLY EDUCATION CENTER		FACILITY NUMBER:	434415360
ADMINISTRATOR:	CHANG, CHIH-YEUAN		FACILITY TYPE:	850
ADDRESS:	1515 PARTRIDGE AVENUE		TELEPHONE:	(408) 784-9665
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94087
CAPACITY:	44	CENSUS: 19	DATE:	06/23/2021
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Chih-Yeuan Chang		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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9

Facility failed to assess whether the center can meet the child's needs prior to admission

INVESTIGATION FINDINGS:

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This amendment is to change the report from CONFIDENTIAL to PUBLIC.

Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced complaint visit to deliver investigation findings to the Facility today. LPA Huang met with Licensee/Director, Chih-Yeuan (John) Chang, and explained the nature of today's visit to him.

The investigation has been completed. Based on interviews of director, staff, reviews child files, communication record, and LPA's own observations for the complaint listed above, it could not be proved or disproved.

LPA therefore concludes that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

NO DEFICIENCY WAS CITED. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:	DATE: 06/23/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2021

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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