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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415551
Report Date: 12/11/2024
Date Signed: 12/11/2024 10:05:28 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
10/23/2024 and conducted by Evaluator Melvin S Matos
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20241023151934
FACILITY NAME:CATALYST KIDS - BISHOPFACILITY NUMBER:
434415551
ADMINISTRATOR:RUMA CHOKSHIFACILITY TYPE:
850
ADDRESS:450 NORTH SUNNYVALE AVETELEPHONE:
(408) 739-2611
CITY:SUNNYVALESTATE: CAZIP CODE:
94085
CAPACITY:68CENSUS: 11DATE:
12/11/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Ruma ChokshiTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not accord child dignity in their relationship with staff or other persons
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Mel Matos met with Ruma Chokshi, Director, for an unannounced follow up complaint investigation. Purpose of today's investigation: Deliver investigation findings.

Based on interviews, observations, record reviews, and evidence gathered during the investigation process, it is concluded that although the allegation noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is thus UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with the Director, Ruma Chokshi. No deficiencies issued. A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2024
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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