434415594-7-26-2024-07-CC-BDEL-D7Q9FT-20240731232025

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415594
Report Date: 07/26/2024
Date Signed: 07/26/2024 11:48:32 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
05/01/2024 and conducted by Evaluator Melvin S Matos

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20240501092154

FACILITY NAME:	PRECIOUS MOMENTS PRESCHOOL LLC		FACILITY NUMBER:	434415594
ADMINISTRATOR:	THUONG LE		FACILITY TYPE:	850
ADDRESS:	830 WEST EVELYN AVENUE		TELEPHONE:	(408) 685-2261
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94086
CAPACITY:	30	CENSUS: 25	DATE:	07/26/2024
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Thuong Le		TIME COMPLETED:	10:51 AM

ALLEGATION(S):

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Staff do not take adequate measures to prevent outbreaks in the facility
Staff are not providing adequate food service to day care children
Facility has pests
Facility is malodorous
Staff are not adequately cleaning the restrooms
Facility not posting the notice of site visit in an accessible area to parents

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mel Matos conducted an unannounced follow-up complaint investigation and met with Thuong Le, Director. Purpose of today's follow up complaint investigation: deliver investigation findings. Based on interviews, record reviews, observations, and evidence gathered during the investigation process, it is concluded that although the allegations 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 allegations are UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with the Director, Thuong Le. 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: 07/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2024

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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