434415767-8-25-2021-07-CC-ASTR-C6EV89-20210831161219

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415767
Report Date: 08/25/2021
Date Signed: 08/25/2021 01:19:13 PM

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
06/07/2021 and conducted by Evaluator Samantha Yip

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20210607122334

FACILITY NAME:	CHILDREN'S COURTYARD, THE		FACILITY NUMBER:	434415767
ADMINISTRATOR:	SHAYLYNN LUCAS		FACILITY TYPE:	850
ADDRESS:	610 E DUNNE AVENUE		TELEPHONE:	(408) 778-1977
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	96	CENSUS: 43	DATE:	08/25/2021
		UNANNOUNCED	TIME BEGAN:	12:48 PM
MET WITH:	Annabelle Calasanz		TIME COMPLETED:	01:25 PM

ALLEGATION(S):

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Staff inappropriately discipline child in care.
Child is being inappropriately restrained.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced subsequent complaint investigation. LPA met with Director Annabelle Calansanz and explained the reason for the inspection. The purpose of this inspection is to deliver the findings for the above allegations.

During the course of this investigation, LPA conducted observations and interviewed staff, children, and third party. LPA also reviewed facility's positive guidance, employee handbook, and staff training notes conducted on 06/2021. Based on the information obtained, the above allegations were found to be UNSUBSTANTIATED, meaning although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiencies were cited as result of this investigation. An exit interview was conducted were this report was discussed and provided to Director Annabelle Calasanz. A Notice of Site Visit has been issued and must be posted for 30 consecutive days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Studebaker
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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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