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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416116
Report Date: 07/12/2023
Date Signed: 07/12/2023 04:01:38 PM

Document Has Been Signed on 07/12/2023 04:01 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:QUIROGA, OLGAFACILITY NUMBER:
434416116
ADMINISTRATOR:OLGA QUIROGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(786) 217-8244
CITY:SUNNYVALESTATE: CAZIP CODE:
94086
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 9DATE:
07/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:25 PM
MET WITH:Olga QuirogaTIME COMPLETED:
04:15 PM
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Licensing Program Analysts (LPAs) Mel Matos & Jovani Dillon met with Olga Quiroga, Licensee, for an unannounced case management investigation in response to a self reported unusual incident. LPA Matos interviewed the Licensee, one adult assistant, one preschool child, and Licensee's adult daughter during today's investigation.

Licensee states that a parent of one preschool child contacted her and her adult daughter (Huilen) on the evening of Sunday July 9, 2023 to report a concern regarding one of the adult assistants that worked in the day care. Licensee states that the child's father indicated to her and her adult daughter that one of the adult assistants had pulled the child's ears in the day care. Licensee states that no specific date(s)/time(s) were provided. Licensee states that the child never indicated anything to herself or any of her staff regarding any concerns about one of the adult assistants.

Licensee states that the child does not have any mark(s)/bruising on the child's ears. Licensee states that the child is still enrolled and that the parents have not mentioned anything else about the allegation to her.

Licensee states that she spoke with the accused staff and states that the staff denied the allegation. Licensee states that she never observed or heard of the accused staff acting inappropriately towards any of the day care children. Licensee states that the staff last worked at the day care on Monday July 10, 2023. Licensee states that she let the staff go as of Monday July 10, 2023 as a result of the allegation and out of abundance of caution. Licensee states that she cannot conclude if the allegation is true or not.

Based on the available evidence and interviews completed, it is concluded that although the allegation noted on this report may have happened or is valid, there is not a preponderance of evidence at this time to prove that the alleged violation did or did not occur.

Exit interview conducted and report was reviewed with the Licensee, Olga Quiroga, and advised her that no deficiencies issued during today's inspection. A Notice of Site Visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 07/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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