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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416367
Report Date: 09/27/2023
Date Signed: 09/27/2023 10:28:23 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
07/27/2023 and conducted by Evaluator Janette Cruz
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230727122701
FACILITY NAME:OVER THE RAINBOW MONTESSORIFACILITY NUMBER:
434416367
ADMINISTRATOR:VARSHA DEODIKARFACILITY TYPE:
850
ADDRESS:880 HILLSDALE AVENUETELEPHONE:
(408) 691-7621
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY:38CENSUS: 34DATE:
09/27/2023
UNANNOUNCEDTIME BEGAN:
08:32 AM
MET WITH:Sheetal PrakashTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff pushed child
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Janette Cruz met with Sheetal Prakash, Licensee, to conduct an unannounced follow-up complaint investigation and deliver investigation findings. LPA toured indoor and outdoor areas of the facility. Children interviews conducted.

The investigation of the complaint allegation listed in this complaint was conducted by LPA Janette Cruz. Based on evidence gathered, including record/document reviews, and interviews completed for the complaint investigation, it is concluded that although the allegation noted on this complaint may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are thus UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with the Sheetal Prakash, Licensee.

A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023
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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