434416981-2-22-2023-07-CC-GKUN-CPB2V2-20230222164310

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434416981
Report Date: 02/14/2023
Date Signed: 02/22/2023 02:12:18 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
11/30/2022 and conducted by Evaluator Stephanie Collins

COMPLAINT CONTROL NUMBER: 07-CC-20221130095506

FACILITY NAME:	PIEDMONT HILLS MONTESSORI ACADEMY		FACILITY NUMBER:	434416981
ADMINISTRATOR:	JESSICA TRANG		FACILITY TYPE:	850
ADDRESS:	1425 OLD PIEDMONT ROAD		TELEPHONE:	(408) 923-5151
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95132
CAPACITY:	65	CENSUS:	DATE:	02/14/2023
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Owner Joanne Wu		TIME COMPLETED:	09:15 AM

ALLEGATION(S):

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1: Facility staff did not ensure the day care child was dressed properly while in care.

2: Lack of supervision resulting child being bitten by another child in care.

INVESTIGATION FINDINGS:

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Pg 1
Licensing Program Analyst (LPA) Stephanie Collins conducted a subsequent complaint visit and met with Director Jessica Trang today. The purpose of LPA’s visit was to deliver investigation findings.
On December 1, 2022, LPA conducted an unannounced visit to the facility to initiate investigation, conduct staff interviews, and obtain facility records which include Admission Policy, Facility’s policy on biting behaviors, sign in and out log, incident and “boo-boo” reports, and staff attendance sheet. On December 19, 2023, LPA interviewed parents.
Based on interviews, four of the four staff who were interviewed stated that on the day of the alleged incident, child (C1) soiled C1’s pants. C1 had no extra clothes at the facility and staff borrowed another child’s extra clothing (a pair of pants) for C1 and ensured C1 was dressed properly while participating in preschool activities.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 02/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/14/2023

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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Control Number 07-CC-20221130095506

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PIEDMONT HILLS MONTESSORI ACADEMY	FACILITY NUMBER: 434416981
	VISIT DATE: 02/14/2023

NARRATIVE

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Pg. 2
Prior to pick up, staff removed borrowed pants from C1 to return to owner and informed C1’s parent to bring extra clothes for C1 at next drop off. C1 was wearing a shirt, diaper, and shoes at pick up. C1’s parent confirmed C1 had no extra clothes at the facility that day. All staff stated the weather was warm on the day of the incident and staff ensured C1 was comfortable at all times. Staff reported observing a biting incident that involved C1 and addressing the behavior immediately and reporting the incident to parents.

Four out of four parents who were interviewed stated, they receive a boo-boo or incident report when there’s an incident involving their child, but it is not repetitive or a result of uncorrected behavior. All parents stated they did not observe any child not dressed properly nor have they observed lack of supervision at the facility.

LPA’s review of records revealed that on the day of the incident, the weather is 85 degrees. A review of Boo-boo/incident reports does not show patterns of repetitive or uncorrected biting behaviors from any child in care. Based on records, biting incidents were witnessed by staff and immediately addressed.

Based on LPA’s observation, interviews conducted, and records reviewed, the Department determined that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2023

LIC9099 (FAS) - (06/04)

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