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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416981
Report Date: 07/18/2023
Date Signed: 07/18/2023 01:39:03 PM

Substantiated


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
06/05/2023 and conducted by Evaluator Kassandra Medrano
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230605092822
FACILITY NAME:PIEDMONT HILLS MONTESSORI ACADEMYFACILITY NUMBER:
434416981
ADMINISTRATOR:JESSICA TRANGFACILITY TYPE:
850
ADDRESS:1425 OLD PIEDMONT ROADTELEPHONE:
(408) 923-5151
CITY:SAN JOSESTATE: CAZIP CODE:
95132
CAPACITY:65CENSUS: 47DATE:
07/18/2023
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Joanne Wu TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not allow responsible party to enter facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kassandra Medrano, conducted a subsequent site visit to the facility to deliver investigation findings. LPA met with Head of Schools, Joanne Wu and explained to her the purpose of the visit.

LPA Medrano interviewed staff, management, and parents. Based on interviews, observations, as well as information gathered; it was found that facility did not allow authorized representatives to enter facility without advance notice. Head of Schools stated that the facility was not aware that the COVID protocols had changes and did not allow authorized representatives into facility because of health and safety risks that come with allowing entry. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A finding that is substantiated means the preponderance of evidence was found.

California Code of Regulations, Title 22 deficiencies are being cited on the following page(s):
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 07-CC-20230605092822
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/31/2023
Section Cited
CCR
101218.1(b)(1)
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101218.1 Admission Procedures and Parental and Authorized Representative's Rights (b)At the time of acceptance of each child in care, the licensee shall inform each child's parent or authorized representative of his/her rights that include, but are not limited to, the following: (1)To enter and inspect the child care center in accordance with Health and Safety Code Section 1596.857.
This requirement was not met as evidenced by:
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Head of schools, Joanne wu stated that they will inform parents in about their ability to enter the facility through the monthly newsletter that will be sent out on 7/31/23. Joanne stated that she will send LPA documentation.
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Based off of interviews and observations it was found that facility did not allow authorized reprentatives into facility unless they had a scheduled appointment. Head of Schools Joanne Wu stated that they were practicing COVID-19 requirements and was not aware this advisement had changed.

This is poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2