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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417026
Report Date: 11/08/2023
Date Signed: 11/08/2023 09:49:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 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
08/28/2023 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230828100838
FACILITY NAME:PRIMROSE SCHOOL OF CUPERTINOFACILITY NUMBER:
434417026
ADMINISTRATOR:MONICA THOMPSONFACILITY TYPE:
830
ADDRESS:1002 SOUTH DE ANZA BOULEVARDTELEPHONE:
(408) 685-7133
CITY:SAN JOSESTATE: CAZIP CODE:
95129
CAPACITY:24CENSUS: 16DATE:
11/08/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Sima ShahTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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9
1. Staff hit the daycare children while in care
2. Staff inappropriately grabbed the daycare children while in care
3. Staff yelled at the daycare children
INVESTIGATION FINDINGS:
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2
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13
Licensing Program Analysts(LPA's) Anna Morales and Jessica Bongardt conducted a subsequent visit to deliver the findings for the above allegations. LPA's met with Owner Sima Shah.

LPA interviewed staff, parents,and reviewed supporting documentation.
Throughout the complaint interviews, the parents consensus was that they have no concerns nor complaints with how the staff are treating their children. Staff consensus disclosed that they have not seen staff hit, inappropriately or hear staff yell at the children.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the above allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

NOTICE OF SITE VISIT WAS ISSUED AND DIRECTOR WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2023
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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