444403570-10-3-2022-07-CC-DSTN-CKQVNN-20221031163523

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 444403570
Report Date: 10/03/2022
Date Signed: 10/03/2022 11:01:56 AM

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
08/12/2022 and conducted by Evaluator Kassandra Medrano

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20220812102431

FACILITY NAME:	HOLY CROSS PRESCHOOL		FACILITY NUMBER:	444403570
ADMINISTRATOR:	PATANO, PATRICIA		FACILITY TYPE:	850
ADDRESS:	170 A HIGH STREET		TELEPHONE:	(831) 425-1782
CITY:	SANTA CRUZ	STATE: CA	ZIP CODE:	95060
CAPACITY:	31	CENSUS: 8	DATE:	10/03/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Crissy Roubal		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff speak innapropriatley about children.

INVESTIGATION FINDINGS:

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On October 3rd, 2022 at 9:30am Licensing Program Analyst (LPA), Kassandra Medrano, conducted an unannounced subsequent complaint inspection to deliver findings of the investigation. LPA met with Director, Crissy Roubal, and Patricia Patano, Principal and explained the nature of today's inspection.

LPA Medrano conducted interviews, toured the facility and obtained copies of pertinent information. Based on information obtained; there is not enough evidence to prove that the above allegations have occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur. Due to the above information, the allegations are UNSUBSTANTIATED.

NOTICE OF SITE VISIT WAS ISSUED AND SHALL BE POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

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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