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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444411594
Report Date: 06/15/2023
Date Signed: 06/15/2023 12:52:24 PM

Substantiated


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
03/08/2023 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230308153407
FACILITY NAME:ENCOMPASS HEAD STARTFACILITY NUMBER:
444411594
ADMINISTRATOR:SUZANNA LOPEZFACILITY TYPE:
850
ADDRESS:6500 SOQUEL DRIVE, BLDG. 1700TELEPHONE:
(831) 477-5275
CITY:APTOSSTATE: CAZIP CODE:
95003
CAPACITY:28CENSUS: 3DATE:
06/15/2023
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Suzanna Lopez, Corey Vestal, & Arienya "Bryce" ChristersonTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Lack of supervision
Staff pulled hair and scratched children
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Marilou Monico and Jovani Dillon, conducted an unannounced follow-up complaint inspection. LPAs met with Teacher/Director, Suzanna Lopez, Comprehensive Services Manager, Corey Vestal, and Site Supervisor, Arienya "Bryce" Chisterson.

Based on interviews and available evidence, a child (C-1) was left unattended outside Baskin 2 Room on 03/01/23 during transition from lunch to nap. The incident was self-reported by the facility to Licensing Office on 03/02/23. LPA Monico learned from interviews that a child's (C-2's) hair was pulled by staff (S-1). The above allegations are SUBSTANTIATED, meaning the allegations are valid because the preponderance of the evidence standard has been met.
Deficiencies were cited on the following page:

Exit interview conducted and report was reviewed with Comprehensive Services Manager, Corey Vestal.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
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-20230308153407
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ENCOMPASS HEAD START
FACILITY NUMBER: 444411594
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/15/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/16/2023
Section Cited
CCR
101229(a)(1)
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Responsibility of Providing Care and Supervision - No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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The staff member (S-1) involved was given a written warning. S-1 attended training on active supervision on 04/20/23. Copy of written warning, training agenda and proof of attendance were submitted during the inspection.
Deficiency corrected.
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This requirement was not met as evidenced by: On 03/01/23, a child (C-1) was left unattended outside Baskin 2 Room. This poses an immediate risk to the health, safety and personal rights of children in care.
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Since this is a zero tolerance violation, an immediate civil penalty of $500 was assessed.
Type A
06/16/2023
Section Cited
CCR
101223(a)(2)
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Personal Rights - The licensee shall ensure that each child is accorded the following personal rights: (2)To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Site Supervisor stated that she will submit a written plan by 06/16/23 to Licensing detailing the steps the facility are planning to take to ensure that children's personal rights are not violated.
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This requirement was not met as evidenced by: A staff member (S-1) pulled child's (C-2's) hair. This poses an immediate risk to the health, safety, and personal rights of children in care.
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Upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months.
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: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2