434412158-12-9-2022-52-CC-JJAG-CMCUMW-20221222144259

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434412158
Report Date: 12/09/2022
Date Signed: 12/09/2022 03:32:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/16/2022 and conducted by Evaluator Morgan Pringle

COMPLAINT CONTROL NUMBER: 52-CC-20221116121443

FACILITY NAME:	PALO ALTO PRESCHOOL BILINGUAL MONTESSORI		FACILITY NUMBER:	434412158
ADMINISTRATOR:	PULDA, VIRGINIA		FACILITY TYPE:	850
ADDRESS:	4232 EL CAMINO REAL		TELEPHONE:	(650) 739-0137
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94306
CAPACITY:	118	CENSUS: 76	DATE:	12/09/2022
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Weija Cai		TIME COMPLETED:	03:27 PM

ALLEGATION(S):

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9

Personal Rights

INVESTIGATION FINDINGS:

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9
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13

On 12/9/2022 Licensing Program Analyst (LPA) Morgan Pringle met with facility staff Weija for a complaint that was received alleging children's personal rights were violated. Present during the inspection were seventy-six (76) children, two (2) volunteers and nine (9) staff members. During LPA's inspection interviews were conducted and a tour of the facility was taken. LPA obtained the new facility roster, new personnel roster, and a sample of the staff files that were not present during LPA's previous inspection.

LPA determined although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore, the allegation is UNSUBSTANTIATED.

Exit interview was conducted and Notice of Site wisit was given to facility staff Weija Cai

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Morgan Pringle
LICENSING EVALUATOR SIGNATURE:	DATE: 12/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2022

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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