434415146-3-5-2024-07-CC-GKUN-D352U2-20240306164136

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415146
Report Date: 03/05/2024
Date Signed: 03/05/2024 09:32:58 AM

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
12/07/2023 and conducted by Evaluator Liridon Fici

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20231207112516

FACILITY NAME:	PRIMROSE SCHOOL OF WILLOW GLEN		FACILITY NUMBER:	434415146
ADMINISTRATOR:	SHANAWANY,AYAH		FACILITY TYPE:	850
ADDRESS:	1496 HAMILTON AVENUE		TELEPHONE:	(669) 273-6169
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95125
CAPACITY:	174	CENSUS: 133	DATE:	03/05/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Ayah Shanawany, Director		TIME COMPLETED:	09:40 AM

ALLEGATION(S):

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Staff do not provide proper supervision to children in care.
Children with signs of illness are accepted into the facility.
Staff do not practice proper hygiene procedures.

INVESTIGATION FINDINGS:

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On 3/5/2024, at 9:00 AM, Licensing Program Analyst (LPA), Doni Fici arrived unannounced to conduct a subsequent complaint investigation visit. LPA was greeted by Ayah Shanawany, Director and explained the purpose of today’s visit.

During the course of the investigation, LPAs L. Fici and C. Nelson observed Early Preschool #1 Classroom and conducted interviews with four (4) staff and five (5) parents of children that attend the center. LPAs conducted record review and obtained the following documents: Staff roster, children’s roster with contact information, Facility policy handbook, parents handbook, pre-school sign in and out sheet, and three (3) staff files.

Continue on Lic9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024

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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Control Number 07-CC-20231207112516

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: PRIMROSE SCHOOL OF WILLOW GLEN	FACILITY NUMBER: 434415146
	VISIT DATE: 03/05/2024

NARRATIVE

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It was alleged that: Staff do not provide proper supervision to children in care. Based on interviews conducted, all 11 staff members stated that all children are supervised. Staff also stated when a teacher or aid needs to take a break, teachers will call another staff member to replace a staff member that’s taking a break to ensure no children are unsupervised. All 5 parents that were interviewed stated that there are no concerns with supervision of children. LPA observed a sufficient number of staff during the investigation visits.

It was alleged that: Children with signs of illness are accepted into the facility. Based on interviews conducted, all 11 staff stated the protocol and procedures for children that might feel sick by checking temperatures and doing health screening when a child arrives to the center and when a child comes into to classroom. Staff will evaluate the child to ensure no child is sick. All 5 parents that were interviewed stated there are no concerns with how staff conduct their procedures when children feel sick.

It was alleged that: Staff do not practice proper hygiene procedures. Based on interviews conducted, all 11 staff members stated the proper hygiene protocol when working with food and changing of children. Parents that were interviewed stated no concerns on proper hygiene when working with food and changing of children.

Based on interviews, record reviews, observations, and evidence gathered during the course of the investigation, it is concluded that although the allegations noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. The allegations are UNSUBSTANTIATED.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted with Director, and a copy of this report review and provided.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:	DATE: 03/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024

LIC9099 (FAS) - (06/04)

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