Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430710447
Report Date: 01/24/2018
Date Signed 01/24/2018 02:38:31 PM


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
11/06/2017 and conducted by Evaluator Pam Burkett
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20171106165255
FACILITY NAME:CARING HEARTS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
430710447
ADMINISTRATOR:DELORIS J. ARORAFACILITY TYPE:
830
ADDRESS:645 WEST FREMONT AVENUETELEPHONE:
(408) 245-6356
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:12CENSUS: 12DATE:
01/24/2018
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Debra ChristieTIME COMPLETED:
02:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Supervision - Child suffered unexplained injury

Personal Right - Not accorded safe and healthful accommodation.

Facility is not clean.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst's (LPA) Pam Burkett and Tuoc conducted an unannounced, Complaint, inspection related to the allegations listed above. Lpa's met with Assitant Director, Debra Christie. There were 12 infants present with 3 fully qualified.

Toured all infant areas of the facility.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Notice of Site Visit must be posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Pam BurkettTELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2018
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2018
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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