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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274403572
Report Date: 11/10/2021
Date Signed: 11/10/2021 12:20:08 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, 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
08/19/2021 and conducted by Evaluator Joseph Macias
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20210819090101
FACILITY NAME:OUR SAVIOR'S EARLY CHILDHOOD CENTERFACILITY NUMBER:
274403572
ADMINISTRATOR:SUSAN KLEMSZFACILITY TYPE:
850
ADDRESS:1230 LUTHER WAYTELEPHONE:
(831) 422-4614
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY:45CENSUS: 14DATE:
11/10/2021
UNANNOUNCEDTIME BEGAN:
10:49 AM
MET WITH:Susan KlemszTIME COMPLETED:
12:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit day care child.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Joe Macias, conducted an announced inspection in order to deliver findings on the complaint investigation of above allegation. LPA Macias met with the Director Susan Klemsz to discuss complaint allegation.

LPA Macias interviewed staff, children, and parents, observed the classroom, as well as obtained copies of pertinent information. Throughout the investigation process, it was found the allegation (staff hit day care child) is UNSUBSTANTIATED; based on interviews, and information gathered by LPA Macias. A finding that is unsubstantiated means although the allegation may have happened or is valid, the preponderance of evidence does not prove it.

Exit interview conducted and copy of this report was left with the Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2021
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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