274404868-8-30-2022-07-CC-JSEA-CJ2MQH-20220907094845

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 274404868
Report Date: 08/30/2022
Date Signed: 08/30/2022 09:50:44 AM

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
06/01/2022 and conducted by Evaluator Cortney Nelson

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20220601112454

FACILITY NAME:	HALL DIST PS MIGRANT & SEASONAL HEAD START		FACILITY NUMBER:	274404868
ADMINISTRATOR:	ANGELICA RENTERIA		FACILITY TYPE:	850
ADDRESS:	300 SILL ROAD		TELEPHONE:	(831) 761-6608
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	23	CENSUS: 21	DATE:	08/30/2022
		UNANNOUNCED	TIME BEGAN:	09:18 AM
MET WITH:	Maria Cortes		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Lack of supervision resulting in minors engaging in inappropriate behavior while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Cortney Nelson, met with Child Development Coordinator, Maria Cortes, and explained purpose of visit, deliver complaint investigation finding for the above allegation.

Investigation Bureu Investigator, Maria Barragen, conducted interviews (with parents, staff, and children), reviewed pertinent documents (such as children’s files and roster), and made facility observations in relation to the above allegation. Based on the available evidence, it is concluded that although the allegation listed above may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. The allegation is thus UNSUBSTANTIATED.

As a result of this investigation, no deficiencies were cited. Exit interview was conducted and the report was reviewed with Maria Cortes.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2022

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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