414004812-12-19-2023-05-CC-MROZ-CYQUDM-20231221142944

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 414004812
Report Date: 12/19/2023
Date Signed: 12/19/2023 04:08:57 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/22/2023 and conducted by Evaluator Leslit Tapia-Mandujano

PUBLIC

COMPLAINT CONTROL NUMBER: 05-CC-20230922120230

FACILITY NAME:	PRIMARY SCHOOL, THE		FACILITY NUMBER:	414004812
ADMINISTRATOR:	EASTER, KYNDAL		FACILITY TYPE:	850
ADDRESS:	2086 CLARKE AVENUE		TELEPHONE:	(650) 396-2779
CITY:	EAST PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	98	CENSUS: 0	DATE:	12/19/2023
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	ECE Dean Tajmah Martin		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff hit daycare child

INVESTIGATION FINDINGS:

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Due to facility being on winter break, LPA Tapia-Mandujano delivered the findings of the investigation to ECE Dean Tajmah Martin via phone on December 19th, 2023 at approximately 2:30pm. Complaint was received by the Department on 09/22/23.

During the course of the investigation, health and safety inspections and staff interviews were conducted. LPA also received pertinent documents. Due to the interviews, inspections, and record reviews that were conducted, it was determined that there is not sufficient evidence to prove that a teacher hit a daycare child.

Although the allegation above 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 above allegation is UNSUBSTANTIATED.

Upon receipt of this report, Facility shall post the Notice of Site Visit for 30 consecutive days. Failure to maintain posting as required will result in an immediate $100 civil penalty. This report is public and can be reviewed.

After today’s phone call, an exit interview was conducted, report was emailed to ECE Dean Tajmah Martin at tajmah.martin@theprimaryschool.org. ECE Dean, Tajmah Martin has acknowledged receipt of report and a signed copy of the report will be received at a later date.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023

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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