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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434404317
Report Date: 10/17/2022
Date Signed: 10/18/2022 08:07:45 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
08/25/2022 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220825134213
FACILITY NAME:HAPPY DAYS CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434404317
ADMINISTRATOR:REED, STEPHANIEFACILITY TYPE:
850
ADDRESS:10115 SAICH WAYTELEPHONE:
(408) 725-3707
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:99CENSUS: 42DATE:
10/17/2022
UNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Stephanie ReedTIME COMPLETED:
04:10 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Day care child sustained bruising while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced complaint investigation for the above allegation. LPA met with Director Stephanie Reed and explained the reason for the inspection.

During the course of this investigation, LPA conducted interviews with staff and third party. LPA also reviewed relevant documents. LPA also conducted observation. Based on the information obtained, the above allegation is found to be UNSUBSTANTIATED, meaning although, the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies were cited as a result of this investigation. Exit interview conducted and report was reviewed with Director Stephanie Reed. 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: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022
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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