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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413036
Report Date: 08/06/2024
Date Signed: 08/06/2024 01:50:27 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240802154128
FACILITY NAME:GLOBAL VILLAGE MONTESSORIFACILITY NUMBER:
434413036
ADMINISTRATOR:SUSHMA SHRESTHAFACILITY TYPE:
850
ADDRESS:1146 JACKLIN ROADTELEPHONE:
(408) 956-8711
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:72CENSUS: 24DATE:
08/06/2024
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Licensee Nikki YelamTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Food Services - Staff observed a rodent in the kitchen.
INVESTIGATION FINDINGS:
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On 8/6/2024 at 11:10 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Complaint Investigation Visit. LPA met with a teacher Emilda explained the nature of the site visit. Present on this facility were 5 staff and 24 preschool children. The facility operates from Monday to Friday, 7:30 am to 6 pm.

Reporting Party (RP) alleged that S1 saw a rodent (mice) in the facility’s kitchen on 7/30/2024.

During the visit, LPA toured the facility with Emilda to conduct health and safety inspection. LPA conducted Staff Interview, site oberservations and Record Review.

The Licensee Nikki Yelam arrived at noon at the facility. LPA met the Licensee and explained the nature of the site visit.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/02/2024 and conducted by Evaluator Manel Estoesta
PUBLIC
COMPLAINT CONTROL NUMBER: 52-CC-20240802154128

FACILITY NAME:GLOBAL VILLAGE MONTESSORIFACILITY NUMBER:
434413036
ADMINISTRATOR:SUSHMA SHRESTHAFACILITY TYPE:
850
ADDRESS:1146 JACKLIN ROADTELEPHONE:
(408) 956-8711
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:72CENSUS: 24DATE:
08/06/2024
UNANNOUNCEDTIME BEGAN:
11:05 AM
MET WITH:Licensee Nikki YelamTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Reporting Requirements - The licensee did not report the "rodent" incident to the Regional Office in a timely manner.
INVESTIGATION FINDINGS:
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13
On 8/6/2024 at 11:10 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Complaint Investigation Visit. LPA met with a teacher Emilda explained the nature of the site visit. Present on this facility were 5 staff and 24 preschool children. The facility operates from Monday to Friday, 7:30 am to 6 pm.

Reporting Party (RP) alleged that the Licensee did not report the "rodent" sighting incident to Child Care Licensing Regional Office in a timely manner

During the visit, LPA toured the facility with Emilda to conduct health and safety inspection. LPA conducted Staff Interview, site oberservations and Record Review.

The Licensee Nikki Yelam arrived at noon at the facility. LPA met the Licensee and explained the nature of the site visit.
Substantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 52-CC-20240802154128
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GLOBAL VILLAGE MONTESSORI
FACILITY NUMBER: 434413036
VISIT DATE: 08/06/2024
NARRATIVE
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Based on the Staff Interview, that on 7/30/2024 at 10 am, during S1 break, S1 saw a mice crawled from underneath the kitchen’s refrigerator towards to the kitchen door. The kitchen is a shared space for the Staff and Children’s utensils and food storage. S1 was seating on a chair adjacent to the kitchen door. S1 attempted to move the next chair, the mice crawled back underneath the facility’s refrigerator. S1 stepped out of the kitchen, closed the kitchen door and reported the incident to the S2. The Licensee was informed via phone and requested pest control. Pest control and Licensee came in at noon. Pest Control had an assessment and set up traps. The kitchen remained off limits that day. Food utensils were brought from a nearby grocery store to use in the facility. Lunch was outsourced from a third-party provider.

At 11:15 am, LPA observed the facility’s kitchen was free of rodent droppings (poop) and the kitchen appeared to be clean. At 11:24 am, LPA observed rodent droppings (poop) in the locked Cleaning Supply Storage (Off Limit Area) where the heating, ventilation, and air conditioning (HVAC) equipment system is located. The locked Cleaning Supply Storage (Off Limit Area) is in the children’s and staff bathroom.

As per the Licensee’s reporting on Friday, August 2, 2024, 6:32 PM via email to LPA Estoesta. The facility had a mouse sighting in the kitchen. A teacher reported seeing a mouse on Wednesday (July 31) in the kitchen. “We” immediately called pest control, who set traps, trapped the mouse, and cleaned. “We” do not keep any unsealed food in the kitchen area. We inspected, cleaned and sanitized the kitchen area. “Our” janitorial services (that come after school every day) cleaned and sanitized the entire kitchen area.

Based on LPA Estoesta’ s Staff Interview and Record Review, the Licensee failed to follow the Section 101212 (d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours, therefore, the preponderance of evidence standard has been met, the above allegation are to be SUBSTANTIATED.



LPA Estoesta informed the Licensee that this report dated 8/6/2024 included a Type B Citation which can be posted as there is a potential risk to the health, safety, or personal rights of children in care.

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.


Exit interview conducted and report was reviewed with Licensee Nikki Yelam.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 52-CC-20240802154128
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: GLOBAL VILLAGE MONTESSORI
FACILITY NUMBER: 434413036
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/14/2024
Section Cited
CCR
101227(a)(18)
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101227 Food Services (a) (18) All kitchen, food-preparation and storage areas shall be kept clean and free of litter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin......
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In addition to the Licensee action plan taken on 7/30/2024. LPA advised the Licensee to submit an Action Plan on Rodent Prevention at the facility. License will submit proof of Action Plan on or before 8/14/2024 via mail to Regional Office. Licensee clean the cleaning supply stogage room during the visit.
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This requirement is not met as evidenced by, at LPA observed rodent droppings (poop) in the locked Cleaning Supply Storage (Off Limit Area) where the heating, ventilation, and air conditioning (HVAC) equipment system is located. The locked Cleaning Supply Storage (Off Limit Area) is in the children’s and staff bathroom. This poses a potential risk to the health, safety or personal rights to children in care.
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LPA provided the links to the Licensee of the CDC How to Clean Up After Rodents
https://www.cdc.gov/healthy-pets/rodent-control/clean-up.html?CDC_AAref_Val=https://www.cdc.gov/healthypets/pets/wildlife/clean-up.html and the County of Santa Clara Vector Control District
https://vector.santaclaracounty.gov/vectors/rodents.
Type B
08/07/2024
Section Cited
CCR
101212(d)
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Reporting Requirements 101212
(d) Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours......
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LPA Estoesta received a completed LIC 624 and LPA received the form on Monday, August 5, 2024 2:45 PM.
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This requirement is not met as evidenced by, as per the Licensee’s reporting on Friday, August 2, 2024, 6:32 PM via email to LPA Estoesta. Incident date 7/30/2024. This poses a potential risk to the health, safety or personal rights to children in care.
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LPA advised to review the Child Care Reporting Requirements
https://ccld.childcarevideos.org/child-care-center-operators/child-care-reporting-requirements/
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 52-CC-20240802154128
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: GLOBAL VILLAGE MONTESSORI
FACILITY NUMBER: 434413036
VISIT DATE: 08/06/2024
NARRATIVE
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32
Based on the Staff Interview, that on 7/30/2024 at 10 am, during S1 break, S1 saw a mice crawled from underneath of the kitchen’s refrigerator towards to the kitchen door. The kitchen is a shared space for the Staff and Children’s utensils and food storage. S1 was seating on a chair adjacent to the kitchen door. S1 attempted to move the next chair, the mice crawled back underneath the facility’s refrigerator. S1 stepped out of the kitchen, closed the kitchen door and reported the incident to the S2. The Licensee was informed via phone and requested pest control. Pest control and Licensee came in at noon. Pest Control had an assessment and set up traps. The kitchen remained off limits that day. Food utensils were brought from a nearby grocery store to use in the facility. Lunch was outsourced from a third-party provider.

At 11:15 am, LPA observed the facility’s kitchen was free of rodent droppings (poop) and the kitchen appeared to be clean. At 11:24 am, LPA observed rodent droppings (poop) in the locked Cleaning Supply Storage (Off Limit Area) where the heating, ventilation, and air conditioning (HVAC) equipment system is located. The locked Cleaning Supply Storage (Off Limit Area) is in the children’s and staff bathroom.

As per the Licensee’s reporting on Friday, August 2, 2024, 6:32 PM via email to LPA Estoesta. The facility had a mouse sighting in the kitchen. A teacher reported seeing a mouse on Wednesday (July 31) in the kitchen. “We” immediately called pest control, who set traps, trapped the mouse, and cleaned. “We” do not keep any unsealed food in the kitchen area. We inspected, cleaned and sanitized the kitchen area. “Our” janitorial services (that come after school every day) cleaned and sanitized the entire kitchen area.

Based on LPA Estoesta’ s Staff Interview and Observations that the Licensee failed to keep the kitchen, food-preparation and storage areas free of rodents, a violation of Section 101227(a)(18), therefore, the preponderance of evidence standard has been met, the above allegation are to be SUBSTANTIATED.



LPA Estoesta informed the Licensee that this report dated 8/6/2024 included a Type B Citation which can be posted as there is a potential risk to the health, safety, or personal rights of children in care.

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.


Exit interview conducted and report was reviewed with Licensee Nikki Yelam.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5