434413426-1-11-2024-07-CC-SCES-CZZUZK-20240131150137

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434413426
Report Date: 01/11/2024
Date Signed: 01/11/2024 01:35:32 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
10/27/2023 and conducted by Evaluator Melvin S Matos

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20231027141726

FACILITY NAME:	TULIP KIDS ACADEMY		FACILITY NUMBER:	434413426
ADMINISTRATOR:	EVANGELINE PONCE		FACILITY TYPE:	850
ADDRESS:	1159 WILLOW AVENUE		TELEPHONE:	(408) 340-7993
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94086
CAPACITY:	67	CENSUS: 53	DATE:	01/11/2024
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Evangeline Ponce		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff yell at children
Staff confine child to high chair
Staff handled child in a rough manner
Staff use a common wash cloth to clean children's hands

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mel Matos conducted an unannounced follow-up complaint investigation and met with Evangeline Ponce, Director. Purpose of today's follow up complaint investigation: deliver investigation findings. LPA toured the Junior Preschool (Room 1), Pre-K (Room 2), & Preschool (Room 3) during today's investigation.
The investigation of the complaint allegations listed above was conducted by LPA Matos. Based on interviews, record reviews, observations, and evidence gathered during the investigation process, it is concluded that although the allegations noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. The allegations are UNSUBSTANTIATED.
A Notice of Site Visit was provided to Evangeline Ponce, Director, and must remain posted for 30 days.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

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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