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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444408895
Report Date: 09/12/2024
Date Signed: 09/12/2024 12:20:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 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
07/16/2024 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240716083209
FACILITY NAME:QUAIL HOLLOW MONTESSORIFACILITY NUMBER:
444408895
ADMINISTRATOR:CHERYL MCGOWENFACILITY TYPE:
830
ADDRESS:187 LAUREL DRIVETELEPHONE:
(831) 335-4710
CITY:FELTONSTATE: CAZIP CODE:
95018
CAPACITY:7CENSUS: 6DATE:
09/12/2024
UNANNOUNCEDTIME BEGAN:
09:13 AM
MET WITH:Melinda GillenTIME COMPLETED:
10:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility is in disrepair.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Mandeep Kaur conducted an unannounced follow up complaint investigation. LPA met with owner, Melinda Gillen and explained Purpose of today's investigation: deliver investigation findings. During the course of the investigation, LPA conducted physical plant inspections, reviewed facility records & documents and conducted staff interviews.

LPA interviewed owner during today's investigation.

Based on observations, interviewes and records reviews, it is concluded that although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations did or did not occur. The allegations are UNSUBSTANTIATED.

Exit interview conducted and report was reviewed with the owner, Melinda Gillen.

Notice of site visit issued and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
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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