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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274417111
Report Date: 10/24/2024
Date Signed: 10/24/2024 11:52:35 AM

Substantiated


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
08/08/2024 and conducted by Evaluator Andrea Cortez
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240808103921
FACILITY NAME:LAURA'S BARN PRESCHOOL AND CHILDCARE CENTERFACILITY NUMBER:
274417111
ADMINISTRATOR:LAURA HAIR/EVELYN WEIMERFACILITY TYPE:
830
ADDRESS:1664 HILBY AVENUETELEPHONE:
(831) 264-9897
CITY:SEASIDESTATE: CAZIP CODE:
93955
CAPACITY:70CENSUS: 28DATE:
10/24/2024
UNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Lack of Supervision-The child was bitten by another child due to lack of supervision
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Andrea Cortez and Licensing Program Manager (LPM) Gladys Kuizon conducted an unannounced complaint investigation today and met with Director Yesenia Cruz (S1) to deliver investigation findings.

On 8/13/24, LPA Cortez conducted an unannounced inspection and interviewed (S1) regarding the allegation mentioned above, Lack of Supervision. LPA toured the facility and obtained records.

On 9/17/24 Additional staff interviews (S2-S3) were completed. LPA also interviewed parents (P1-P6).

Records, including photographs obtained from reporting party (RP), revealed that there were multiple biting incidents between children (C1-C5). The facility added an additional staff to shadow the biter to minimize the incidents from occurring.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
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 3
Control Number 07-CC-20240808103921
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LAURA'S BARN PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 274417111
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
11/22/2024
Section Cited
CCR
101223(a)(2)
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Personal Rights - The licensee shall ensure that each child is accorded the following....
(2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Licensee to submit a written statement ensuring compliance to CCR 101223(a)(2). Please send Plan of Correction (POC) to LPA by 11/22/24
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Based on observation, record reviews, and interviews. Revealed C1-C5 were bitten on multiple occasions which posed a potential health, safety or personal rights risk to persons in care.
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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: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20240808103921
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: LAURA'S BARN PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 274417111
VISIT DATE: 10/24/2024
NARRATIVE
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 Interviews revealed that staff redirect children who bite, however, when the shadower is not present, biting of children reoccur. Based on LPA observations and records the facility maintains appropriate teacher to child ratios.

Based on LPA's observations, interviews conducted, and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8) are being cited on the attached LIC 9099D.

Deficiency cited see 809-D.

Exit interview conducted with Director Yesenia Cruz. Administrator Evelyn Weimer was present via phone.

A Notice of Site Visit was provided to Director Yesenia Cruz, and must remain posted for 30 days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3