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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400285
Report Date: 09/17/2024
Date Signed: 10/01/2024 04:54:22 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
08/27/2024 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240827084303
FACILITY NAME:SAN JOSE DAY NURSERY INFANT/TODDLER PROGRAMFACILITY NUMBER:
434400285
ADMINISTRATOR:ELENA JOLLYFACILITY TYPE:
830
ADDRESS:33 N. 8TH STREETTELEPHONE:
(408) 288-9667
CITY:SAN JOSESTATE: CAZIP CODE:
95112
CAPACITY:24CENSUS: 21DATE:
09/17/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Rhysie MontanoTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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1. Staff are not properly supervising infants resulting in injuries.
INVESTIGATION FINDINGS:
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Licensing Program Anayst (LPA) Anna Morales conducted an unannounced subsequent complaint investigation today and met with Operations Manager, Rhysie Montano to deliver investigation findings.  

On 8/28/24, Licensing Program Analysts (LPA's) Anna Morales and Shine Yu conducted an initial complaint investigation. LPA's conducted interviews with the Director, staff and observed the infant classrooms (Room 7 and Room 8). On 9/6/24, LPA Morales interviewed staff and conducted observations in both infant classrooms, and observed staff supervising the infants. On both of these days, LPA observed that the Classrooms remained with staff to infant ratio.
Continue on LIC9099C-
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
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 2
Control Number 07-CC-20240827084303
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: SAN JOSE DAY NURSERY INFANT/TODDLER PROGRAM
FACILITY NUMBER: 434400285
VISIT DATE: 09/17/2024
NARRATIVE
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Director and staff stated that they follow a protocol when an incident occurs. They document the incident in a Incident Log, communicate with parents via phone call, ProCare App, or discuss upon pick up.(or at drop off).

On 9/10/24, LPA reviewed Incident Logs for 7/23-8/28/24, which includes the date, time, triggering event, result of the trigger, strategies used to regulate behavior, child's behavior after strategy and parent notified.

On 9/10/24 and on 9/12/24, LPA conducted interviews with seven parents. Out of the seven parents interviewed, six stated that they have no concerns regarding supervision from staff. Only one parent expressed concerned.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the above allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

NOTICE OF SITE VISIT WAS ISSUED AND DIRECTOR WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 09/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2