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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400382
Report Date: 03/01/2023
Date Signed: 03/02/2023 03:17:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
02/10/2023 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230210103735
FACILITY NAME:YWCA DAVIDSONFACILITY NUMBER:
434400382
ADMINISTRATOR:RODRIGUEZ, JEANINEFACILITY TYPE:
830
ADDRESS:350 SOUTH THIRD STREETTELEPHONE:
(408) 295-4011
CITY:SAN JOSESTATE: CAZIP CODE:
95112
CAPACITY:10CENSUS: 7DATE:
03/01/2023
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Lucille GabrielTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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1. Staff handle day care children in a rough manner.
2. Staff speak inappropriately to children in care.
3. Staff physically restrain day care children.
4. Staff did not notify day care child's authorized representative of incident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Anna Morales conducted an unannounced subsequent complaint visit investigation today and met with Program Director, Lucille Gabriel. The purpose of today's visit was to deliver the investigation finding for the above allegations.

Based on interviews conducted on February 15 and February 24, 2023, with the Program Director, the Enrollment Officer and five staff regarding the allegations: Staff handle day care children in a rough manner, Staff speak inappropriately to children in care, Staff physically restrain day care children and Staff did not notify day care child's authorized representative of incident. they did not observe any of the allegations stated above. They stated that they notify and give a copy to the child's authorized representative/parent of an Incident report which is signed by the Director and the child's authorized representative/parent.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
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 4
Control Number 07-CC-20230210103735
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: YWCA DAVIDSON
FACILITY NUMBER: 434400382
VISIT DATE: 03/01/2023
NARRATIVE
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LPA interviewed six parents including parents whose children who are no longer enrolled in the infant day care stated that they had no concerns with the way their children are being treated by the teachers. They stated that they trust the staff and that the staff communicate with them if an incident occurred.

Records were reviewed including the Children's roster and a copy of an Unusual Incident Report that occurred in the month of January of 2023

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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 03/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/01/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4