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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434408833
Report Date: 11/05/2025
Date Signed: 11/05/2025 09:55:08 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
10/13/2025 and conducted by Evaluator Jennifer Beehler
COMPLAINT CONTROL NUMBER: 07-CC-20251013115548
FACILITY NAME:CHILD KINGDOM PRE-SCHOOL/DAYCAREFACILITY NUMBER:
434408833
ADMINISTRATOR:REY, YAMILETTEFACILITY TYPE:
850
ADDRESS:4160 SENTER ROADTELEPHONE:
(408) 365-1236
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY:73CENSUS: 11DATE:
11/05/2025
UNANNOUNCEDTIME BEGAN:
08:39 AM
MET WITH:Yamilette Rey - DirectorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility did not allow authorized representative access to the facility upon request.
INVESTIGATION FINDINGS:
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On 11/05/2025, Licensing Program Analyst (LPA) Jennifer "Jen" Beehler conducted an unannounced Complaint Investigation. Upon arrival, LPA was greeted by the Director and provided access to the facility. LPA stated the reason for the visit and conducted a tour of the facility and collected the census. LPA observed 11 preschool age children and two (2) Teachers and one (1) Director present, which is compliant with the ratio and capacity requirements.

On 10/15/2025, LPA opened the investigation and interviewed the Director, collected relevant documentation and toured the facility. LPA interviewed witnesses throughout the investigation and collected documentation relevant to the investigation.

LPA uncovered that during an emergency pick up for Child #1 (C#1), Authorized Representative (AR#1) was refused access to C#1's classroom by faciity staff.

--------Continued on Page 2---------
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deanna Villagrana
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
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 5
Control Number 07-CC-20251013115548
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: CHILD KINGDOM PRE-SCHOOL/DAYCARE
FACILITY NUMBER: 434408833
VISIT DATE: 11/05/2025
NARRATIVE
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Based on the evidence gathered through witness testimony, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Due to today's investigation, a deficiency has been cited. More details provided on the attached LIC9099-D. Exit interview conducted with Facility Representative, Yamilette Rey, report was reviewed and provided along with appeal rights.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Deanna Villagrana
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20251013115548
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: CHILD KINGDOM PRE-SCHOOL/DAYCARE
FACILITY NUMBER: 434408833
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/14/2025
Section Cited
CCR
101218.1(b)(1)
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101218.1 Admission Procedures and Parental and Authorized Representative's Rights....(b) At the time of acceptance of each child in care, the licensee shall inform each child's parent or authorized representative of his/her rights that include, but are not limited to, the following: (1)To enter and inspect the child care center in accordance with Health and Safety Code Section 1596.857.

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Director to provide a written plan to address procedures for authorized representatives to access the facility to ensure parent's rights are followed while keeping children safe, productive and engaged. Director to email this written plan to LPA by POC due date.
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This requirement has not been met as evidenced by: Witness testimony confirmed Authorized Representative was not allowed access to the facility during an emergency pick up. This poses a potential risk to the health, safety and personal rights of children 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: Deanna Villagrana
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 11/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5