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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415723
Report Date: 08/19/2022
Date Signed: 08/19/2022 11:54:04 AM

Substantiated


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
07/07/2022 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220707095854
FACILITY NAME:REACH MONTESSORI PRESCHOOLFACILITY NUMBER:
434415723
ADMINISTRATOR:JIAN DENGFACILITY TYPE:
850
ADDRESS:2490 STORY ROADTELEPHONE:
(408) 272-8888
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY:60CENSUS: 15DATE:
08/19/2022
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Jian DengTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff uses inappropriate forms of punishment for day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced continue complaining visit to the Facility today. LPA Huang met with director, Jian(Annie) Deng and explained the nature of today's visit to her.

Based on interviewed with staff, parents, reviews child files, and LPA's own observations for the allegation listed above, LPA learned that occasionally the child was forced to nap during nap-time as well as to sit on the bench of the table during meal/snack time when the child did not want to.

LPA concludes that the preponderance of evidence standard has been met and the allegation listed above is therefore SUBSTANTIATED.

Exit interview conducted with Licensee. A type B deficiency was cited.
NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
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-20220707095854
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: REACH MONTESSORI PRESCHOOL
FACILITY NUMBER: 434415723
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/19/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/31/2022
Section Cited
CCR
101223(a)(3)
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Personal Rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting.
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Director agreed to submit the Plan of Corrections and to conduct a staff meeting & training to ensure this will not occurred going forward with all staff signatures of attendance to the office prior to the POC due day.
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This requirement is not met as evidenced by: Occasionally a child was forced to nap or/and sit on eating table bench during nap time or/and meal time that the facility did not comply with the section cited above which posed an 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: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
07/07/2022 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220707095854

FACILITY NAME:REACH MONTESSORI PRESCHOOLFACILITY NUMBER:
434415723
ADMINISTRATOR:JIAN DENGFACILITY TYPE:
850
ADDRESS:2490 STORY ROADTELEPHONE:
(408) 272-8888
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY:60CENSUS: 15DATE:
08/19/2022
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Jian DengTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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9
Staff hit day care child
Staff handles day care children in a rough manner
Staff yells at day care children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced continue complaining visit to the Facility today. LPA Huang met with director, Jian(Annie) Deng and explained the nature of today's visit to her.

Based on interviewed with staff, parents, and reviews child files, and LPA's own observations for the allegations listed above, it could not be proved or disproved.

LPA therefore concludes that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and investigation report was reviewed with director, Jian(Annie) Deng. A notice of site visit was given and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3