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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417233
Report Date: 07/30/2025
Date Signed: 07/30/2025 09:59:51 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
05/12/2025 and conducted by Evaluator Liridon Fici
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250512123754
FACILITY NAME:ACTION DAY SCHOOLSFACILITY NUMBER:
434417233
ADMINISTRATOR:SHUREE GUZMANFACILITY TYPE:
860
ADDRESS:18720 BUCKNALL ROADTELEPHONE:
(408) 244-1968
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:434CENSUS: 141DATE:
07/30/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:SHUREE GUZMANTIME COMPLETED:
10:10 AM
ALLEGATION(S):
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The physical plant is unsafe for children in care.
An incident involving a child was not properly reported.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Liridon Fici-Doni, conducted an unannounced complaint investigation visit and met with Director, SHUREE GUZMAN.

During the course of the investigation, LPA interviewed the Reporting Party (RP), staff, children, and obtained documents.

It was alleged that the physical plant is unsafe for children in care, and an incident involving a child was not properly reported. Interviews were conducted. Three (3) out of six (6) children who were interviewed stated they have gotten burned on the slide due to it being hot. Interview with staff revealed inconsistencies with protocols for checking the playground for hazards.

Continue on Page 1 of 2.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
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-20250512123754
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: ACTION DAY SCHOOLS
FACILITY NUMBER: 434417233
VISIT DATE: 07/30/2025
NARRATIVE
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The investigation revealed that child 1 (C1) was observed to have a burn mark on C1’s arm at pick up. C1’s parent brought the injury to the director’s (S1) attention, and S1 assisted in providing first aid to C1. No incident reports were reported to licensing within 7 days.

Based on interviews, record review, and evidence gathered during the investigation process, the Department concludes that “The above allegation is thus found to be SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with the Director, and this report was reviewed and provided along with appeal rights.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20250512123754
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: ACTION DAY SCHOOLS
FACILITY NUMBER: 434417233
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2025
Section Cited
CCR
101238(a)
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101238: Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
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The director agreed to train all preschool staff and to compose a letter on section 101238: Buildings and Grounds to ensure all outdoor equipment are check and screened prior to allowing children to play outside and to submit a copy of training with staff signatures to CCL by POC due date.
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Based on interviews, the licensee did not comply with the section cited above by not checking and ensuring the outdoor equipment is not hot and is safe for children to play on which poses a potential health, safety, or personal rights risk to persons in care.
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Type B
09/06/2025
Section Cited
CCR
101212(d)
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101212 Reporting Requirements: (d) During the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the department... In addition, a written report shall be submitted to the Department within seven days following the occurrence of such event.
This requirement is not met as evidenced by:
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The director agreed to train all preschool staff and to compose a letter on section 101212(d)- Reporting Requirements acknowledging the regulation and having all staff sign and date the letter and to submit to CCL by POC due date.
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Based on interviews, the licensee did not comply with the section cited above by not submitting an incident report to CCL after being made aware of the incident that happened at the center on 5/7/2025, which poses 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: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
05/12/2025 and conducted by Evaluator Liridon Fici
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250512123754

FACILITY NAME:ACTION DAY SCHOOLSFACILITY NUMBER:
434417233
ADMINISTRATOR:SHUREE GUZMANFACILITY TYPE:
860
ADDRESS:18720 BUCKNALL ROADTELEPHONE:
(408) 244-1968
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:236CENSUS: 141DATE:
07/30/2025
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:SHUREE GUZMANTIME COMPLETED:
10:10 AM
ALLEGATION(S):
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2
3
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5
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9
staff did not properly supervise children resulting in a child sustaining an injury.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Liridon Fici-Doni, conducted an unannounced complaint investigation visit and met with Director, SHUREE GUZMAN.

During the course of the investigation, LPA interviewed the Reporting Party (RP), staff, children, and obtained documents.

It was alleged that staff does not properly supervise children resulting in a child sustaining an injury. Five (5) out of 5 staff who were interviewed informed LPA that staff spread out during outdoor play to cover more area on the playground, so that staff can visually supervise children more effectively. There were no eyewitnesses to any incidents involving child 1 (C1) that may have caused an injury. Based on interviews, C1 did not cry nor inform staff of C1’s injury and showed no indication of injury until pick up time. C1’s parent picked up C1 and returned to the center shortly with C1 to report and show C1’s injury to staff.
Continue on page 1 of 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 07-CC-20250512123754
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: ACTION DAY SCHOOLS
FACILITY NUMBER: 434417233
VISIT DATE: 07/30/2025
NARRATIVE
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Based on interviews and evidence gathered during the course of the investigation, it is concluded that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur; therefore, this allegation is UNSUBSTANTIATED.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with the Director, and this report was reviewed and provided along with appeal rights.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5