444416070-8-8-2025-07-CC-SCES-DKZPKK-20250829112314

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 444416070
Report Date: 08/08/2025
Date Signed: 08/08/2025 12:00:57 PM

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
05/27/2025 and conducted by Evaluator Martha Jimenez-Villanueva

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20250527095742

FACILITY NAME:	ABUNDES, PATRICIA		FACILITY NUMBER:	444416070
ADMINISTRATOR:			FACILITY TYPE:	810
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	8	CENSUS: 3	DATE:	08/08/2025
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Patricia Abundes		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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7
8
9

Licensee does not ensure facility is kept in clean sanitary conditions at all times.
Licensee does not ensure toys are are properly maintained.
Licensee does not ensure records are properly maintained.

INVESTIGATION FINDINGS:

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3
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5
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13

Licensing Program Analyst (LPA) Martha Jimenez-Villanueva met with assistant Narali, for an unannounced follow-up complaint investigation. Purpose of today's investigation: deliver investigation findings. Per assistant, licensee was buying food. Present was her daughter/assistant Narali with her brother (14) and three children in care: one infant and two toddlers. Licensee arrived five minutes after LPAs arrival. LPM Deanna Villagrana arrived during visit.

Based on observations, interviews, and a review of records, LPA observed children's high chairs with food stuck to the table top with spots on the chair. LPA observed toys were dirty and not sanitized. Licensee stated she did not have enough time to clean. LPA reviewed childrens files and observed LIC700 is not completed. the preponderance of the evidence standard has been met. Therefore, the above allegations are found to be SUBSTANTIATED.

(3) Type B deficiencies were cited on the attached LIC 9099-D.

Exit interview was conducted, where this report was reviewed and discussed with Patricia Abundes in Spanish, A copy of this report was also provided. Appeal rights were given. A notice of site visit has been issued and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

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 4

Control Number 07-CC-20250527095742

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: ABUNDES, PATRICIA	FACILITY NUMBER: 444416070
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/08/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/22/2025 Section Cited CCR 102417(b)	1 2 3 4 5 6 7	Operation of a Family Child Care Home (b) The home shall be kept clean and orderly, with heating and ventilation for safety and comfort. This requirement was not met as evidenced by LPA observed children's high chairs with food stuck to the table top with spots on the table. . This poses a potential risk Health, Safety Personal Rights and risk to children in care.	1 2 3 4 5 6 7	Licensee understand the importance of maintianing a clean and orderlly home for day care children. Deficiency is cleared.
	8 9 10 11 12 13 14		8 9 10 11 12 13 14
Type B 08/22/2025 Section Cited CCR 102417(g)(7)	1 2 3 4 5 6 7	An emergency information card shall be maintained for each child and shall include the child's full name, telephone number and location of a parent or other responsible adult to be contacted in an emergency, the name and telephone number of the child's physician and the parent's authorization for the licensee or registrant to consent to emergency medical care. This requirement was not met as evidenced by LPA reviewed childrens files and observed LIC700 is not completed. This poses a potential risk Health, Safety Personal Rights and risk to children in care.	1 2 3 4 5 6 7	LPA observed LIC 700 are complete filled out. Deficiency is cleared.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 4

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
05/27/2025 and conducted by Evaluator Martha Jimenez-Villanueva

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20250527095742

FACILITY NAME:	ABUNDES, PATRICIA		FACILITY NUMBER:	444416070
ADMINISTRATOR:	PATRICIA ABUNDES		FACILITY TYPE:	810
ADDRESS:	115 GRANT STREET		TELEPHONE:	(831) 319-2681
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	8	CENSUS: 3	DATE:	08/08/2025
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Patricia Abundes		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Licensee leaves child in highchair for extended period of time.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

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 4

Control Number 07-CC-20250527095742

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: ABUNDES, PATRICIA	FACILITY NUMBER: 444416070
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/08/2025

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/08/2025 Section Cited HSC 102417(d)	1 2 3 4 5 6 7	The home shall provide safe toys, play equipment and materials. This requirement was not met as evidenced by LPA observed toys were dirty and not sanitized. This poses a potential risk Health, Safety Personal Rights and risk to children in care.	1 2 3 4 5 6 7	LPA observed clean and sanitized toys. Licensee understand the importance to sanitize toys regularly to avoid infections in the future. Deficiency cleared.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

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: Susy Cervantes
LICENSING EVALUATOR NAME: Martha Jimenez-Villanueva
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 4