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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274415586
Report Date: 04/24/2024
Date Signed: 04/24/2024 12:49:43 PM

Unsubstantiated


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
03/06/2024 and conducted by Evaluator Fermin Campos-Jaramillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240306112725
FACILITY NAME:KING CITY EARLY EDUCATION & CHILD CARE CENTERFACILITY NUMBER:
274415586
ADMINISTRATOR:FANNY CHAVEZFACILITY TYPE:
850
ADDRESS:525 N. RUSS STREET, ROOMS 6&7TELEPHONE:
(831) 202-1230
CITY:KING CITYSTATE: CAZIP CODE:
93930
CAPACITY:40CENSUS: 25DATE:
04/24/2024
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Sandra TrujilloTIME COMPLETED:
11:50 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent day care children from having access to hazardous items
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with the assistant of the Site Supervisor, Sandra Trujillo. LPA explained to Ms. Trujillo the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegation. LPA observed that four staff members were providing care to 25 children today
This Department has inspected the center and interviewed the staff members.
Based on the available evidence, it is concluded that although the allegation listed on this complaint may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegation is therefore UNSUBSTANTIATED.

No deficiencies were cited today.

A NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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