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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 12:57:41 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
03/21/2024 and conducted by Evaluator Fermin Campos-Jaramillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240321112217
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:
11:50 AM
MET WITH:Sandra TrujilloTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff did not provide a safe and comfortable environment for daycare children
INVESTIGATION FINDINGS:
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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. Some children present in the center on 3/21/24 witnessed when the Site Supervisor slammed her office door while she was in a meeting with the parent of one of the children's enrolled.
Based on LPA observations and interviews with the staff which were conducted the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Child Care Centers Regulations is being cited on the attached LIC. 9099D.

One Type B deficiency was 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
Substantiated
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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Control Number 07-CC-20240321112217
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: KING CITY EARLY EDUCATION & CHILD CARE CENTER
FACILITY NUMBER: 274415586
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/08/2024
Section Cited
CCR
101223(a)(2)
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(a) The licensee shall ensure that each child is accorded the following personal rights:
.....To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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Site Director Maria Rodriguez shall read the children's personal rights and will submit a written statement that she understands the children personal rights regulations and her plan on how to avoid this kind of incidents to repeat in the future.
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This regulations was not met as evidenced by: Site Supervisor Maria Rodriguez was seen slamming a door in her office while children were present and aware asking to their teachers what was going on, this incident poses a potential safety risk to 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: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

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

DATE: 04/24/2024
LIC9099 (FAS) - (06/04)
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