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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430701596
Report Date: 10/25/2023
Date Signed: 10/25/2023 10:41:02 AM

Unsubstantiated


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
10/02/2023 and conducted by Evaluator Ashley Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20231002103856
FACILITY NAME:CAMPBELL PARENTS PARTICIPATION PRESCHOOLFACILITY NUMBER:
430701596
ADMINISTRATOR:PERRY, JULIEFACILITY TYPE:
850
ADDRESS:528 HARRISON STREETTELEPHONE:
(408) 429-8685
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:26CENSUS: 10DATE:
10/25/2023
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Julie PerryTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Adult in the facility handled children in a rough manner.
Adult in the facility use intimidation against children.
Facility is discriminating against children of different races.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Lopez conducted a follow up unannounced complaint investigation visit. LPA met with the Director Julie Perry to discuss complaint allegations and findings. LPA observed 10 children, 3 parents, and director present during todays visit.

LPA conducted interviews with director, staff, and third parties, observed the facility, and obtained copies of pertinent information. Throughout the investigation process, it was found the allegations are UNSUBSTANTIATED, meaning there was no physical evidence to prove if the allegations did or did not happen. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.
------------------------------------continued on 9099-C---------------------------------------


Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
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-20231002103856
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: CAMPBELL PARENTS PARTICIPATION PRESCHOOL
FACILITY NUMBER: 430701596
VISIT DATE: 10/25/2023
NARRATIVE
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No deficiencies issued during today's inspection.

Exit interview conducted and copy of this report was reviewed with the Director, Julie Perry.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4