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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430703695
Report Date: 08/06/2025
Date Signed: 08/06/2025 03:26:48 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
07/11/2025 and conducted by Evaluator Syeda Bahar
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250711113119
FACILITY NAME:SJB - SAN JUAN BAUTISTA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
430703695
ADMINISTRATOR:LURVIN MAGANA-CALLESFACILITY TYPE:
850
ADDRESS:1945 TERILYN AVENUETELEPHONE:
(408) 259-4796
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY:176CENSUS: 77DATE:
08/06/2025
UNANNOUNCEDTIME BEGAN:
01:17 PM
MET WITH:LURVIN MAGANA-CALLESTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff do not intervene when another child is physically aggressive with other children
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Syeda Bahar and Marilou Monico conducted an unannounced complaint investigation at the facility. LPAs met with Site Supervisor, Lurvin Magana-Calles and explained the purpose of today's visit.

During the course of the investigation, LPAs conducted observations, interviewed staff, parents and children, reviewed records, and obtained copies of documents. Based on interviews and evidence gathered, on 07/11/25, a child (C1) was observed hurting another child and in return the other child bit C1. There were also previous incidents of children sustaining injuries from other children. Based on interviews, staff usually intervene, redirect, and separate the children. Staff inform parents of injuries by phone and provide them copy of injury report. Staff refer the family to participate in Early Childhood Mental Health Consultation and or individualized behavioral support if the child's behavior is concerning or disruptive to the class.

Continuation on next page:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
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 2
Control Number 07-CC-20250711113119
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: SJB - SAN JUAN BAUTISTA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 430703695
VISIT DATE: 08/06/2025
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

There were no deficiencies cited.

A Notice of Site Visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2