430703796-6-19-2025-07-CC-GKUN-DHSQ7E-20250619115502

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 430703796
Report Date: 05/06/2025
Date Signed: 06/19/2025 11:51:46 AM

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
03/26/2025 and conducted by Evaluator Anna Morales

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20250326102116

FACILITY NAME:	MISSION COLLEGE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	430703796
ADMINISTRATOR:	ANNE HORGAN		FACILITY TYPE:	850
ADDRESS:	3000 MISSION COLLEGE BLVD MS#6		TELEPHONE:	(408) 855-5177
CITY:	SANTA CLARA	STATE: CA	ZIP CODE:	95054
CAPACITY:	87	CENSUS: 66	DATE:	05/06/2025
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Yareli Martinez, Director		TIME COMPLETED:	04:20 PM

ALLEGATION(S):

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1. Staff pushed child
2. Staff inappropriately communicate with parents/guardians with children present.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Anna Morales conducted an unannounced complaint investigation today and met with Director Yareli Martinez to deliver investigation findings.
During the course of this investigation, LPA conducted interviews with Staff, children, and reviewed supporting documentation.

Based on the information obtained, it was alleged that on 3/10/25, reporting party (RP) stated that it was observed that one of the staff (S1) pushed child (C1), and staff inappropriately communicated with parent (P1) with children present.
(continue on LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025

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-20250326102116

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: MISSION COLLEGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 430703796
	VISIT DATE: 05/06/2025

NARRATIVE

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LPA conducted interviews with staff who were present at the time of the above incident(s).

During interviews, it was disclosed that S1 puts their hands out to direct children to remain in a line. C1 had ran into S1’s hands and fell to the ground.

LPA interviewed six children who did not disclose anything that supports the allegation that a staff pushed a child.

Based on supporting documentation, there was a disagreement between Staff and P1, while children were present. Staff stated that they attempted to explain the reason for their action to P1, however, P1 disagreed with them, and stated that it was not his/her child who was initially responsible. Interviews with staff and P1 revealed conflicting information on the appropriateness of the tone of conversation in front of children.

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.

Exit interview was conducted with Director Yareli Martinez. Appeal Rights given.

NOTICE OF SITE VISIT WAS ISSUED AND DIRECTOR WAS INFORMED TO POST THE NOTICE IN A VISIBLE LOCATION OF THE DAY CARE FOR A PERIOD OF 30 DAYS.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2025

LIC9099 (FAS) - (06/04)

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