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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430710231
Report Date: 10/09/2023
Date Signed: 10/09/2023 11:05:01 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
09/21/2023 and conducted by Evaluator Ashley Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230921150243
FACILITY NAME:PRIMARY PLUS - CAMPBELLFACILITY NUMBER:
430710231
ADMINISTRATOR:LAURIE HAUFFFACILITY TYPE:
830
ADDRESS:1125 W. CAMPBELL AVETELEPHONE:
(408) 379-3184
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:80CENSUS: 62DATE:
10/09/2023
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Alyssa ContrerasTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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9
Staff are not interacting with the infants in care.
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Ashley Lopez conducted an unannounced follow up complaint inspection today to deliver findings and met with Preschool Director, Alyssa Contreras.

Based on LPAs conducted interviews, observation, and obtained copies of pertinent information. Throughout the investigation process, it was found the allegation is UNSUBSTANTIATED, meaning there was no physical evidence to prove if the allegation 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.
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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: 10/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2023
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 2
Control Number 07-CC-20230921150243
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: PRIMARY PLUS - CAMPBELL
FACILITY NUMBER: 430710231
VISIT DATE: 10/09/2023
NARRATIVE
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No deficiencies issued during today's inspection.

Exit interview was conducted, where this report was reviewed and discussed with Preschool Director Alyssa Contreras.

A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2