434400388-5-11-2023-07-CC-DSTN-CUAL5L-20230801082717

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434400388
Report Date: 05/11/2023
Date Signed: 05/11/2023 03:50:52 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/02/2023 and conducted by Evaluator Janette Cruz

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20230502132757

FACILITY NAME:	DISCOVERY YEARS, THE		FACILITY NUMBER:	434400388
ADMINISTRATOR:	FARAHNAZ AKBARI		FACILITY TYPE:	850
ADDRESS:	11843 REDMOND AVENUE		TELEPHONE:	(408) 268-5165
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95120
CAPACITY:	33	CENSUS: 28	DATE:	05/11/2023
		UNANNOUNCED	TIME BEGAN:	08:25 AM
MET WITH:	Farahnaz Akbari		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Facility outside restroom in disrepair

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Janette Cruz met with FarahnazAkbari , Director, for an unannounced complaint investigation. LPA discussed the complaint allegations with the Director and obtained a current Child Care Facility Roster and staff contact information. LPA toured indoor and outdoor areas of the facility during today's inspection. LPA also conducted staff interviews.

LPA observed and took photos of the outside bathroom by the outdoor playground area. LPA also observed a portion of laminated flooring located in the middle of the bathroom was chipped and needs repair to avoid trip hazards, therefore, the above allegation is SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

Exit interview conducted and report was reviewed with Farahnaz, Director. A deficiency is being cited on the attached LIC 9099D form.

A Notice of Site Visit was issued and must remain posted for 30 days.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette Cruz	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

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-20230502132757

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: DISCOVERY YEARS, THE	FACILITY NUMBER: 434400388
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/11/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/22/2023 Section Cited CCR 101238(a)	1 2 3 4 5 6 7	Buildings and Grounds (a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.	1 2 3 4 5 6 7	Licensee will submit a written plan to keep the classrooms and facility grounds clean, safe, sanitary and in good repair. Licensee will include plan of action to repair the chipped portion of the outside bathroom flooring by POC due date.
	8 9 10 11 12 13 14	Based on observation and interview, Licensee did not comply with this section. LPA observed LPA also observed a portion of laminated flooring located in the middle of the bathroom was chipped and needs repair to avoid trip hazard, which poses a potential health, safety or personal rights risk to persons in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette Cruz	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 05/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/11/2023

LIC9099 (FAS) - (06/04)

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