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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400448
Report Date: 07/30/2024
Date Signed: 07/31/2024 08:52:04 AM

Substantiated


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
07/24/2024 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240724115659
FACILITY NAME:MARTINSON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434400448
ADMINISTRATOR:ALYSSIA SALAZARFACILITY TYPE:
850
ADDRESS:1350 HOPE DRIVETELEPHONE:
(408) 988-8296
CITY:SANTA CLARASTATE: CAZIP CODE:
95054
CAPACITY:70CENSUS: 36DATE:
07/30/2024
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Alyssia SalazarTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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1. Staff are not finger print cleared to work in center.
INVESTIGATION FINDINGS:
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Licensing Program Analyst(LPA) Anna Morales conducted an Initial Visit and was greeted by Director Alyssia Salazar. LPA toured the facility and interviewed the Director and Staff.

Based on inteviewes conducted with the Director and Staff, (S1) began working at the Facility on Monday, July 1, 2024 and was not fingerprint cleared until July 26,2024.

The allegation noted above are thus found to be SUBSTANTIATED, meaning the allegations are valid because the preponderance of the evidence standard has been met.

(page 1 of 2)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
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 3
Control Number 07-CC-20240724115659
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: MARTINSON CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434400448
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/31/2024
Section Cited
CCR
101170(e)(1)
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101170(e)(1):Criminal Record Clearance. Prior to working or volunteering in a licensed child care facility, all individuals subject to a criminal record review shall obtain a clearance or criminal record exemption.
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Director stated that she will a written Plan of Correction (POC) listing what step(s) are going to be implemented to ensure that all staff have clearances and associations prior to employment by the POC due date.
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Based on observation and interview, the Director did not comply with the section cited above for Staff(S1) which poses an immediate health, safety or personal rights risk to persons in care. S1 began working on July 1,2024 without being fingerprint cleared. S1 received clearance on July 26,2024.
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A Civil Penalty in the amount of $500.00 is being assessed.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20240724115659
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: MARTINSON CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434400448
VISIT DATE: 07/30/2024
NARRATIVE
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A Type A citation was issued at today's visit, and a copy of the LIC9099, Complaint Investigation Report has to be posted on the wall and a copy to be given to all parents of currently and newly enrolled children for the next 12 months. In addition, copy of LIC9224 Statement Acknowledging Receipt of Licensing Reports need to be signed and kept in child files. The citation warrants a Civil Penalty of the amount of $500.00 and is hereby assessed, See LIC421BG.

An exit interview was conducted, and Plan of Correction were reviewed and developed with the Director..
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3