434410399-11-3-2022-07-CC-GKUN-CLDVVT-20221121154649

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434410399
Report Date: 11/03/2022
Date Signed: 11/03/2022 04:03:18 PM

Substantiated

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
10/26/2022 and conducted by Evaluator Pietro Hernandez

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20221026112834

FACILITY NAME:	KRAJA, ALJBANA		FACILITY NUMBER:	434410399
ADMINISTRATOR:	KRAJA, ALJBANA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(408) 379-9401
CITY:	SARATOGA	STATE: CA	ZIP CODE:	95070
CAPACITY:	14	CENSUS: 9	DATE:	11/03/2022
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Bana Kraja		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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1) Facility is operating over capacity.
2) Child is left in car seat while sleeping.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Pete Hernandez conducted an unannounced subsequent complaint visit today. LPA met with Licensee, Aljbana Kraja.
On 11/01/2022 at 2:00 pm, LPA conducted an initial complaint investigation of the above allegations and observed 9 (C1-C9) children in care. The licensee and 2 assistants (S1-S2) were present. LPA arrived during nap time and observed C1 and C2 sleeping in car seats. No children were observed swaddled.
Today, LPA arrived at the facility at 11:30 AM entered the facility at 12:45PM and observed 8 children in care (Ch1-Ch8) (2 preschoolers and 6 infants), Licensee and helper.
LPA reviewed children’s records. On 11/3/22: Based on records: childrens files and children's roster, children (Ch1-Ch6) were under the age of 2. The facility is licensed to serve a maximum capacity of 4 infants (under 2 years of age) even when there is an assistant present. No exceptions have been granted to the facility.
Based on LPA’s observations, records reviewed, and interview with licensee, the preponderance of evidence standard has been met. Therefore, the above allegations are SUBSTANTIATED. Deficiencies are being cited today.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

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-20221026112834

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: KRAJA, ALJBANA	FACILITY NUMBER: 434410399
	VISIT DATE: 11/03/2022

NARRATIVE

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There is an issuance of Type A citations, a copy of the Facility Evaluation Report LIC809 has to be posted on the wall and a copy to be given to all parents of currently and newly enrolled children for next 12 months. In addition, copy of LIC9224 Statement Acknowledging Receipt of Licensing Reports need to be signed and kept in child files.

An exit interview was conducted with licensee, Aljbana Kraja, where this report and licensee’s appeal rights were provided and discussed.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 07-CC-20221026112834

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: KRAJA, ALJBANA	FACILITY NUMBER: 434410399
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/03/2022

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 11/04/2022 Section Cited CCR 102416.5((d)(1)	1 2 3 4 5 6 7	Staffing Ratio and Capacity:102416.5(d)(1): (d) For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:(1) Twelve children, no more than four of whom may be infants.This requirement is not met by:	1 2 3 4 5 6 7	By the POC Date 11/4/2022: The Licensee will submit in writing a plan of correction to the CCLD office establishing how she will be in capacity ratio compliance in the future.
	8 9 10 11 12 13 14	Based on observation, interview, and records review, the Licensee did not maintain capacity ratio by having 7 infants in care at one time. The maximum infants allowed under this license is 4. This poses an immediate, Health, Safety risk to the children in care.	8 9 10 11 12 13 14
Type A 11/04/2022 Section Cited CCR 102425(h)	1 2 3 4 5 6 7	Infant Safe Sleep 102425(h):Car seats shall only be used for transportation purposes and shall not be used for sleeping.This requirement is not met by:	1 2 3 4 5 6 7	By the POC Date 11/4/2022: The Licensee will submit in writing a plan of correction to the CCLD office establishing how she will be in Infant Safe Sleep compliance in the future.
	8 9 10 11 12 13 14	LPA arrived during nap time and observed C1 and C2 sleeping in car seats.This poses an immediate, Health, Safety risk to the children in care.	8 9 10 11 12 13 14

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: Gladys Kuizon	TELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 11/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2022

LIC9099 (FAS) - (06/04)

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