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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434411623
Report Date: 11/16/2022
Date Signed: 11/16/2022 01:03:21 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
10/21/2022 and conducted by Evaluator Stephanie Collins
COMPLAINT CONTROL NUMBER: 07-CC-20221021120500
FACILITY NAME:KIDANGO CESAR CHAVEZFACILITY NUMBER:
434411623
ADMINISTRATOR:MARION MARTINFACILITY TYPE:
850
ADDRESS:1990 KAMMERERTELEPHONE:
(408) 353-0338
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY:60CENSUS: 13DATE:
11/16/2022
UNANNOUNCEDTIME BEGAN:
09:34 AM
MET WITH:Center Director III. Josefina Garcia -Castillo TIME COMPLETED:
01:02 PM
ALLEGATION(S):
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Facility is Hazardous
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Stephanie Collins conducted an unannounced subsequent complaint visit today and met with Josefina Garcia-Castillo,Center Director. Purpose of today's visit is to follow up on a complaint investigation and deliver investigation findings. The investigation of the allegation listed above was conducted by LPA. On 10/24/2022, LPA arrived unannounced and toured the facility with Director. In the playground area, LPA observed a tree stump protruding from the ground. The tree stump was not properly barricaded off to ensure the area of concern was inaccessible to children.This poses a hazard to the health and safety of the children in care. During the inspection, the director was observed closing the playground off by posting a “Playground Temporarily Closed" notice” on the playground fence.
Based on interviews conducted and LPA’s observation of the building and grounds during the investigation, the above allegation is found to be SUBSTANTIATED, meaning the preponderance of the evidence standard has been met.
A deficiency is being cited. Exit interview conducted with Director where this report was discussed. Appeal rights were also provided during visit.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.


Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
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-20221021120500
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: KIDANGO CESAR CHAVEZ
FACILITY NUMBER: 434411623
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2022
Section Cited
CCR
101238
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101238 Buildings and Grounds (a) The childcare 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.
This requirement was not met as evidenced by:

A large tree stumped was protruding out of the ground on the playground, the earth is un-level with overgrown grass, and gopher holes. Wood/lumber with jagged edges is sticking up from the walkways. Playground is need of maintenance. This poses a risk to the health, safety, and personal rights of children in care.
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The Site Director closed playground and posted a Temporarily Closed Notice on the entrance gate of playground.
Per Site Director, when play -round is safe and free of hazards she will send submit pictures to the CCL Office notifying the playground is open and safe for children in care.
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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.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3