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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434414134
Report Date: 06/14/2019
Date Signed: 06/14/2019 01:02:11 PM



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
05/03/2019 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20190503164506

FACILITY NAME:KAUR, KULJITFACILITY NUMBER:
434414134
ADMINISTRATOR:KAUR, KULJITFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 645-5051
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:14CENSUS: 5DATE:
06/14/2019
UNANNOUNCEDTIME BEGAN:
12:06 PM
MET WITH:Kuljit KaurTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Licensee is denying parents access to facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Marilou Monico, met with Licensee, Kuljit Kaur, to deliver complaint findings. Also present in the home were licensee's husband and five daycare children including 3 infants and 2 preschool age. Based on interviews, LPA learned that parents were denied access to the home. The above allegation is substantiated.

Deficiency was cited on the following page:

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou MonicoTELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20190503164506
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: KAUR, KULJIT
FACILITY NUMBER: 434414134
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2019
Section Cited
CCR
102419(a)
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Admission Procedures and Parental and Authorized Representative's Rights - Parents or authorized representatives of children in care have the right to enter and inspect the family child care home. This requirement is not met as evidenced by: LPA learned from interviews that parents were denied access to the home. This poses a potential risk to the health and safety to children in care.
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Licensee states she will submit a written plan by 06/21/19 to ensure that parents rights are not violated.
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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: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou MonicoTELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2019
LIC9099 (FAS) - (06/04)
Page: 3 of 3