<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414778
Report Date: 09/29/2022
Date Signed: 10/03/2022 05:25:00 PM


Document Has Been Signed on 10/03/2022 05:25 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 UNIDOSFACILITY NUMBER:
434414778
ADMINISTRATOR:JOSEFINA GARCIAFACILITY TYPE:
850
ADDRESS:1970 CINDERELLA LANETELEPHONE:
4084716399
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY:48CENSUS: 16DATE:
09/29/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:38 AM
MET WITH:Josefina Garcia,TIME COMPLETED:
12:30 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Stephanie Collins and Licensing Program Manager (LPM) Gladys Kuizon met with director Josefina Garcia, for an unannounced case management visit. The purpose of today's visit is to obtain more information on recent incidents reported by the facility. During visit LPA observed 16 children and 4 staff plus director in the premises.

On August 12, 2022, the facility reported child in care (C1) swallowing watercolor discs during an activity. Staff was present, intervened, notified parents, and called 911 for further medical assessment. C1 did not need further medical treatment. LPA toured the facility today and inspected activity materials including watercolor which were observed to be non-toxic and appropriate for age group served.

On September 14, 2022, facility reported staff (S1) was terminated due to a violation of the facility’s policies regarding children’s personal rights. Other staff reported witnessing S1 forcing a child to nap. Per the director, an internal investigation was conducted and S1 denied the allegation. However, per facility policy, S1 was terminated on 09/15/2022. LPA reviewed personnel records for S1 and staff training documents today. Based on records review, staff training scheduled for this month include the following topics: dealing with stress on the job, anti-bias education for children and providers, communication, and praise and acknowledgement.

Exit interview conducted and report was reviewed with the Director, Josefina Garcia. No deficiencies issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (408) 314-5102
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:
DATE: 09/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/29/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1