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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416304
Report Date: 07/15/2025
Date Signed: 07/15/2025 04:52:59 PM

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
07/14/2025 and conducted by Evaluator Jennifer Beehler
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250714140736
FACILITY NAME:REHOBOTH PRESCHOOL/DAYCAREFACILITY NUMBER:
434416304
ADMINISTRATOR:DINORA SANCHEZFACILITY TYPE:
840
ADDRESS:3275 WILLIAMS ROADTELEPHONE:
(408) 603-5251
CITY:SAN JOSESTATE: CAZIP CODE:
95129
CAPACITY:38CENSUS: 16DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
06:30 AM
MET WITH:Merat Ayalew - LicenseeTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Children are commingled in the morning with different age groups.

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer "Jen" Beehler conducted an unannounced 10 Day Complaint investigation. Upon arrival LPA was greeted by the Director and provided access to the facility. LPA stated the reason for the inspection.

LPA observed the facility, conducted interviews and collected relevant documentation. LPA observed 10 children (5 preschool age and 5 school age) in the preschool classroom at 8:00 AM with the Director and one Aide present. Based on the evidence collected, the above allegation is SUBSTANTIATED, meaning the allegation is valid because the preponderance standard has been met.

Due to today's investigation, a deficiency was cited. More information provided on the attached LIC9099D. Exit interview conducted with licensee Merat Ayalew, report was reviewed and provided along with appeals rights.

NOTICE OF SITE VISIT PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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-20250714140736
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: REHOBOTH PRESCHOOL/DAYCARE
FACILITY NUMBER: 434416304
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/18/2025
Section Cited
CCR
101538.3(b)
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Indoor Activity Space for School-Age Children (b) In combination programs, indoor activity space provided for school-age child care center children shall be physically separated from space provided for infant care and child care center children. This requirement has not been met as evidenced by:
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Licensee to provide an updated Personnel Roster to address the staff needs required to maintain ratio and capacity regulations from open to close in the facility. Licensee to provide a written plan as to how she will maintain separation of all components for the future.
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7:30 AM LPA observed Director Dinora Sanchez in one classroom with the school age children and preschool children commingled together for drop off until 8:00 AM where there was a total of 10 children in one classroom (5 preschool age and 5 school age). This poses a potential risk to the personal rights, health and safety of 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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
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