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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274415302
Report Date: 06/26/2025
Date Signed: 06/26/2025 01:39:03 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
06/24/2025 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250624084658
FACILITY NAME:SEASIDE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
274415302
ADMINISTRATOR:ROBINSON, NITTAYAFACILITY TYPE:
850
ADDRESS:1450 ELM AVENUETELEPHONE:
(831) 392-3456
CITY:SEASIDESTATE: CAZIP CODE:
93955
CAPACITY:244CENSUS: 119DATE:
06/26/2025
UNANNOUNCEDTIME BEGAN:
09:41 AM
MET WITH:Nitaya Robinson & Ashley ReyesTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff left a child unattended
INVESTIGATION FINDINGS:
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Licensing Program Analyst(LPA) Mandeep Kaur conducted an unannounced complaint investigation. LPA met with Director, Nitaya Robinson & Site Supervisor, Ashley Reyes and discussed the complaint allegation with them. LPA toured the indoor area of the facility with Director.

LPA interviewed Director, Site Supervisor, and three(3) staff(S1, S2 & S3) during today's investigation.
A copy of the Child Care Facility Roster, Personel Report and a relevant document for the investigation were provided to LPA prior to the conclusion of today's investigation.


**Continue on next page**
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2025
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-20250624084658
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: SEASIDE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 274415302
VISIT DATE: 06/26/2025
NARRATIVE
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Site Supervisor self-admitted that the child (C1) was left in the library(Room 16), without any teacher being present for about an hour and half as child (C1) was sleeping in the library(Room 16) during morning after child was dropped off at the facility, on May 12, 2025. Based on interviews, staff left a child(C1) unattended in library(Room 16) without any teacher being present on May 12, 2025 during morning time. Based on interviews, four(4) children(C2, C3, C4 &C5) were left unattended in the bathroom on May 30, 2025. Site supervisor stated that they are not aware of the time duration of four children(C2, C3, C4 &C5) were being left unsupervised in the bathroom. Therefore, the above allegation is SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

During today's investigation, one "Type A" deficiency is issued on the attached 9099-D. Exit interview conducted and report was reviewed with Director, Nitaya Robinson and Site Supervisor, Ashley Reyes. Appeal rights was provided.

A notice of site visit has been issued and must remain posted for 30 days.

LPA informed Director and Site Supervisor that this report dated 06/26/2025 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Assembly bill 633 was provided and discussed with Director and Site Supervisor. LPA informed Director and Site Supervisor to provide a copy of this licensing report dated 06/26/2025 that documents any Type A citation(s) to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224), must be placed in the child's file for verification.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20250624084658
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: SEASIDE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 274415302
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/27/2025
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision: (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
This requirement was not met as evidenced by:
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By Plan of correction due date, 06/27/2025, Licensee will submit the Copy of training material of Supervision policy and copy of the attendance sheet of all the attendees regarding the training on Supervision policy for all staff to the department.
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Site Supervisor self-admitted that the child (C1) was left in the library, without any teacher being present for about an hour and half as child (C1) was sleeping in the library(Room 16) during morning after child was dropped off at the facility, on May 12, 2025 and based on interviews, four(4) children(C2, C3, C4 &C5) were left unattended in the bathroom on May 30, 2025, which poses an immediate risk to the health, safety and personal rights 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: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2025
LIC9099 (FAS) - (06/04)
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