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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430703682
Report Date: 08/20/2024
Date Signed: 08/20/2024 10:14:10 AM

Unsubstantiated


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
06/25/2024 and conducted by Evaluator Liridon Fici
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240625141717
FACILITY NAME:OCHOA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
430703682
ADMINISTRATOR:CHAVEZ, PERLINAFACILITY TYPE:
850
ADDRESS:902 ARIZONA CIRCLETELEPHONE:
(408) 842-2201
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY:36CENSUS: 12DATE:
08/20/2024
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Chavez, PerlinaTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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Staff threatened day care child.
INVESTIGATION FINDINGS:
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On 8/20/2024, at 9:25 AM, Licensing Program Analyst (LPA) Liridon Fici (Doni) arrived unannounced to conduct a subsequent complaint investigation. LPA was greeted by Director Chavez, Perlina and explained the purpose of the visit.

During the course of the investigation, LPA interviewed four (4) staff, and requested and obtained the following documents: Staff roster with contact information, children’s roster, and children’s emergency procedure card.

It was alleged that; Staff threatened day care child. Based on interviews conducted with staff, two (2) out of the four (4) staff witnessed the incident and mentioned that Child 1 (C1) was frustrated with the toys he was playing with and became upset...

Continue on Lic9099-C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
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 2
Control Number 07-CC-20240625141717
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: OCHOA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 430703682
VISIT DATE: 08/20/2024
NARRATIVE
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Staff 1 (S1) attempted to assist C1 with the toys, however, C1 did not want to be helped. Both S1, and S2 stated that they spoke to C1, in a calm and appropriate manner, and did not make any threats towards C1.

Based on interviews, and evidence gathered during the course of the investigation, it is concluded that although the allegations noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted with Director, and a copy of this report review and provided.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024
LIC9099 (FAS) - (06/04)
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