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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430703695
Report Date: 10/29/2024
Date Signed: 10/29/2024 11:32:45 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
10/02/2024 and conducted by Evaluator Liridon Fici
COMPLAINT CONTROL NUMBER: 07-CC-20241002162929
FACILITY NAME:SJB - SAN JUAN BAUTISTA CHILD DEVELOPMENT CENTERFACILITY NUMBER:
430703695
ADMINISTRATOR:LURVIN MAGANA-CALLESFACILITY TYPE:
850
ADDRESS:1945 TERILYN AVENUETELEPHONE:
(408) 259-4796
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY:176CENSUS: DATE:
10/29/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Lurvin Magana_callesTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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On 10/29/2024, at 9:30 AM, Licensing Program Analyst (LPA) Liridon Fici- Doni arrived unannounced to conduct a subsequent complaint investigation visit, and to delivery complaint findings on the above allegation. LPA met and was greeted by Site Director, Lurvin Magana_calles and informed her the purpose of today’s visit.

During the course of the investigation visit, LPA interviewed five (5) staff members, four (4) parents and requested and obtained the following documents: Children’s roster with contact information (Younger preschool), and Staff roster (Younger preschool 2).



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

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
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-20241002162929
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: SJB - SAN JUAN BAUTISTA CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 430703695
VISIT DATE: 10/29/2024
NARRATIVE
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It was alleged that; staff violated children(s) personal rights. Based on interviews conducted with staff and parents, LPA was informed by staff that the center has additional staff to replace another staff if someone needs to use the restroom; staff have also stated that the center has restrooms for staff to use outside of the classroom designated for only staff. Five (5) out of 5 staff stated staff did not use the restroom in front of children and parents. Staff (S1) informed LPA that the incident where staff used the restroom in front of children and parents did not happen at all. 4 out of 4 Parent(s) informed LPA that they have not seen any staff use the restroom in front of children nor parents themselves. LPA toured the younger preschool 2 class with the director and observed 17 children and four (4) staff members.

Based on interviews, record reviews, 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 are 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 was reviewed and provided.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC9099 (FAS) - (06/04)
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