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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430709398
Report Date: NO Visit Data Available
Date Signed: 02/27/2026 08:10:41 PM

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
and conducted by Evaluator Darnella Barnes
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20251212104005
FACILITY NAME:ADDISON PENZAK JEWISH COMMUNITY CENTERFACILITY NUMBER:
430709398
ADMINISTRATOR:CYNDI SHERMANFACILITY TYPE:
850
ADDRESS:14855 OKA ROADTELEPHONE:
(408) 357-7417
CITY:LOS GATOSSTATE: CAZIP CODE:
95032
CAPACITY:180CENSUS: 82DATE:
UNANNOUNCEDTIME BEGAN:
MET WITH:Cyndi ShermanTIME COMPLETED:
ALLEGATION(S):
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Lack of supervision
INVESTIGATION FINDINGS:
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On February 12, 2026, Licensing Program Analyst Darnella Barnes conducted an unannounced complaint visit to deliver investigation findings regarding lack of supervision. Director Cyndi Sherman was informed of the visit’s purpose and granted access to the facility.The LPA completed a walkthrough of the indoor and outdoor areas. Present during the visit were Director, 23 staff members, and 89 children

The reporting party (RP) alleged children were not supervised. The RP alleged unenrolled siblings were present without adult supervision. LPA reviewed staff schedules and supervision protocols. The director and teachers were interviewed and stated supervision protocols were followed. Teachers stated siblings arrived with a parent during pick-up and remained at the door and did not enter classrooms.


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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

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

DATE:
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 5
Control Number 07-CC-20251212104005
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: ADDISON PENZAK JEWISH COMMUNITY CENTER
FACILITY NUMBER: 430709398
VISIT DATE: 02/12/2026
NARRATIVE
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LPA conducted observations. LPA did not observe children without supervision. Children were observed in assigned activity areas. Staff were observed maintaining supervision at all times. Staff-to-child ratios were reviewed and met licensing requirements.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.
No deficiency issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Appeals rights provided.

Exit interview conducted and report was reviewed with Director Cyndi Sherman


-END OF REPORT -----.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5