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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434400031
Report Date: 11/09/2022
Date Signed: 11/09/2022 10:41:27 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
09/20/2022 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20220920100929
FACILITY NAME:SANTA CLARA CHRISTIAN PRESCHOOLFACILITY NUMBER:
434400031
ADMINISTRATOR:JENDY NICEFACILITY TYPE:
850
ADDRESS:3421 MONROE STREETTELEPHONE:
(408) 246-5423
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY:75CENSUS: 39DATE:
11/09/2022
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Stuart Nice & Rachel EatonTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff forced child to stay in the napping area
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced continue complaining visit to the Facility today. LPA Huang met with Administrator, Stuart Nice & Director, Rachel Eaton and explained the nature of today's visit to them.

Based on interviewed with staff, children, reviews child files, and LPA's own observations for the allegation listed above, LPA learned that a child was not used to, nor wanted to take nap was forced to during nap-time

LPA concludes that the preponderance of evidence standard has been met and the allegation listed above is therefore SUBSTANTIATED.

Exit interview conducted with Administrator, Stuart Nice & Director, Rachel Eaton. A type B deficiency was cited.
NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
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-20220920100929
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SANTA CLARA CHRISTIAN PRESCHOOL
FACILITY NUMBER: 434400031
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/09/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/30/2022
Section Cited
CCR
101223(a)(3)
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Personal Rights: To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting.
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Director agreed to submit the Plan of Corrections and to conduct a staff meeting & training to ensure this will not occurred going forward with all staff signatures of attendance to the office prior to the POC due day.
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This requirement is not met as evidenced by: a child was not used to, nor wanted to take nap was forced to during nap-time
that the facility did not comply with the section cited above which posed an potential health, safety or personal rights risk to persons in care.
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Director also agreed to update the facility parents handbook to ensure that napping requirements are in compliance with the regulations and submit to the office.
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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: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/09/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2