434400337-2-8-2023-07-CC-DSTN-CNVQZE-20230209113636

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434400337
Report Date: 12/08/2022
Date Signed: 02/08/2023 11:26:04 AM

Unsubstantiated

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
10/28/2022 and conducted by Evaluator Kassandra Medrano

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20221028143028

FACILITY NAME:	KINDERCARE LEARNING CENTER		FACILITY NUMBER:	434400337
ADMINISTRATOR:	SONALIKA CLARK		FACILITY TYPE:	850
ADDRESS:	1081 FOXWORTHY AVENUE		TELEPHONE:	(408) 265-7380
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95118
CAPACITY:	96	CENSUS: 58	DATE:	12/08/2022
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Ebony Sanders		TIME COMPLETED:	12:45 PM

ALLEGATION(S):

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Day care child sustained injury due to lack of supervision.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kassandra Medrano, conducted an unannounced inspection in order to deliver findings on the complaint investigation for the above allegation. LPA Medrano met with the Director, Ebony Sanders to discuss complaint allegations findings.
Based on LPAs observations, record reviews, and interviews which were conducted. The allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview conducted and a copy of this report and appeal rights were reviewed and provided to director, Ebony.

Notice of Site visit was observed to be posted and shall remain posted for 30 days.
No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations.

NOTICE OF SITE VISIT WAS GIVEN, AND SHALL REMAIN POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Diana Stephenson	TELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Kassandra Medrano	TELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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