<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434406682
Report Date: 06/09/2025
Date Signed: 06/10/2025 08:32:44 AM

Substantiated


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
05/07/2025 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250507122805
FACILITY NAME:MISSION COLLEGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434406682
ADMINISTRATOR:MARTINEZ, YARELIFACILITY TYPE:
830
ADDRESS:3000 MISSION COLLEGE BLVD MS#6TELEPHONE:
(408) 855-5176
CITY:SANTA CLARASTATE: CAZIP CODE:
95054
CAPACITY:23CENSUS: 12DATE:
06/09/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Yareli MartinezTIME COMPLETED:
04:35 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
1. Facility staff did not report an outbreak in a timely manner.
2. Facility staff left daycare child in soiled diaper.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst(LPA)Anna Morales conducted a unannounced complaint investigation today and met with Director Yareli Martinez to deliver investigation findings.
During the course of this investigation, LPA conducted interviews with staff, parents and reviewed supporting documentation.
Based on the information obtained, Facility did report an outbreak in a timely manner to the parents and posted on the front of the classroom doors an Exposure Notice in May 2025, for Hand, Foot and Mouth disease. Facility, also, posted an Exposure Notice for December 2024, for Respiratory Syncytial Virus(RSV). However, Facility failed to report two or more cases of Hand, Foot and Mouth disease in May 2025, and Respiratory Syncytial Virus(RSV) in December 2024 to Community Care Licensing.

(Continue on LIC9099C)

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
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 4
Control Number 07-CC-20250507122805
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: MISSION COLLEGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434406682
VISIT DATE: 06/09/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
According to the facility's diaper policy, children are to be changed every two hours or as needed. LPA reviewed supporting documentation stating that on 3/26/25, a child(C1) was last changed at 2:46pm by Staff(S2). Parent/responsible party picked up C1 at 4:09pm, and found C1 in a soiled diaper. LPA interviewed S2 who confirmed that they changed C1's diaper at 2:46pm, and documented it on the diaper changing log. Supporting documentation reviewed states that the facility completed an investigation and recognized that C1 had remained in a soiled diaper for approximately 1 hour and 25 minutes.

Based on LPA’s observations, records reviewed, and interviews conducted the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 12 is being cited on the next page. Licensee/Director was informed that failure to correct the deficiencies may result in civil penalties.


As a result of this inspection, deficiency was cited on the following page.

Exit interview conducted and report was reviewed with Director Yareli Martinez

A Notice of Site Visit was issued and must remain posted for 30 days in a visible location. Appeal Rights given.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 07-CC-20250507122805
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: MISSION COLLEGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434406682
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/23/2025
Section Cited
CCR
101212(d)(1)(E)
1
2
3
4
5
6
7
Reporting Requirements: Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event.
1
2
3
4
5
6
7
Director Yareli Martinez, agreed to submit a written Plan of Correction indicating what steps the Facility will implement to ensure that the Facility will report all epidemic outbreaks to the Dept within the required time frames as noted in the Department's reporting requirements.
8
9
10
11
12
13
14
Events reported shall include the following: Epidemic outbreaks. This requirement was not met as evidenced by: Facility did not report the epidemic outbreak in December 2024 and May 2025, to the Department(Community Care Licensing) as required. This presents a potential risk to the health, safety, or personal rights of children in care.
8
9
10
11
12
13
14
Type B
06/23/2025
Section Cited
CCR
101428(b)(2)
1
2
3
4
5
6
7
Infant Care Personal Services: (b) The infant shall be kept clean and dry at all times.
(2) Each infant's clothing and diapers shall be changed as often as necessary to ensure that the infant is clean and dry at all times.
1
2
3
4
5
6
7
This Deficiency has been cleared. Director submitted a Plan that will ensure that infants diapers will remain clean and dry at all times.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: Per interview and record review, On 3/26/25, C1's diaper remained soiled for one hour and 25 minutes, which poses a potential risk to the Health, Safety or Personal Rights to children in care.
8
9
10
11
12
13
14
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: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 06/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4