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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434410399
Report Date: 11/17/2022
Date Signed: 11/17/2022 11:56:36 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
10/26/2022 and conducted by Evaluator Pietro Hernandez
COMPLAINT CONTROL NUMBER: 07-CC-20221026112834
FACILITY NAME:KRAJA, ALJBANAFACILITY NUMBER:
434410399
ADMINISTRATOR:KRAJA, ALJBANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 379-9401
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:14CENSUS: 8DATE:
11/17/2022
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:TIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Child is swaddled while in care.
Child is left alone and unsupervised.
Provider caused bruising to child in care.
Provider did not ensure comfortable accommodations for children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Pete Hernandez conducted an unannounced subsequent complaint visit today. LPA met with Licensee, Aljbana Kraja.

On 11/01/2022 at 2:00 pm, LPA conducted an initial complaint investigation of the above allegations. The licensee and one assistant (S1-S2) were present. No children were observed swaddled, unsupervised, and with visible injuries. Staff interviews were conducted.

Today, LPA arrived at the facility at 11:30 AM entered the facility and observed 8 children in care. (3 Infants and 5 preschoolers.)

Based on the LPA’s observations, interviews and information obtained throughout the investigation, the allegations are UNSUBSTANTIATED. Although the above allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Pietro Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022
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 3
Control Number 07-CC-20221026112834
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: KRAJA, ALJBANA
FACILITY NUMBER: 434410399
VISIT DATE: 11/17/2022
NARRATIVE
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The Department received the following allegations from Reporting Party (RP):

Child is swaddled while in care.
On 11/1/2022, LPA Pete Hernandez and LPM Gladys Kuizon arrived at the facility and did not observe any children being swaddled. LPA made another unannounced visit on 11/3/2022 and did not observe any children being swaddled. The S1 and S2 testify that this has never taken place under their care.

Child is left alone and unsupervised.
On 11/1/2022, LPA and LPM arrived at the facility and did not observe any children left unsupervised. LPA made another unannounced visit on 11/3/2022 and did not observe any children alone and unsupervised. The S1 and S2 testify that this has never taken place under their care.

Provider caused bruising to child in care.
On 11/1/2022, LPA and LPM arrived at the facility and did not observe any children with bruising, but S1 shared cell phone pictures of the alleged bruising of a child. S1 and S2 state the child arrived in their care with bruising and had discussed this with the parent. LPA made another unannounced visit on 11/3/2022 and did not observe any children with bruising or observe any inappropriate physical handling of children. The RP also provided pictures of a bruised child but the pictures from S1 or the RP do not prove where it might have occurred. S1 and S2 testify that this has never taken place under their care.

Provider did not ensure comfortable accommodations for children
On 11/1/2022, LPA and LPM arrived at the facility and observed XX children in care. Children were observed napping and playing indoors. Children were observed appropriately clothed for the weather and no children were observed cold or sweating. There was no thermostat in the room, however, a working air conditioner was observed.
LPA made another unannounced visit on 11/3/2022 and observed the same conditions. S1 and S2 testify that they do everything possible to keep the children comfortable. However, RP states that there have been situations where the playroom is not always at a comfortable temperature.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Pietro Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 07-CC-20221026112834
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: KRAJA, ALJBANA
FACILITY NUMBER: 434410399
VISIT DATE: 11/17/2022
NARRATIVE
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Based on the LPA’s observations, interview statements and information obtained throughout the investigation, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No Deficiencies have been cited. Exit interview conducted with Licensee Aljbana Kraja.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Pietro Hernandez
LICENSING EVALUATOR SIGNATURE:

DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 3