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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434410399
Report Date: 03/05/2024
Date Signed: 03/05/2024 05:27:12 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/17/2024 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240117120100
FACILITY NAME:KRAJA, ALJBANAFACILITY NUMBER:
434410399
ADMINISTRATOR:KRAJA, ALJBANAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 379-9401
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:14CENSUS: 7DATE:
03/05/2024
UNANNOUNCEDTIME BEGAN:
10:04 AM
MET WITH:Aljbana "Albana" KrajaTIME COMPLETED:
11:04 AM
ALLEGATION(S):
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9
Licensee is operating over capacity
Licensee is operating out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Samantha Yip and Mandeep Kaur conducted an unannounced complaint investigation. LPAs met with Licensee Aljbana "Albana" Kraja and explained the reason for the inspection. Upon arrival, there were six children in the patio area with Licensee and one child inside the converted garage, whom four are infant age. Licensee's spouse arrived shortly after.

During the course of this investigation, LPA interviewed Licensee and parents. LPAs also reviewed children's files. Based on the information obtained the
---------------CONTINUES ON 9099 DATED 03/05/2024 PAGE 2-----------------
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
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-20240117120100
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KRAJA, ALJBANA
FACILITY NUMBER: 434410399
VISIT DATE: 03/05/2024
NARRATIVE
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-------------CONTINUATION OF 9099 DATED 03/05/2024 PAGE 1-------------

allegations listed on 9099 page 1 are SUBSTANTIATED, meaning the preponderance of evidence standard was met.

LPA discussed with Licensee the capacity and ratio and that her capacity would go back to a small Family Child Care Home (FCCH) if there is no assistant present. LPA also discussed with Licensee that assistant is a person who is primarily involved in caring for children during the hours that the home provides care.

As a result of this inspection, two Type B citations were issued. Exit interview conducted and report was reviewed with Albana Kraja. A notice of site visit has been issued and must remain posted for 30 days.

Licensee refused to sign the report.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 07-CC-20240117120100
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: KRAJA, ALJBANA
FACILITY NUMBER: 434410399
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/12/2024
Section Cited
CCR
102416.5(d)
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7
Staffing Ratio and Capacity. For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home...
This requirement is not met as evidenced:
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By POC 03/12/2024, Licensee will submit written plan outlining how she will ensure that she has an assistant with her at all time
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Based on observation, LPAs observed that Licensee was with seven children. Licensee's spouse arrived shortly after. This poses a potential health and safety risk to children in care.
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if she goes over 6 children.
Type B
03/12/2024
Section Cited
CCR
102416.5(b)(2)
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Staffing Ratio and Capacity. For a Small Family Child Care Home, the maximum number of children for whom care may be provided at any one time...Six children, no more than three of whom may be infants.
This requirement is not met as evidenced by:
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By POC 03/12/2024, Licensee will submit written plan outlining how she will ensure she is within ratio.
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Based on observation and record review, Licensee was alone with seven children, whom four were infant age. This poses a potential health and safety risk to children in care.
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Licensee's spouse arrived shortly after.
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: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 03/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3