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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413597
Report Date: 05/19/2025
Date Signed: 05/19/2025 03:34:35 PM

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
05/12/2025 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250512165052
FACILITY NAME:HEARTS AND HANDS CHRISTIAN CHILDCARE AND PRESCHOOLFACILITY NUMBER:
434413597
ADMINISTRATOR:ZAYEHMOUREH, MADLENFACILITY TYPE:
850
ADDRESS:400 LLEWELLYN AVENUETELEPHONE:
(408) 412-8823
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:70CENSUS: 28DATE:
05/19/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Madlen ZayemourehTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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Staff are operating facility out of ratio
INVESTIGATION FINDINGS:
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Licensing Program Analyst(LPA) Mandeep Kaur conducted an unannounced complaint investigation. LPA met with Director, Madlen Zayemoureh and discussed the complaint allegations with them. LPA toured the indoor areas with Director and conducted observations without the Director being present.

LPA interviewed one staff (S4), an adult (A1), Director and three children during today's investigation. LPA reviewed four(4) staff files for teacher qualifications.

Director self-admitted to LPA that staff (S2) is a teacher-aid who has completed 8 quarter units and has been enrolled in courses for their continue education. Director stated that staff (S2) was releasing another staff (S4) for their break in the morning. There were 11 children present with staff (S2) in Room 2(Seaturtle).

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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025
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-20250512165052
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: HEARTS AND HANDS CHRISTIAN CHILDCARE AND PRESCHOOL
FACILITY NUMBER: 434413597
VISIT DATE: 05/19/2025
NARRATIVE
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Based on observations, record reviews, and interviews during the investigation process, the Department concludes that an unqualified staff (S2) has provided care and supervision to children in the Room 2(Seaturtle) without a qualified teacher. Therefore, the above allegation of facility is operating out of ratio, is SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

No deficiency issued during today's investigation. A Technical violation is issued during today's investigation. Appeal rights provided

Exit interview conducted and report was reviewed with the Director, Madlen Zayemoureh

Notice of site visit issued and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 05/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4