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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413739
Report Date: 09/01/2026
Date Signed: 09/01/2026 12:00:17 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
07/21/2026 and conducted by Evaluator Jennifer Beehler
COMPLAINT CONTROL NUMBER: 07-CC-20260721092910
FACILITY NAME:BAXTER, KRISTIN & JEFFREYFACILITY NUMBER:
434413739
ADMINISTRATOR:KRISTIN & JEFFREYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 568-5484
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY:14CENSUS: 8DATE:
09/01/2026
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Kristin Baxter - LicenseeTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee does not ensure direct supervision is provided to children at all times.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/01/2026, Licensing Program Analyst (LPA) Jennifer “Jen” Beehler conducted an unannounced Complaint Investigation. Upon arrival, LPA was greeted by the Licensee and provided access to the facility. LPA provided the reason for the visit, toured the facility and collected the census.

There were eight (8) children (4-infants/4-Preschool-age) and two (2) staff (Licensees) present which is compliant with ratio and capacity requirements.

The Department conducted interviews which revealed that the door to the day care room is closed for more than two (2) hours during nap time without any staff present. This is an absence of supervision. Title 22 Section 102417(a) stipulates that the Licensee “shall ensure that children in care are supervised at all times.”

Continued on Page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Adam Hamer
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
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-20260721092910
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: BAXTER, KRISTIN & JEFFREY
FACILITY NUMBER: 434413739
VISIT DATE: 09/01/2026
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
As a result of this investigation, one (1) Type A Deficiency is cited along with a civil penalty assessment. More details are provided on the attached supporting documents. Exit interview conducted with Licensee. Report was reviewed and provided to the Licensee, Kristin Baxter, along with appeal rights.

LPA Beehler informed Licensee, Kristin Baxter that this report dated September 1, 2026 documents one (1) Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Beehler informed the Licensee Kristin Baxter to provide a copy of this licensing report dated September 1, 2026 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

LPA provided Licensee with a LIC9224 with today’s date.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS
SUPERVISORS NAME: Adam Hamer
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20260721092910
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: BAXTER, KRISTIN & JEFFREY
FACILITY NUMBER: 434413739
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/01/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
09/02/2026
Section Cited
CCR
102417(a)
1
2
3
4
5
6
7
102417 Operation of a Family Child Care Home (a) The licensee shall be present in the home and shall ensure that children in care are supervised at all times.[...]

This requirement has not been met as evidenced by:
1
2
3
4
5
6
7
Facility will not close the day care door at all during day care hours. Licensee will provide written plan by POC due date.
8
9
10
11
12
13
14
There is no staff present in the day care room with the door closed for the nap time hours which is an absence of supervision. This poses an immediate risk to the health, safety and personal rights of children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Adam Hamer
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 09/01/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3