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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414297
Report Date: 10/29/2024
Date Signed: 10/29/2024 06:08:04 PM

Document Has Been Signed on 10/29/2024 06:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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:JOHNSON, CHRISTINAFACILITY NUMBER:
434414297
ADMINISTRATOR/
DIRECTOR:		JOHNSON, CHRISTINAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 413-9272
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: DATE:
10/29/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
05:09 PM
MET WITH:TIME VISIT/
INSPECTION COMPLETED:
06:15 PM
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
Regional Manager (RM) Jennifer Pare, Licensing Program Manager (LPM) Gladys Kuizon, Licensing Program Analyst (LPA) Andrea Cortez and Santa Clara County Resource Family Approval (RFA) Investigator Taylor Tran met with licensee, Christina Johnson, for the purpose of serving a Temporary Suspension Order (TSO) for the Family Child Care Home, license revocation, rescission of exemption, and immediate exclusion of licensee, Christina Johnson.

The Department is taking this action because it believes that the following reasons are true. The licensee will get a chance to show a judge that they are not true or that even if true are not enough reason to revoke the license.

Reasons:



Between February and May 2024, Ms. Johnson is alleged to have done the following:
· Violated a court order and/or restraining order requiring her not to contact a 7-year-old child;
· Left an 11-year-old child alone in a house over 300 miles away from Ms. Johnson’s home in Gilroy;
· Asked people to lie to sheriff’s officers investigating Ms. Johnson;
· Lied to County and Licensing personnel.

During the time Ms. Johnson was doing the above-listed acts, Ms. Johnson:


· Left day care clients without adult supervision;
· Was not at the day care the requisite amount of time;

Continued on LIC 809-C.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: JOHNSON, CHRISTINA
FACILITY NUMBER: 434414297
VISIT DATE: 10/29/2024
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
· Allowed a pool gate to remain open during day care operating hours;
· Allowed staffers to provide care to day care clients without required training: CPR/first aid and/or mandated reporter training.

On or about May 24, 2024, Ms. Johnson was charged with stalking the 7-year-old child and was jailed for approximately 2 days, and she failed to inform Licensing and County personnel of this event.

Regional Manager (RM) Jennifer Pare explained the appeal rights to the licensee including the process to file a Notice of Defense. Packets containing the Summary of Charges copy of the accusation and letter to the parents were left for the parents of the children enrolled in the daycare. The licensee is to provide a packet to the responsible parties for each child in care.

The Notice of Closure for the Temporary Suspension Order (TSO) was posted on the front door as per Title 22 Regulations. The licensee understands that the TSO must remain posted and the removal or concealment of notice while the temporary suspension order is in effect is punishable as a misdemeanor with a fine up to $500.00, under section 1596.8895 of the California Health and Safety Code. The licensee further understands that if a hearing is requested, this Order will remain in effect until the Department issues a final Decision in the matter contained by the Accusation, or 30 days after the Department receives a Proposed Decision whichever is sooner.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2