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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415350
Report Date: 10/22/2025
Date Signed: 10/23/2025 06:18:36 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE 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
09/11/2025 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250911140042
FACILITY NAME:NGUYEN, TRANGFACILITY NUMBER:
434415350
ADMINISTRATOR:NGUYEN, TRANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 646-1705
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:14CENSUS: 12DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
03:06 PM
MET WITH:Trang NguyenTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Licensee left children in soiled clothing.
INVESTIGATION FINDINGS:
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On10/22/2025, Licensing Program Analyst(LPA) Mandeep Kaur conducted an unannounced follow up complaint investigation. LPA met with Licensee, Trang Nguyen and explained the reason for the visit: deliver investigation findings. Present was Licensee's two Assistant(S1&S2), with 12 children in care: 2 infants and 10 preschool age children.

LPA conducted complaint investigation comprising of interviews and observations.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the above allegation is UNSUBSTANTIATED.

No deficiency issued during today's investigation. Appeal Rights were provided.

**Continue on next page**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
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 2
Control Number 07-CC-20250911140042
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: NGUYEN, TRANG
FACILITY NUMBER: 434415350
VISIT DATE: 10/22/2025
NARRATIVE
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A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Trang Nguyen.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2