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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415350
Report Date: 12/01/2025
Date Signed: 12/01/2025 12:36:33 PM

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: 11DATE:
12/01/2025
UNANNOUNCEDTIME BEGAN:
08:27 AM
MET WITH:Trang NguyenTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Licensee used unusual form of punishment with child in care.
Licensee left children in soiled clothing.
INVESTIGATION FINDINGS:
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2
3
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5
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7
8
9
10
11
12
13
On12/01/2025, Licensing Program Analyst(LPA) Mandeep Kaur and Licensing Program Manager(LPM), Mireya Flores conducted an unannounced follow up complaint investigation. LPA and LPM met with Licensee, Trang Nguyen and explained the reason for the visit: to gather additional information regarding the above allegations. Present was Licensee's one Assistant(S1) with 11 children in care: one infant and 10 preschool age children.

During today's investigation, LPA and LPM interviewed four (4) random children, attempted to interview four(4) additional children(C1, C2, C3 & C4), interviewed staff(S1) and Licensee.

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. Findings of the complaint allegation #1(above) was delivered on 10/15/2025 and findings of the allegation #2(above) was delivered on 10/22/2025, and thus findings remain the same.
**Continue on next page**
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025
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-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: 12/01/2025
NARRATIVE
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 No deficiency issued during today's investigation. Appeal Rights were provided.

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: Mireya Flores
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 12/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4