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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434415730
Report Date: 12/20/2024
Date Signed: 12/20/2024 01:52:11 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
12/05/2024 and conducted by Evaluator Jennifer Beehler
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20241205112418
FACILITY NAME:ESTRELLA FAMILY SERVICES @ GARDNERFACILITY NUMBER:
434415730
ADMINISTRATOR:KRISTINE NGUYENFACILITY TYPE:
840
ADDRESS:611 WILLIS AVENUETELEPHONE:
(408) 269-7827
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY:56CENSUS: 32DATE:
12/20/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Kristine NguyenTIME COMPLETED:
02:10 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Personal rights-Staff yells at day care children
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPAs) Jennifer "Jen" Beehler and Darnella Barnes met with Director Kristine Nguyen, and explained the purpose of the visit was to complete the investigation and deliver findings. LPAs conducted confidential interviews and observations.

Based on interviews, observations, records review, and evidence gathered during the investigation process, it is concluded that although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.

No deficiency was issued during today's investigation.

Exit interview conducted with Director, Kristine Nguyen. Report reviewed and provided along with appeal rights. A NOTICE OF SITE VISIT WAS PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 12/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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