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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416153
Report Date: 02/11/2025
Date Signed: 02/11/2025 09:20:55 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
11/14/2024 and conducted by Evaluator Fermin Campos-Jaramillo
COMPLAINT CONTROL NUMBER: 07-CC-20241114110113
FACILITY NAME:LI, ZHIQINFACILITY NUMBER:
434416153
ADMINISTRATOR:ZHIQIN LIFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 718-1201
CITY:SAN JOSESTATE: CAZIP CODE:
95132
CAPACITY:14CENSUS: 4DATE:
02/11/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Zhiqin LiTIME COMPLETED:
09:30 AM
ALLEGATION(S):
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9
Licensee is not providing adequate supervision to children playing in an unfenced area.
Licensee left infant in their car seat for an extended period of time
Licensee exposed infant to the sun for an extended period of time
Licensee is operating out of ratio
INVESTIGATION FINDINGS:
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9
10
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13
Licensing Program Analysts (LPAs) Fermin Campos-Jaramillo and Kate Huang met with Zhiqin Li, licensee. LPA explained to the licensee the purpose of today's visit is: Deliver the investigation findings on the above-mentioned allegation. LPA observed Licensee was providing care to four children including two infants and two preschool age children. Licensee was working in compliance with ratio and capacity today.
The LPAs have interviewed the licensee, and the parents of the children attending the FCCH.
Based on the available evidence, it is concluded that although the allegations listed on this complaint may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are therefore UNSUBSTANTIATED.

No deficiencies were cited today.

NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2025
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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