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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416302
Report Date: 07/31/2025
Date Signed: 07/31/2025 09:42:13 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
07/14/2025 and conducted by Evaluator Jennifer Beehler
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250714111101
FACILITY NAME:REHOBOTH PRESCHOOL/DAYCAREFACILITY NUMBER:
434416302
ADMINISTRATOR:DINORA SANCHEZFACILITY TYPE:
850
ADDRESS:3275 WILLIAMS ROADTELEPHONE:
(408) 603-5251
CITY:SAN JOSESTATE: CAZIP CODE:
95117
CAPACITY:38CENSUS: 17DATE:
07/31/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Licensee - Merat AyalewTIME COMPLETED:
09:00 AM
ALLEGATION(S):
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Facility is in disrepair
Facility is operating out of ratio.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer “Jen” Beehler conducted an unannounced Complaint Investigation. Upon arrival, LPA was greeted by Licensee Merat Ayalew. LPA stated the reason for the visit.

On 07/15/2025, LPA conducted an unannounced Complaint Inspection to open the investigation. LPA observed the facility, reviewed files, conducted interviews and collected relevant documentation. 07/22/2025, LPA conducted an unannounced Complaint Inspection. LPA conducted interviews, reviewed documentation and observed the facility. During this investigation, LPA observed repairs occurring at the facility, including play structure repairs and fencing repairs. The urinal in the preschool bathroom did not work, but it was not required to meet capacity regulations. LPA observed ratio and staff requirements were met during the investigation period.

Continued on Page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
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-20250714111101
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: REHOBOTH PRESCHOOL/DAYCARE
FACILITY NUMBER: 434416302
VISIT DATE: 07/31/2025
NARRATIVE
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07/15/2025, LPA observed preschool and school age children commingled for a total of 10 children and 1 qualified staff person. Based on this investigation, the above allegations are UNSUBSTANTIATED, meaning although the allegations noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur.

Due to today’s inspection, no deficiencies are cited. Exit interview conducted with Licensee Merat Ayalew. Report was reviewed and provided, along with appeal rights.

NOTICE OF SITE VISIT PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
LIC9099 (FAS) - (06/04)
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