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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416303
Report Date: 07/15/2025
Date Signed: 07/15/2025 04:47:23 PM

Substantiated


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
COMPLAINT CONTROL NUMBER: 07-CC-20250714165617
FACILITY NAME:REHOBOTH PRESCHOOL/DAYCAREFACILITY NUMBER:
434416303
ADMINISTRATOR:DINORA SANCHEZFACILITY TYPE:
830
ADDRESS:3275 WILLIAMS ROADTELEPHONE:
(408) 603-5251
CITY:SAN JOSESTATE: CAZIP CODE:
95117
CAPACITY:8CENSUS: 4DATE:
07/15/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Merat Ayalew - LicenseeTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Facility is not taking the proper steps to eradicate the presence of rodents.
There is not a qualified infant teacher present.
Staff and children's files are incomplete.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer "Jen" Beehler conducted an unannounced 10 Day Complaint Investigation. Upon arrival, LPA was greeted by Director Dinora Sanchez and provided access to the facility. LPA stated the reason for the visit.

LPA conducted file reviews, observed the facility and conducted interviews. LPA observed rodent droppings in the adult bathroom on the facility grounds. LPA observed from 7:45 AM - 8:15 AM C1 was supervised alone by one Aide that did not have educational credits. This does not meet the Title 22 infant teacher qualification requirement. LPA observed staff and children's files were missing required documentation.

Based on the evidence gathered the preponderance standard has been met, the Agency has determined the above allegations are SUBSTANTIATED. Due to today's investigation, deficiences are cited, more information provided on the attached LIC9099D.

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

DATE: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
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-20250714165617
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: 434416303
VISIT DATE: 07/15/2025
NARRATIVE
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LPA informed licensee Merat Ayalew that this report dated 07/15/2025 documents 1 Type A citation. A type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. Also, LPA informed the licensee to provide a copy of this licensing report dated 07/15/2025, that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted with Licensee Merat Ayalew, report was reviewed and provided along with appeals 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: 07/15/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 07-CC-20250714165617
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: 434416303
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/18/2025
Section Cited
CCR
101238(a)(1)
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Buildings and Grounds: (1)The licensee shall take measures to keep the center free of flies, other insects, and rodents. This requirement has not been met as evidenced by: Rodent droppings observed in the adult women's bathroom at the facility. This poses a potential risk to the health and safety of children in care.
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Licensee to contact pest control and take steps to eradicate rodents and other pests along with cleaning up all evidence of their presence. Licensee to provide proof of pest control visits as necessary. Licensee to maintain continued care of building grounds to ensure the facility is free of rodents and other insects.
Type B
07/25/2025
Section Cited
CCR
101221(a)
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Children's Records: (a) A separate, complete and current record for each child is maintained in the child care center. This requirement has not been met as evidenced by: LPA observed C1 & C2's files were missing immunization records and C1's file was missing a Physician's report with TB test results. This poses a potential risk to the health and safety of children in care.
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Licensee to collect immunization records and missing physician report and provide photographic proof to the LPA by the due date. To ensure compliance in the future, Licensee will ensure all children's files are complete prior to their first day in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 07/15/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 07-CC-20250714165617
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: 434416303
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/15/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/16/2025
Section Cited
CCR
101416.2(c)(1)(A)
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(c) To be a fully qualified infant care teacher, a teacher shall have the following:
(1) Completion, with passing grades, of 12 postsecondary semester or equivalent quarter units in early childhood or child development education at an accredited or approved college or university.(A) At least three of the units required in (c)(1) above shall be related to the care of infants or shall contain instruction specific to infants....

This requirement has not been met as evidenced by:

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Licensee to provide a Personnel Report to LPA by POC due date showing the qualified staff that will cover the Infant program from open to close. Licensee will provide a written plan in the event a lead staff person is ill to ensure a qualified infant teacher is always present in the classroom.
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7:45-8:15 AM C1 was alone in the care of a staff person qualified as an Aide without credits. This poses an immediate risk to the personal rights, health and safety of children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
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 appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4