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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416304
Report Date: 08/18/2025
Date Signed: 08/18/2025 10:02:29 AM

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
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250714140736
FACILITY NAME:REHOBOTH PRESCHOOL/DAYCAREFACILITY NUMBER:
434416304
ADMINISTRATOR:DINORA SANCHEZFACILITY TYPE:
840
ADDRESS:3275 WILLIAMS ROADTELEPHONE:
(408) 603-5251
CITY:SAN JOSESTATE: CAZIP CODE:
95129
CAPACITY:38CENSUS: 6DATE:
08/18/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee - Merat AyalewTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility does not provide sufficient snacks to children
Facility does not adhere to posted menu
Unqualified staff transports children in an unsafe manner
The facility is keeping children in unlicensed areas
Facility staff provides false statements to licensing
INVESTIGATION FINDINGS:
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This report is a continuation of the complaint investigation conducted on 07/31/2025.

On August 18, 2025, Licensing Program Analyst (LPA) Jennifer “Jen” Beehler conducted an unannounced Complaint Investigation to conclude the investigation and deliver deficiencies relating to substantiated allegations.

On 07/15/2025, LPA conducted an unannounced inspection and observed the facility pantry with only two apples for the day’s food service. LPA was present during afternoon snack time and confirmed that 16 out of 18 children did not have snacks from home. Staff interview confirmed there was not enough snacks for the children in attendance. LPA observed that the posted menu showed that a ½ cup of juice and crackers would be provided that day. LPA observed only apple slices being made available.

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

DATE: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
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-20250714140736
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: 434416304
VISIT DATE: 08/18/2025
NARRATIVE
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Throughout this investigation, LPA has conducted interviews with licensee, Merat Ayalew. 06/18/2025, Licensee stated the facility does not offer transportation. LPA uncovered contradictory details through witness testimony, which revealed that the facility provides transportation for children and conducts regular “field trips” where children are transported to water parks, library and local parks. Licensee stated that the facility does not use the large white and maroon vans because they are in poor condition. On 07/09/2025, LPA observed the Director returning to the facility with 9 children and one other staff in the white van.

07/22/2025, LPA revealed through witness testimony that Staff Person #1 (S1) was providing transportation to the children and does not have Criminal Record Clearance. This is being cited on a separate report.

7/15/2025 & 07/22/2025, LPA revealed through interviews that the facility is conducting class on the picnic tables in the unlicensed grassy area that is not fenced in and is bordered by two parking lots. Based on interviews conducted, the facility allows the children to play soccer in this area every Friday.

Due to this investigation, deficiencies are cited, more details provided on the attached LIC9099. 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: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 07-CC-20250714140736
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: 434416304
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/25/2025
Section Cited
CCR
101227(a)(1)
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101227 Food Service (a) (1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Each meal shall include, at a minimum, the amount of food components as specified by Title 7, Code of Federal Regulations,..., for the age group served...
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Licensee to provide a written plan of action outlining how the facility will ensure sufficient food is available in the facility and that the posted menu is followed by the POC due date.
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This requirement has not been met as evidenced by: During LPA’s 07/15/2025 visit, it was observed that there were not enough snacks available for the number of children in care. Only apple slices were later made available. This poses a potential risk to the health and personal rights of children in care.
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Type B
08/25/2025
Section Cited
CCR
101227(a)(6)
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101227 Food Service (a)(6) Menus shall be in writing and shall be posted at least one week in advance in an area accessible for review by the child's authorized representative. This requirement was not met as evidenced by: Based on LPA’s observations and interviews conducted, although the menu is posted in the facility, it is not being followed and food on the menu is not available in the facility. This poses a potential risk to the health and personal rights of children in care.
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Licensee to provide a written plan of action outlining how the facility will ensure sufficient food is available in the facility and that the posted menu is followed by the POC due date.
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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: 08/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 07-CC-20250714140736
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: 434416304
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/18/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/25/2025
Section Cited
CCR
101238.2(g)
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101238.2 Outdoor Activity Space (g) The playground shall be enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence shall be at least four feet high. This requirement was not met as evidenced by:
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Licensee to submit a written plan of action outlining where children’s activities will be conducted without violating fire clearance and licensing regulations, by POC due date.
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Based on interviews and LPA's observations, the facility conducts children’s classes and activities in an outdoor activity area with no fencing and not approved for use by children. This poses a potential risk to the safety of children in care.
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Type B
08/25/2025
Section Cited
CCR
101163(a)
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101163 False Claims (a) No licensee, officer or employee of a licensee shall make or disseminate any false or misleading statement regarding the child care center or any of the services provided by the center. This requirement has not been met as evidenced by:
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Licensee to submit a written plan of action confirming understanding of Title 22 Regulations for Child Care Centers and the Health and Safety Code, including the Inspection Authority of the Department, and the consequences of providing false statements to the licensing authority, by the POC due date.
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During interviews with LPA, Licensee provided false statements on 07/15/2025 with regards to the field trip that occurred on 07/09/2025. This poses a potential risk to the health, safety and personal rights 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: 08/18/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4