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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416456
Report Date: 08/28/2024
Date Signed: 08/28/2024 11:21:57 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
08/28/2024 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240828094700
FACILITY NAME:HUANG, SHUANGFACILITY NUMBER:
434416456
ADMINISTRATOR:SHUANG HUANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 309-4547
CITY:SANTA CLARASTATE: CAZIP CODE:
95054
CAPACITY:14CENSUS: 7DATE:
08/28/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Huang ShuangTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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1. Licensee does not include facility license number in all advertisements
INVESTIGATION FINDINGS:
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Licensing Program Analysts(LPA's)Anna Morales and Shine Yu conducted an initial complaint inspection for the above allegation. LPA's met with Licensee Shuang Huang and discussed the allegation.

Licensee states that she advertises her day care in several websites: Yelp, Google, Xiao Red Book, and in the facility's website: kiddiecovecare.com, however, did not include the facility's license number is all of the advertisements.

Based on the interview with licensee and evidence gathered during the investigation process, licensee failed to include facility license number in all advertisements. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Exit interview conducted with Licensee Shuang Huang . A notice of site visit was issued and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
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-20240828094700
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: HUANG, SHUANG
FACILITY NUMBER: 434416456
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/28/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/28/2024
Section Cited
CCR
102359(a)
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102359(a)- Advertisements and License Number- (a) Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients.


This requirement was not met as evidence by:
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This Deficiency has been cleared. Licensee has posted facility's license number in advertisements.
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Based on evidence gathered during the investigation process, Licensee failed to include the facility license number is all advertisements. This poses a potential risk to the health safety and personal rights to 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: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2