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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416456
Report Date: 01/05/2026
Date Signed: 01/05/2026 03:10:30 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
11/06/2025 and conducted by Evaluator Linke Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20251106101744
FACILITY NAME:HUANG, SHUANGFACILITY NUMBER:
434416456
ADMINISTRATOR:SHUANG HUANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 309-4547
CITY:SANTA CLARASTATE: CAZIP CODE:
95054
CAPACITY:14CENSUS: 6DATE:
01/05/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Huang, ShuangTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Daycare staff mishandled a daycare child
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kate Huang conducted an unannounced complaint visit to deliver investigation findings regarding the above allegation. LPA met with licensee, Huang, Shuang and explained the purpose of the visit.

It was alleged that during a group activity, staff one (S1) grabbed a daycare infant (C1) and pulled C1 to the side alone in a corner, despite the child not misbehaving at that time.

During the course of the complaint investigation, LPA toured the facility, interviewed the licensee, staff, and parents, and reviewed relevant records. Video footage taken on the morning of 11/05/2025 shows that when C1, who was under two years old, attempted to join the group activity, S1 grabbed C1 by the arm, pulled her aside, and moved her to the side, away from the group, leaving her alone, despite no observed unsafe behavior by the child.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
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 3
Control Number 07-CC-20251106101744
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
VISIT DATE: 01/05/2026
NARRATIVE
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Based on the evidence gathered, the preponderance of evidence standard has been met and therefore the above allegation is Substantiated.

One TYPE A deficiency was cited today as a result of the investigation. Appeal Rights were provided to Licensee.

LPA Kate informed licensee, Huang, Shuang that this report dated 01/05/2026 documents one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Kate informed the Director to provide a copy of this licensing report dated 01/05/2026 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 was conducted, where the report was reviewed and discussed with licensee, Huang, Shuang. A notice of site visit has been issued and must remain posted for 30 days.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20251106101744
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: 01/05/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
01/06/2026
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement was not met as evidenced by:
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Licensee shall submit a written plan of correction by 01/06/2026 due date on how she will ensure that each child is accorded dignity in his/her personal relationships with staff, and to ensure that their personal rights will not be violated at this facility.
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Video footage from the morning of 11/05/2025 shows that when C1, a child under two years old, attempted to join a group activity, S1 grabbed C1 by the arm, pulled her aside, and moved her to the side, away from the group, leaving her alone,despite no observed unsafe hebavior by the child, which poses an immediate 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: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3