434416495-4-28-2026-07-CC-MFLS-DUJVZD-20260529165234

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434416495
Report Date: 04/28/2026
Date Signed: 04/28/2026 11:20:49 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
04/01/2026 and conducted by Evaluator Syeda Bahar

COMPLAINT CONTROL NUMBER: 07-CC-20260401161711

FACILITY NAME:	ADVINCULA, EILEEN		FACILITY NUMBER:	434416495
ADMINISTRATOR:	EILEEN ADVINCULA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 209-2104
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95136
CAPACITY:	14	CENSUS: 5	DATE:	04/28/2026
		UNANNOUNCED	TIME BEGAN:	09:06 AM
MET WITH:	Eileen Advincula		TIME COMPLETED:	11:40 AM

ALLEGATION(S):

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Facility is not kept clean and orderly.
Unfingerprinted adult interacting with children.

INVESTIGATION FINDINGS:

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On 04/28/2026, Licensing Program Analyst (LPA), Syeda Bahar conducted an unannounced complaint investigation at the facility. LPA met with the Licensee, Eileen Advincula, and explained the purpose of the visit. The purpose of today’s visit is to deliver the findings. LPA toured the indoor and outdoor areas of the facility with the Licensee, and a census was taken. Present for this inspection were the Licensee, two other adults, and five preschool-age children. It was alleged by the Reporting Party that: 1) the facility is not kept clean and orderly, and 2) unfingerprinted adult is interacting with children.

Over the course of this investigation, LPA interviewed the staff, and parents; toured the facility; reviewed records; and obtained the facility roster and other documents.

Pertaining to allegation #1, all interviews conducted with staff and parents determined that all staff and parents denied observing or having knowledge of the facility not being kept clean and orderly.'

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 07-CC-20260401161711

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: ADVINCULA, EILEEN	FACILITY NUMBER: 434416495
	VISIT DATE: 04/28/2026

NARRATIVE

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Based on staff interviews, the facility is cleaned daily and as frequently as needed. The surfaces and floors are wiped every day during and after operating hours as needed. During today’s inspection, LPA observed that the floors and surfaces of the facility were clean. Staff stated that the cleaning supplies are stored under the kitchen cabinet. No cleaning supplies were accessible to children during today’s inspection. Licensee was reminded that cleaning supplies must be locked to keep them inaccessible to children. Staff stated that children are provided with breakfast, lunch, a small dinner, and snacks. Food items are checked every day before preparing meals. If any food is out of date, they get rid of it. Staff also stated that foods are bought weekly, sometimes daily and based on need.

Pertaining to allegation #2, all interviews conducted with staff and parents determined that all staff and parents denied observing or having knowledge of an unfingerprinted adult interacting with children. Based on staff interviews, all adults living in the house are background cleared. Licensee stated that the adults living in the house are the Licensee and one other background cleared adult. Licensee stated all other adults who frequently visit the home are background cleared. According to parent interviews, the Licensee communicates with parents if there are any new staff working at the facility.

Based on interviews conducted and records reviewed, there is insufficient evidence at this time to support the allegations. This agency has investigated the complaint alleging that 1) the facility is not kept clean and orderly, and 2) unfingerprinted adult is interacting with children.

Although the allegations may have occurred or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur. Therefore, the allegations are UNSUBSTANTIATED.

No deficiencies were cited during today’s investigation. Appeal rights were provided.
An exit interview was conducted, and the report was reviewed with the Licensee, Eileen Advincula.

A Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Mireya Flores
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

LIC9099 (FAS) - (06/04)

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