<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416499
Report Date: 09/07/2022
Date Signed: 09/07/2022 09:35:56 AM

Document Has Been Signed on 09/07/2022 09:35 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:TRAIDMAN, CINDYFACILITY NUMBER:
434416499
ADMINISTRATOR:CINDY TRAIDMANFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 393-7565
CITY:SUNNYVALESTATE: CAZIP CODE:
94085
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 2DATE:
09/07/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Cindy TraidmanTIME COMPLETED:
09:45 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Mel Matos met with Cindy Traidman, Licensee, for an unannounced case management inspection. Purpose of today's inspection: discuss an Unusual Injury that the Licensee self reported to the San Jose Child Care District Office on August 27, 2022.

Licensee states that the Unusual Injury occurred on Thursday August 25, 2022 when a day care child tripped twice on the area rug, located in the living room area of the home. Licensee states that the child was trying to run when the child tripped on the area rug. Licensee states that the incident was observed by staff. Licensee states that she normally has two adult assistants working with her in the day care. Licensee states that the child complained that his left foot was hurting after the two incidents, which occurred almost simultaneously, on the same date.

Licensee states that she tended to the child and rubbed the child's foot; however, Licensee states that the child wouldn't stop crying. Licensee states that she proceeded to ice the child's foot and called the child's parents. Licensee states that the child was picked up from the day care and taken to Urgent Care for observation. Licensee states that the child was diagnosed with a suspected lower left leg fracture and placed in a cast (below the left knee).

Licensee states that the child is supposed to return to the day care in approximately three weeks. Licensee states that she continues to remind all day care children about "no running rules" inside the home.

LPA toured the living room area of the home, including the area rug, and did not observe any tripping hazards. No deficiencies issued during today's inspection. Exit interview conducted and report was reviewed with Cindy Traidman, Licensee. A notice of site visit was given and must remain posted adjacent to the main door for 30 days
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 09/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/07/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1