434416505-9-28-2026-07-CC-SCES-DZBW3S-20261029165618

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434416505
Report Date: 09/28/2026
Date Signed: 09/28/2026 02:26:20 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
09/05/2026 and conducted by Evaluator Pedro Jesus Gutierrez

COMPLAINT CONTROL NUMBER: 07-CC-20260905123116

FACILITY NAME:	WU, YU-BAO		FACILITY NUMBER:	434416505
ADMINISTRATOR:	YU-BAO WU		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(510) 203-6787
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94085
CAPACITY:	14	CENSUS: 9	DATE:	09/28/2026
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Yu-Bao Wu		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Uncleared adult residing in the home

INVESTIGATION FINDINGS:

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On 09/28/2026, Licensing Program Analyst (LPA) Pedro Gutierrez conducted an unannounced complaint investigation. LPA met with licensee Yu-Bao Wu and discussed the above allegation during today’s visit. LPA toured the indoor and outdoor areas of the facility. Present were licensee, assistant (S1), and nine daycare children - six preschool age, and three infants.

LPAs conducted an interviews with licensee and assistant.

Based on LPAs observations, record reviews, and interviews which were conducted, it was disclosed that two uncleared adults are renting two rooms within the home, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Jesus Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026

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-20260905123116

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: WU, YU-BAO	FACILITY NUMBER: 434416505
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/28/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 09/29/2026 Section Cited CCR 102370(d)(1)	1 2 3 4 5 6 7	102370(d)(1) - All individuals subject to a criminal record review … Obtain a California clearance or a criminal record exemption as required by the Department or. This requirement was not met as evidenced by…	1 2 3 4 5 6 7	Licensee will write a plan indicating that the renters will move out
	8 9 10 11 12 13 14	Based on LPAs observations, record reviews, and interviews which were conducted, it was disclosed that two uncleared adults are renting two rooms within the home. This poses an immediate risk to the health and safety of children in care.	8 9 10 11 12 13 14	Plan of correction letter is due by 9/29/26.
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Jesus Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 07-CC-20260905123116

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: WU, YU-BAO	FACILITY NUMBER: 434416505
	VISIT DATE: 09/28/2026

NARRATIVE

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Per Title 22, Division 12, of the California Code of Regulations, the following Type A deficiency is being cited: (see next page, 9099D).
LPA Pedro Gutierrez informed licensee Yu-Bao Wu that this report dated 09/28/26 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.
Also, LPA Pedro Gutierrez informed the licensee Yu-Bao Wu to provide a copy of this licensing report dated 09/28/26 that documents any 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.
A copy of the Fact Sheet - Child Care Parent Notification Requirements and a copy of LIC 9224 Acknowledgement of Receipt of Licensing Reports was given to licensee Yu-Bao Wu.

Exit interview was conducted and the report was reviewed with the licensee Yu-Bao Wu.

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Jesus Gutierrez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2026

LIC9099 (FAS) - (06/04)

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