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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416723
Report Date: 05/14/2025
Date Signed: 05/14/2025 01:50:32 PM

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
03/25/2025 and conducted by Evaluator Liridon Fici
COMPLAINT CONTROL NUMBER: 07-CC-20250325110405
FACILITY NAME:SINGH, POOJAFACILITY NUMBER:
434416723
ADMINISTRATOR:POOJA, SINGHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 442-8503
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY:14CENSUS: 8DATE:
05/14/2025
UNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Singh, PoojaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Licensee pulled a daycare child's ear while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Liridon Fici- Doni arrived unannounced to conduct a complaint investigation. LPA met with Licensee, Singh, Pooja and explained the reason for the investigation. Upon entry, LPA observed eight (8) children over 2 years of age with two (2) staff present.

During the course of the investigation, LPA conducted interview with staff, and parents and obtained copies the following documents: Day Care Agreement Form, Children’s Roster, and Behavior Management Policy Form.





Page 1 of 2.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
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-20250325110405
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: SINGH, POOJA
FACILITY NUMBER: 434416723
VISIT DATE: 05/14/2025
NARRATIVE
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It was alleged that, Licensee pulled a daycare child's ear while in care. Based on interviews conducted with staff and parents, LPA was informed that staff 1 (S1) does not discipline children, however, the licensee will sit with the child and speak to them separately; no time out is implemented in care. S1 also mentioned she wants children to be included, and S1 will watch children to ensure no one gets hurt. During interview with parents, 4 out of 6 parents stated there are no concerns with care being provided and the parents and their child enjoys being at the day care. LPA reviewed the day cares behavior management policy form, and it indicates no child shall be punished, including spanking while in care.

Based on interviews, and evidence gathered during the course of the investigation, it is concluded that although the allegation noted on this complaint may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation did or did not occur. The allegation is UNSUBSTANTIATED.

A notice of site visit has been issued and must remain posted for 30 days.

Exit interview conducted with Licensee, and report was reviewed and provided along with appeal rights.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2