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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416822
Report Date: 08/26/2024
Date Signed: 08/26/2024 05:27:06 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
08/26/2024 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240826105311
FACILITY NAME:YANG, SIYAOFACILITY NUMBER:
434416822
ADMINISTRATOR:SIYAO, YANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 619-0812
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:12CENSUS: 8DATE:
08/26/2024
UNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Siyao YangTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Licensee does not include facility license number in all advertisements.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marilou Monico conducted an unannounced complaint inspection. LPA met with Licensee, Siyao Yang, and discussed the allegation.

Licensee states that she advertises her daycare in Yelp, Google, Xiao Red Book, and in the facility's website:kiddiecovecare.com but did not include the daycare license number. Based on interview with licensee and evidence gathered during the investigation process, licensee failed to include the facility license number in all advertisements. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

As a result, deficiency was cited on the following page.

Exit interview conducted and report was reviewed with Licensee, Siyao Yang.

A Notice of Site Visit was issued and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
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-20240826105311
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: YANG, SIYAO
FACILITY NUMBER: 434416822
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/30/2024
Section Cited
CCR
102359(a)
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Advertisements and License Number - Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients.
This requirement is not met as evidenced by:
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By POC due date: 08/30/24, Licensee states she will submit a written plan to ensure that the facility licensee number is included in all advertisements.
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Based on interview with Licensee and evidence gathered during the investigation process, Licensee failed to include the facility license number in all advertisements. This poses a potential risk to the health safety and personal rights to 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: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2