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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434416832
Report Date: 09/11/2025
Date Signed: 09/11/2025 10:16:51 AM

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
09/09/2025 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250909112908
FACILITY NAME:CHANG, CHAO-JUNGFACILITY NUMBER:
434416832
ADMINISTRATOR:CHAO-JUNG, CHANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 438-9831
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:14CENSUS: 8DATE:
09/11/2025
UNANNOUNCEDTIME BEGAN:
08:59 AM
MET WITH:Chao-Jung 'Jodie' ChangTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Licensee does not live in the home.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Marilou Monico and Jaime Gonzales conducted an unannounced complaint investigation. LPA met with Licensee, Chao-Jung 'Jodie' Chang and discussed to her the above allegation. Also present in the home were Licensee's adult assistant (S1) and six (6) daycare children: 2 infants and 4 preschool age. LPA toured the facility both indoor and outdoor. An adult assistant (S2) and two (2) children: 1 infant and 1 preschool age arrived during the inspection. LPAs observed that Licensee's bedroom appeared as a storage space of toys suitcases, paper towels, etc. There was no sheets on the bed. LPAs interviewed Licensee. Licensee admitted that she doesn't reside in the home. Licensee stated that she is only renting the space for the daycare.

Based on LPAs observations and Licensee's statement, Licensee does not live in the home. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

As a result, Type B deficiency is being cited on the attached LIC 9099D. Exit interview conducted and report was reviewed with Licensee, Chao-Jung 'Jodie' Chang. Appeal rights was provided to Licensee.
A Notice of Site Visit was given and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deanna Villagrana
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
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-20250909112908
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: CHANG, CHAO-JUNG
FACILITY NUMBER: 434416832
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2025
Section Cited
CCR
102352(f)(1)
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Definitions - "Family Day Care" or "Family Child Care" means regularly provided care, protection and supervision of children, in the care giver's own home, for periods of less than 24 hours per day, while the parents or authorized representatives are away.
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By POC due date: 09/15/25, Licensee will submit a statement stating she understands that she will reside in the home where she is operating her daycare.
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This requirement was not met as evidenced by: Licensee does not reside at the daycare home. 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: Deanna Villagrana
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2