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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417006
Report Date: 03/26/2024
Date Signed: 03/26/2024 01:26:30 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
03/13/2024 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240313124327
FACILITY NAME:ELITE INTERNATIONAL SCHOOL LLCFACILITY NUMBER:
434417006
ADMINISTRATOR:LINDA TONGFACILITY TYPE:
850
ADDRESS:2555 MOORPARK AVENUETELEPHONE:
(415) 596-9213
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:0CENSUS: 0DATE:
03/26/2024
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Bonnie LiTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Staff member handles daycare children in a rough manner
Staff did not provide adequate food service
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Oscar Huang contacted Owner, Bonnie Li by phone to inform and discuss the above allegations with her.

Based on interviews and LPA's own observations, the staff forced a child to use the bathroom that they did not want to, and an expired food was stored in the refrigerator. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Deficiencies were cited on the following page (LIC 9099-D):

This report was delivered by certified mail on the same day to Owner, Bonnie Li, 3/26/2024.
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024
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 3
Control Number 07-CC-20240313124327
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: ELITE INTERNATIONAL SCHOOL LLC
FACILITY NUMBER: 434417006
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/26/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/05/2024
Section Cited
CCR
101223(a)(3)
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Personal Rights: (a) The licensee shall ensure that each child is accorded the following personal rights:(3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting;
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The facility is closed. Licensee of the current facility was informed of the deficiencies, and is requested to correct them and to ensure the school is in compliance with the regulations going forward.
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This requirement is not met as evidenced by: Staff forced a child to use the bathroom that they did not want to. This poses a potential risk to the health, safety, and personal rights to children in care.
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Type B
04/05/2024
Section Cited
CCR
101227(a)(1)
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Food Services: (a) In child care centers providing meals to children, the following shall apply:(1) All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children.
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The facility is closed. Licensee of the current facility was informed of the deficiencies, and is requested to correct them and to ensure the school is in compliance with the regulations going forward.
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This requirement is not met as evidenced by: An expired food was stored in the refrigerator. 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.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
03/13/2024 and conducted by Evaluator Yangcheng Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240313124327

FACILITY NAME:ELITE INTERNATIONAL SCHOOL LLCFACILITY NUMBER:
434417006
ADMINISTRATOR:LINDA TONGFACILITY TYPE:
850
ADDRESS:2555 MOORPARK AVENUETELEPHONE:
(415) 596-9213
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:0CENSUS: 0DATE:
03/26/2024
UNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Bonnie LiTIME COMPLETED:
01:10 PM
ALLEGATION(S):
1
2
3
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5
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8
9
Staff member discriminates against daycare children
Staff member withholds food from daycare children
Staff member did not provide a comfortable temperature for daycare children
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Oscar Huang contacted Owner, Bonnie Li by phone to inform and discuss the above allegations with her.

Based on interviews and LPA's own observations, the allegations listed above could not be proved or disproved.

LPA concludes that although the allegations may have happened or are valid, there were not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are UNSUBSTANTIATED.

No deficiency was cited. This report was delivered by certified mail on the same day to Owner, Bonnie Li, 3/26/2024.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 3