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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417023
Report Date: 06/14/2024
Date Signed: 06/14/2024 11:17:21 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
04/08/2024 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240408092255
FACILITY NAME:WONDER STEPS PRESCHOOLFACILITY NUMBER:
434417023
ADMINISTRATOR:JETALBEN PATELFACILITY TYPE:
850
ADDRESS:15063 UNION AVENUETELEPHONE:
(408) 594-9812
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY:31CENSUS: 22DATE:
06/14/2024
UNANNOUNCEDTIME BEGAN:
08:36 AM
MET WITH:Jetalben PatelTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility is operating out of ratio.
Staff do not ensure adequate care supervision are provided to children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Mandeep Kaur, met with the Director, Jetalben Patel, and explained purpose of visit- to deliver complaint investigation findings. Upon arrival, LPA was admitted into the facility by office staff (S1).

The complaint investigation comprised of interviews, classrooms observation, and records review. LPA Mandeep Kaur observed classrooms: Busybee and Butterfly rooms on 04/22/2024 for approximately one hour. LPA observed one child in busy bee room (2 years old) who was standing alone by infant room (Lady bug room) door who was not visible to a Staff (S2) and was not being supervised. Staff (S2) was advised of a child to be by the infant room(Lady Bug room) door by themself. Director acknowledges the incident happened on 04/22/2024 regarding a child was standing alone without supervision by the Ladybug room. Interviews conducted with multiple individuals who have knowledge of the facility reported that facility has been out of ratio on numerous times. During today's investigation, Director states that staff (S2) would just leave another staff alone with children to use bathroom multiple times.
**Continue on next page**
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
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 4
Control Number 07-CC-20240408092255
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: WONDER STEPS PRESCHOOL
FACILITY NUMBER: 434417023
VISIT DATE: 06/14/2024
NARRATIVE
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**continuation from 9099**

Based on observations and interviews during the investigation process, the Department concludes that Facility has operated out of ratio and Staff do not ensure adequate care supervision are provided to children. Therefore, the above allegations are SUBSTANTIATED, meaning the allegations are valid because the preponderance of the evidence standard has been met.

Type B deficiencies are being cited on the attached LIC 9099D form.


Exit interview conducted, appeal rights given and the report was reviewed with the Director, Jetalben Patel.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 07-CC-20240408092255
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: WONDER STEPS PRESCHOOL
FACILITY NUMBER: 434417023
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/14/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/28/2024
Section Cited
CCR
101216.3(a)
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101216.3 Teacher-Child Ratio:(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...

This requirement was not met as evidenced by:
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Director has agreed to submit a written plan to the department to comply with Title 22 Teacher-Child Ratio regulations by 06/28/2024.
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Based on observations and interviews during the investigation process, the Department concludes that Facility has operated out of ratio, which poses a potential Health, Safety, or Personal Rights risk to persons in care.
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Type B
06/28/2024
Section Cited
CCR
101229(a)(1)
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101229 Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision as necessary to meet the children's needs.
(1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation.

This requirement was not met as evidenced by:
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Director acknowledges the incident happened on 04/22/2024. Director has agreed to submit a written plan to the department to comply with Title 22 responsibility for providing care and supervision regulations by 06/28/2024.
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Based on observations and interviews during the investigation process, the Department concludes that Staff do not ensure adequate care supervision are provided to children, which poses a potential Health, Safety, or Personal Rights risk to persons 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: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 06/14/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4