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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417059
Report Date: 04/19/2024
Date Signed: 04/19/2024 04:50:36 PM


Document Has Been Signed on 04/19/2024 04:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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:KIDANGO CESAR CHAVEZ EARLY LEARNING CENTERFACILITY NUMBER:
434417059
ADMINISTRATOR:JOSEFINA GARCIA MARQUEZFACILITY TYPE:
850
ADDRESS:2000 KAMMERER AVENUETELEPHONE:
(408) 901-8296
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY:96CENSUS: 59DATE:
04/19/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Lizbeth VargasTIME COMPLETED:
04:15 PM
NARRATIVE
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On 4/19/24 LPA Sheena Chin conducted an unannounced Case Management - Incident inspection to the facility in response to an incident that occurred on 4/16/24. LPA met with the assistant center director, Lizbeth Vargas, and explained the purpose of the visit.

On 4/17/24 the facility reported an incident to the department that the teacher, S1, used inappropriate languages in front of children and other staff in the classroom. Staff interviewed stated that the child, C1, hit and cursed teacher S1, who then lost temper and used inappropriate languages in front of children.

Regulatory violation was observed, and a citation was issued.

Exit interview was conducted, where this report, the citation, plan of correction, and appeal rights were reviewed and discussed with Licensee, Liz Vargas.
A notice of site visit was given and must remain posted for 30 days.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Sheena ChinTELEPHONE: (408) 324-2148
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/19/2024 04:50 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: KIDANGO CESAR CHAVEZ EARLY LEARNING CENTER
FACILITY NUMBER: 434417059

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/26/2024
Section Cited
CCR
101223(a)(2)

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101223 Personal Rights (a)(2) To be accorded safe, healthful and comfortable accommodations,... to meet his/her needs.

This requirement was not met as evidenced by :
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The staff, S1, resigned today. The assistant director stated that weekly consultation were offered to teachers and teacher could request one-on-one consultation as well. A statement will be sent to LPA to illustrate how to prevent such incidents from happening again.
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Based on interviews and file review, the licensee did not comply with the section cited above. The staff, S!, used inappropriate languages in front of children which posed 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.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Sheena ChinTELEPHONE: (408) 324-2148
LICENSING EVALUATOR SIGNATURE:
DATE: 04/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/19/2024
LIC809 (FAS) - (06/04)
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