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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417061
Report Date: 07/28/2025
Date Signed: 07/28/2025 11:53:58 AM

Unsubstantiated


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
08/19/2024 and conducted by Evaluator Pedro Solorio-Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240819164433
FACILITY NAME:SJB DANIEL LAIRON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434417061
ADMINISTRATOR:GREGORY LUCIOFACILITY TYPE:
850
ADDRESS:3975 MIRA LOMA WAY, #A2, #A4TELEPHONE:
(408) 414-2700
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY:40CENSUS: 0DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mariel Que and Maria VelazquezTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Neglect/Lack of Supervision resulting in child sustaining fracture
INVESTIGATION FINDINGS:
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Licensing Program Manager (LPM) Gladys Kuizon and Licensing Program Analyst (LPA) Pedro Solorio-Gutierrez met with the center's representatives Mariel Que (Program Compliance Coordinator) and Maria Velazquez (Associate Program Director) at the San Jose Regional Office today. This center has been permanently closed since 06/30/2025.

During the meeting, the LPM and LPA discussed the complaint allegations and investigations findings with the facility representatives.

The investigation of the above allegations was conducted by the Community Care Licensing Division Investigation Bureau (IB).

It was alleged that due to lack of supervision, a child (C1) sustained a fracture while in care.

On 09/03/2024, IB conducted a 10-day complaint visit at the facility
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
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 5
Control Number 07-CC-20240819164433
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: SJB DANIEL LAIRON CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434417061
VISIT DATE: 07/28/2025
NARRATIVE
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During IB’s investigation, IB reviewed all documents received, including unusual incident report, medical records, children’s roster. Additionally, IB conducted interviews with the reporting party, the director, teachers, daycare children, the victim, daycare parents and all other relevant witnesses.

Based on the interviews and evidence gathered, it was determined that C1 sustained a fracture while C1 was in care. However, there is insufficient evidence to conclude that the fracture resulted from staff's lack of supervision.



Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation are UNSUBSTANTIATED.

No deficiencies were cited. The report was reviewed and discussed with the facility representatives, Mariel Que and Maria Velazquez. Appeal rights were provided.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
08/19/2024 and conducted by Evaluator Pedro Solorio-Gutierrez
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240819164433

FACILITY NAME:SJB DANIEL LAIRON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434417061
ADMINISTRATOR:GREGORY LUCIOFACILITY TYPE:
850
ADDRESS:3975 MIRA LOMA WAY, #A2, #A4TELEPHONE:
(408) 414-2700
CITY:SAN JOSESTATE: CAZIP CODE:
95111
CAPACITY:40CENSUS: DATE:
07/28/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Mariel Que and Maria VelazquezTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Personal Rights-Licensee did not seek timely medical attention for child in care
INVESTIGATION FINDINGS:
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On 07/28/2025 at 11:01 AM, Licensing Program Manager (LPM) Gladys Kuizomn and Licensing Program Analyst (LPA) Pedro Solorio-Gutierrez met with the center's representatives, Mariel Que (Program Compliance Coordinator) and Maria Velazquez (Associate Program Director) at the San Jose Regional Office today. This center has been permanently closed since 06/30/2025.

During the meeting, the LPM and LPA discussed the complaint allegations and investigation findings with the facility representatives.

The investigation of the above allegations was conducted by the Community Care Licensing Division Investigation Bureau (IB).

It was alleged that staff did not seek timely medical attention to child (C1) when C1 sustained a fracture while in care.

On 09/03/2024, IB conducted a 10-day complaint visit at the facility.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
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 5
Control Number 07-CC-20240819164433
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: SJB DANIEL LAIRON CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434417061
VISIT DATE: 07/28/2025
NARRATIVE
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During IB’s investigation, IB reviewed all documents received, including unusual incident report, medical records, children’s roster. Additionally, IB conducted interviews with the reporting party, the director, teachers, daycare children, the victim, daycare parents and all other relevant witnesses.

Based on the interviews, immediately following the incident, C1's right arm appeared to be broken, described as "soft" and "hanging" and folded across C1's body . C1 was also described by eye witness as "crying hysterically" while at the facility. However, staff did not immediately call 911, even after an unsuccessful initial contact with C1’s parent. Based on medical reports obtained, C1 was confirmed to have sustained an arm fracture.

Based on the available evidence, the preponderance of evidence standard has been met and therefore the above allegation is Substantiated.



LPM and LPA informed the licensee to provide a copy of this licensing report, dated 07/28/2025, that document one Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

The report was reviewed and discussed with the facility representatives, Mariel Que and Maria Velazquez. Appeal rights was provided.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 07-CC-20240819164433
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: SJB DANIEL LAIRON CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434417061
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/28/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
07/29/2025
Section Cited
CCR
101226(c)
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101226 Health-Related Services (c) The licensee shall obtain emergency medical treatment if the authorized representative cannot be reached immediately, or if the nature of the child's illness or injury is such that there should be no delay in getting medical treatment for the child.
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Licensee to submit plan of correction by the Plan of Correction due date.
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This requirement was not met as evidenced by: Based on interviews, C1's arm appeared broken and C1 was crying "hysterically". Staff did not call 911 immediately even after failing to reach C1's parent, which posed an immediate risk to the health and safety of 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: Susy Cervantes
LICENSING EVALUATOR NAME: Pedro Solorio-Gutierrez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/28/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5