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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417126
Report Date: 03/20/2024
Date Signed: 03/20/2024 04:13:29 PM

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
03/11/2024 and conducted by Evaluator Mandeep Kaur
COMPLAINT CONTROL NUMBER: 07-CC-20240311162709
FACILITY NAME:JY INTERNATIONAL GROUPFACILITY NUMBER:
434417126
ADMINISTRATOR:THERESA CAMPBELLFACILITY TYPE:
850
ADDRESS:755 SOUTH BERNARDO AVENUETELEPHONE:
(408) 348-9618
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:120CENSUS: 10DATE:
03/20/2024
UNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Sepideh Sotoudeh and Zengqiang WangTIME COMPLETED:
04:20 PM
ALLEGATION(S):
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Unqualified staff providing care and supervision.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Mel Matos & Mandeep Kaur conducted an unannounced 10 day complaint investigation. LPAs met with Interim Director, Sepideh Sotoudeh, and Licensee representative, Zengqiang Wang, and explained the complaint allegation to them. LPAs also toured the indoor areas of the Facility, reviewed staff files, and interviewed staff during today's investigation.

Licensee representative, Zengqiang Wang, self-admitted to LPAs that he has opened the facility by himself (no Director or Fully Qualified Teacher present) on numerous occasions with children present between 7:30AM-8:00AM. Per record reviews, Zengqiang has not completed any early childhood education units.

Based on record reviews, evidence, and interviews during the investigation process, the Department concludes that an unqualified staff (Zengqiang Wang) has provided care and supervision to children in the facility with no director or fully qualified teacher. Therefore, the above allegation is SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

A Type A deficiency is being cited on the attached LIC 9099D form. Appeal rights given and exit interview conducted with Licensee Representative, Zengqiang Wang, and Interim Director, Sepideh Sotoudeh.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
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-20240311162709
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: JY INTERNATIONAL GROUP
FACILITY NUMBER: 434417126
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/22/2024
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision: The licensee shall provide care and supervision as necessary to meet the children's needs. No child(ren) shall be left without the supervision of a teacher at any time, Supervision shall include visual observation.
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Licensee Representative agreed to submit a written plan of correction to have a Qualified staff by POC Date of 03/22/2024.
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This requirement is not met as evidenced by:
An unqualified staff (Zengqiang Wang) has provided care and supervision to children in the facility with no director or fully qualified teacher present between 7:30AM-8:00AM on numerous occasions. This Presents an immediate risk to the health, safety or personal rights of children in care.
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Licensee must provide copies of this report to parents/guardians of children in care at this facility and to parents/guardians of children newly enrolled at this facility during the next 12 months per the AB633 requirements.
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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: Joel Segura
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 07-CC-20240311162709
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: JY INTERNATIONAL GROUP
FACILITY NUMBER: 434417126
VISIT DATE: 03/20/2024
NARRATIVE
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A Notice of Site Visit was given to Licensee Representative, Zengqiang Wang, and Interim Director, Sepideh Sotoudeh. Notice of Site Visit along with a copy of today's report dated (3/20/2024) and the Type A citation shall remain posted in a visible location of the Facility for 30 consecutive days.

LPAs also informed the Licensee Representative and interim director that they must provide a copy of this licensing report dated (3/20/2024) that documents today's Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the child(ren) 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) must be placed in the child's file.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4