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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417196
Report Date: 07/23/2025
Date Signed: 07/30/2025 08:17:05 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
06/10/2025 and conducted by Evaluator Syhshyan Yu
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250610114635
FACILITY NAME:KIDANGO ARBUCKLEFACILITY NUMBER:
434417196
ADMINISTRATOR:VANESSA PAIZFACILITY TYPE:
860
ADDRESS:1910 CINDERELLA LANETELEPHONE:
(408) 905-8985
CITY:SAN JOSESTATE: CAZIP CODE:
95116
CAPACITY:60CENSUS: 48DATE:
07/23/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Vanessa PaizTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff did not ensure the facility was kept free of pests
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Shine Yu conducted a follow-up Complaint inspection and to deliver the findings. LPA met with center director Vanessa Paiz.

On 6/17/2025, LPA conducted an initial complaint investigation and reviewed supporting documentation. LPA interviewed the center director and two staff and toured the facility.

On 07/03/2025, the Center director reported that the school took the 1st round of pest control on 06/13/25 and 2nd round of pest control on 07/03/2025.

On 07/16/2025, Regional director called the department and stated the school closes the playground from 7/15/2025 to 8/15/2025, due to pest control measures. If the issue is still not resolved, an additional pest control spray will be after July 21st, 2025.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
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 3
Control Number 07-CC-20250610114635
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: KIDANGO ARBUCKLE
FACILITY NUMBER: 434417196
VISIT DATE: 07/23/2025
NARRATIVE
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Based on evidence gathered during the investigation, the facility staff have seen evidence of fleas since 06/03/25.

The pest control reports dated 05/06/2025 and 06/02/2025 show that although pest control service was initiated by the facility, no treatment was specifically targeted on fleas.

From 06/03/2025 up to 07/15/2025, the facility reported that 16 children and 9 staff have been bitten.

Throughout the investigation process, it was found the allegation is SUBSTANTIATED; based on interviews, observations, and information gathered by LPA. A finding that is SUBSTANTIATED means the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

As a result, one type B deficiency was cited on the following page and copy of Appeal Rights was given.

Exit interview was conducted and reviewed with the center director, Vanessa Paiz.
A Notice of Site Visit was issued and must remain POSTED for 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20250610114635
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: KIDANGO ARBUCKLE
FACILITY NUMBER: 434417196
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/15/2025
Section Cited
CCR
101238(a)(1)
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101238 (a) The child care center shall be clean, safe, ... at all times to ensure the safety and well-being of children, employees ... (1) The licensee shall take measures to keep the center free of flies, other insects, and rodents.
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Director has agreed to submit a written plan outlining how the facility will be proactive in safeguarding against pests or insects and ensuring the facility is clean, safe and sanitary at all times.
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This requirement was not met by
evidenced of direct observations and documented work orders to address the presence of fleas in the facility. This presents a potential risk to the health and safety of children in care.
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The plan wil be submitted to the Department by the POC due date.
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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: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3