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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417196
Report Date: 11/10/2025
Date Signed: 11/10/2025 03:45:31 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
09/15/2025 and conducted by Evaluator Linke Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250915104258
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: 40DATE:
11/10/2025
UNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Sandra Valencia-ChavezTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff yell at daycare children.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kate Huang conducted an unannounced complaint visit to deliver investigation findings regarding the above allegation. LPA met with the assistant director, Sandra Valencia-Chavez, and explained the purpose of the visit.

It was alleged that staff (S1) yelled at children in care. On 09/11/2025, LPA conducted an unannounced case management visit and interviewed the director and all staff from the classroom. During the course of the complaint investigation, LPA also interviewed the involved child (C1), the child’s parents, and the accused staff (S1).

Based on interviews, S1 was observed yelling at children, including C1, on several occasions by different witnesses.

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


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
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-20250915104258
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: 11/10/2025
NARRATIVE
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One TYPE A deficiency was cited today as a result of the investigation. Appeal Rights were provided to Assistant Director.

LPA Kate informed the assistant director, Sandra Valencia-Chavez that this report dated 11/10/2025 documents one (1) Type A citation which shall be posted for 30 consecutive days as there is immediate risks to the health, safety, or personal rights of children in care.

Also, LPA Kate informed the Director to provide a copy of this licensing report dated 11/10/2025 that documents a 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.

Exit interview was conducted, where the report was reviewed and discussed with the assistant director, Sandra Valencia-Chavez. A notice of site visit has been issued and must remain posted for 30 days.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20250915104258
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: 11/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/11/2025
Section Cited
CCR
101223(a)(1)
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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (1) To be accorded dignity in his/her personal relationships with staff and other persons.

This requirement was not met as evidenced by:
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Director shall submit a written plan of correction by 11/12/2025 due date on how she will ensure that each child is accorded dignity in his/her personal relationships with staff, and to ensure that their personal rights will not be violated at this facility.
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S1 was observed by different witnesses yelling at children, including C1, on several occasions. Such conduct failed to ensure that children were treated with dignity in their personal relationships with staff, which poses an immediate risk to the health, safety, and personal rights of children in care.
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Director shall provide training to staff regarding methods and techniques to use to communicate with the children. Director shall forward a copy of the training agenda and minutes to LPA by 11/17/2025.
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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: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3