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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417296
Report Date: 09/03/2024
Date Signed: 09/03/2024 12:29:51 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
08/28/2024 and conducted by Evaluator Mandeep Kaur
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240828091338
FACILITY NAME:ZHAO, SHUANGFACILITY NUMBER:
434417296
ADMINISTRATOR:ZHAO, SHUANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 966-1086
CITY:SANTA CLARASTATE: CAZIP CODE:
95054
CAPACITY:14CENSUS: 12DATE:
09/03/2024
UNANNOUNCEDTIME BEGAN:
08:24 AM
MET WITH:Shuang ZhaoTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Licensee does not reveal the facility license number in all advertisements, publications, or announcements.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Mandeep Kaur and Andy Yang conducted an unannounced complaint investigation. LPAs met with Licensee, Shuang Zhao and discussed the complaint allegation with them. LPAs toured the indoor and outdoor areas of the Facility with licensee. Upon arrival, present were licensee, an assistant(S1) and licensee's child.

LPA reviewed three (3) staff files and twelve (12) children files.

A copy of the Child Care Facility Roster was provided to LPA prior to the conclusion of today's investigation.

Licensee states that she advertises her day care in several websites: Yelp, Google, facebook, instagram, xiaohongshu(red), and in the facility's website: sunlight Bilingual Center, however, did not include the facility's license number in all of the advertisements.

**Continue on 9099-C**


Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
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 5
Control Number 07-CC-20240828091338
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: ZHAO, SHUANG
FACILITY NUMBER: 434417296
VISIT DATE: 09/03/2024
NARRATIVE
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**Continuation from 9099**

Based on the interview with licensee and evidence gathered during the investigation process, licensee did not include facility license number in all advertisements, publications, or announcements. The preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

A Type B citation was issued during the today's investigation on attached 9099-D. Appeal rights provided to the licensee, Shuang Zhao.

Exit interview conducted with Licensee, Shuang Zhao. A notice of site visit was issued and must remain
posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20240828091338
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: ZHAO, SHUANG
FACILITY NUMBER: 434417296
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/03/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/17/2024
Section Cited
CCR
102359(a)
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Advertisements and License Number: (a) Licensees shall reveal each facility license number in all advertisements, publications, or announcements made with the intent to attract clients.

This requirement was not met as evidenced by:
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Licensee stated that she is going to post the facility license number in all advertisements: Yelp, Google, facebook, instagram, xiaohongshu(red), and in the facility's website: sunlight Bilingual Center and licensee will submit the proof of plan of correction with the written statement of understanding of the advertisements requirements to attract the clients for the day care home by POC due date to the department.
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Based on the interview with licensee and evidence gathered during the investigation process, licensee did not include facility license number in all advertisements which poses 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.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/03/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5