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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417297
Report Date: 09/24/2025
Date Signed: 09/25/2025 02:40:56 PM

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
07/24/2025 and conducted by Evaluator Syhshyan Yu
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250724083701
FACILITY NAME:QU, QINGFACILITY NUMBER:
434417297
ADMINISTRATOR:QU, QINGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 394-7566
CITY:SUNNYVALESTATE: CAZIP CODE:
94089
CAPACITY:14CENSUS: 11DATE:
09/24/2025
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Qing QuTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
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7
8
9
Provider operates over the capacity
INVESTIGATION FINDINGS:
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12
13
Licensing Program Analyst (LPA) Shine Yu conducted an unannounced Complaint investigation to deliver the findings. LPA met with Licensee Qing Qu. Present during investigation were licensee, 2 staff and 11 children, including 3 under 2 years old.

On 7/28/2025, LPA conducted an initial Complaint investigation and reviewed supporting documentation. LPA interviewed licensee and staff 1(S1), and toured facility. During investigation, present were 12 children, including 4 under 2 years old which was following in compliance with capacity.

On 9/17/2025, LPA conducted a subsequent Complaint investigation and interviewed with staff 2(S2). Present during investigation were 12 children, including 3 under 2 years old which was following in compliance with capacity.

On 9/23/2025, LPA reached out to 6 parents. 2 parents granted LPA an interview. Based on interview, the facility operates on some weekends in 2024. However, only 2 children were observed in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
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 2
Control Number 07-CC-20250724083701
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: QU, QING
FACILITY NUMBER: 434417297
VISIT DATE: 09/24/2025
NARRATIVE
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Throughout the investigation process, it was found the allegation is UNSUBSTANTIATED; based on interviews, observations, and information gathered by LPA. A finding that is UNSUBSTANTIATED means although the allegation may have happened or is valid, the preponderance of evidence does not prove it.

Exit interview conducted and copy of this report was reviewed with the Licensee Qing Qu.
A copy of Appeal Rights was given.

NOTICE OF SITE VISIT WAS ISSUED AND IS TO BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2