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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417307
Report Date: 04/10/2025
Date Signed: 04/10/2025 10:41:22 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
02/27/2025 and conducted by Evaluator Jennifer Beehler
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250227151042
FACILITY NAME:NEIGHBORHOOD CHRISTIAN PRESCHOOLFACILITY NUMBER:
434417307
ADMINISTRATOR:JULIE KENNEDYFACILITY TYPE:
850
ADDRESS:2315 CANOAS GARDEN AVENUETELEPHONE:
(408) 639-6376
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY:96CENSUS: 38DATE:
04/10/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Shelly FrostTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff did not adequately supervise day care child resulting in child sustaining unexplained injuries while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer “Jen” Beehler met with Site Director Shelly Frost today. The purpose of today’s visit was to deliver investigation findings. LPA was granted access to the facility.

03/03/2025, LPA conducted an initial interview with reporting party and completed a file review in preparation for the initial inspection. On 03/04/2025 and 03/20/2025, LPA arrived unannounced at the facility and conducted confidential interviews with staff, collected relevant documentation and observed the facility. On 03/20/2025, LPA conducted an interview with a witness.

Based on interviews, the investigation revealed that 2 out of 3 staff stated they did not see what happened to the child during the incident in question, admitting their back was to the child and they only became aware after they heard crying. 1 witness also stated she did not observe any teacher near the incident as it was occurring, and it took about 30-45 seconds before a teacher intervened.

Continued on Page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
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 7
Control Number 07-CC-20250227151042
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: NEIGHBORHOOD CHRISTIAN PRESCHOOL
FACILITY NUMBER: 434417307
VISIT DATE: 04/10/2025
NARRATIVE
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Based on LPAs observations, interviews and records review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. More information provided on the attached LIC 9099-D.

Exit interview conducted with Site Director, Shelly Frost. Report reviewed and provided along with appeals rights. NOTICE OF SITE VISIT PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 07-CC-20250227151042
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: NEIGHBORHOOD CHRISTIAN PRESCHOOL
FACILITY NUMBER: 434417307
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/25/2025
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care and Supervision: (a)The licensee shall provide care and supervision as necessary to meet the children's needs.(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Director to provide a written plan to address the transition from the outside play activity back to the classroom to insure that 100% supervision is maintained at all times. Director to administer training on supervision periodically throughout the year to insure supervision compliance.
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This requirement has not been met as evidenced by: Investigation determined staff did not have visual supervision of children in care. This poses a potential health and safety risk to children 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: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
02/27/2025 and conducted by Evaluator Jennifer Beehler
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250227151042

FACILITY NAME:NEIGHBORHOOD CHRISTIAN PRESCHOOLFACILITY NUMBER:
434417307
ADMINISTRATOR:JULIE KENNEDYFACILITY TYPE:
850
ADDRESS:2315 CANOAS GARDEN AVENUETELEPHONE:
(408) 639-6376
CITY:SAN JOSESTATE: CAZIP CODE:
95125
CAPACITY:96CENSUS: 38DATE:
04/10/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Shelly FrostTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff did not prevent day care child from harming other day care child while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jennifer “Jen” Beehler met with Site Director Shelly Frost today. The purpose of today’s visit was to deliver investigation findings. LPA was granted access to the facility.

03/03/2025, LPA conducted an initial interview with complainant and completed a file review in preparation for the initial inspection. On 03/04/2025, LPA arrived unannounced at the facility to open the complaint investigation and conducted confidential interviews with staff, collected relevant documentation and observed the facility. On 03/20/2025, LPA arrived unannounced at the facility to complete a follow up investigation inspection. LPA conducted follow up interviews with staff and a witness. LPA observed classrooms and outdoor activity time.

Based on staff interviews, the investigation revealed that staff immediately separated children when they saw the incident between C1 and C2.

Continued on Page 2
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 07-CC-20250227151042
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: NEIGHBORHOOD CHRISTIAN PRESCHOOL
FACILITY NUMBER: 434417307
VISIT DATE: 04/10/2025
NARRATIVE
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However, witness statement suggested the interaction went on for 30-45 seconds. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Due to today’s findings no deficiencies are cited. Exit interview conducted with Site Director, Shelly Frost. Report reviewed and provided along with appeals rights. NOTICE OF SITE VISIT PROVIDED AND MUST REMAIN POSTED FOR 30 DAYS
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Jennifer Beehler
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 7