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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417331
Report Date: 06/05/2025
Date Signed: 06/06/2025 04:30:58 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
05/12/2025 and conducted by Evaluator Linke Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250512143214
FACILITY NAME:LIU, YUXINFACILITY NUMBER:
434417331
ADMINISTRATOR:LIU, YUXINFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(650) 662-6999
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY:12CENSUS: 12DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Liu, Yuxin TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Personal Rights - Staff hit a daycare child while in care
INVESTIGATION FINDINGS:
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On 06/05/2025 at 1:20 PM, Licensing Program Analyst (LPA) Kate Huang conducted an unannounced complaint visit to deliver the investigation findings regarding the above allegation. LPA met with the licensee, Yuxin Liu, and explained the purpose of the visit.

During the course of the entire investigation, LPA observed children/teacher interaction, reviewed children’s records, including incident reports, and conducted interviews with the licensee, staff, parents, and children.

The Department received a report alleging that child (C1) was hit by a staff on the back of C1’s head. Interviews revealed that no other staff witnessed this incident. Parents who were interviewed reported no concerns with the daycare’s staff. No additional details were provided by reporting party (RP).

Based on the interviews conducted and evidence gathered, it has been determined that 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.

No deficiencies were cited as a result of this investigation. Exit interview was conducted, where the report was reviewed and discussed with licensee Yunxin Liu in Mandarin. A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
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
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
05/12/2025 and conducted by Evaluator Linke Huang
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250512143214

FACILITY NAME:LIU, YUXINFACILITY NUMBER:
434417331
ADMINISTRATOR:LIU, YUXINFACILITY TYPE:
810
ADDRESS:1763 WADE AVENUETELEPHONE:
(650) 662-6999
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY:12CENSUS: 12DATE:
06/05/2025
UNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Liu, Yuxin TIME COMPLETED:
03:00 PM
ALLEGATION(S):
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9
Reporting Requirements-Licensee did not properly report an incident involving a daycare child
INVESTIGATION FINDINGS:
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On 06/05/2025 at 1:20 PM, Licensing Program Analyst (LPA) Kate Huang conducted an unannounced complaint visit to deliver the investigation findings regarding the above allegations. LPA met with the licensee, Yuxin Liu, and explained the purpose of the visit.

During the course of the entire investigation, LPA observed children/teacher interaction, reviewed children’s records, including incident reports, obtained police report, and conducted interviews with the licensee, staff, parents, and children.

Based on interview with licensee, Yuxin Liu, she is aware of the allegation that child (C1) was hit by staff because a police officer had interviewed her about it. Licensee did not report the suspected abuse to the Department.

Based on the available evidence, the prepordance of evidence standard has been met and therefore the above allegation is Substantiated. Exit interview was conducted, where the report was reviewed and discussed with Licensee Yuxin Liu in Mandarin. A notice of site visit has been issued and must remain posted for 30 days.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Linke Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20250512143214
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: LIU, YUXIN
FACILITY NUMBER: 434417331
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/13/2025
Section Cited
CCR
102416.2(c)(1)
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102416.2 Reporting Requirements
(c) In addition to the events specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C), the licensee shall report the following events to the Department: (1) Any suspected child abuse or neglect, as defined in Penal Code Section 11165.6, of any child in care, in addition to reporting requirements pursuant to Penal Code Section 11166.
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LIcensee to provide a plan of correction by the POC due date.
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This requirement is not met as evidenced by:
based on interview and evidence obtained, licensee is aware of the allegation that child (C1) was hit by staff because a police officer had interviewed her about it. Licensee did not report the suspected abuse to the Department.
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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: 06/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3