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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444400083
Report Date: 04/16/2024
Date Signed: 04/16/2024 11:52:12 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/25/2024 and conducted by Evaluator Cortney Nelson
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240125085206
FACILITY NAME:TERRY JIMENEZ CHILDREN'S CENTERFACILITY NUMBER:
444400083
ADMINISTRATOR:L GONZALEZ/E MARINFACILITY TYPE:
850
ADDRESS:201 BREWINGTON AVENUETELEPHONE:
(831) 763-6903
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:34CENSUS: 23DATE:
04/16/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Lorena Gonzalez and Cecilia EsquivelTIME COMPLETED:
12:01 PM
ALLEGATION(S):
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Staff demonstrated inappropriate form of discipline
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Cortney Nelson and Andrea Cortez, met with Education Manager, Lorena Gonzalez, and Site Supervisor, Cecilia Esquivel, and explained purpose of visit, conduct staff interviews and deliver complaint investigation findings for the above allegation.

LPAs conducted interviews with staff and children from the facility, reviewed pertinent documents, such as the facility roster and childrens indicated special needs/services, and observed staff while in the classroom and outside with children. Based on interviews conducted by LPAs, children and facility staff reported witnessing S1 use an inappropriate form of discipline, flicking the children's ears. The preponderance of evidence standard has been mett and therefore the above allegation is SUBSTANTIATED.

A deficiency was cited as a result of todays inspection, see LIC9099-D.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
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 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/25/2024 and conducted by Evaluator Cortney Nelson
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240125085206

FACILITY NAME:TERRY JIMENEZ CHILDREN'S CENTERFACILITY NUMBER:
444400083
ADMINISTRATOR:L GONZALEZ/E MARINFACILITY TYPE:
850
ADDRESS:201 BREWINGTON AVENUETELEPHONE:
(831) 763-6903
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:34CENSUS: DATE:
04/16/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Lorena Gonzalez and Cecilia EsquivelTIME COMPLETED:
12:01 PM
ALLEGATION(S):
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9
Staff yells at children
Teacher-child ratio not followed at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Cortney Nelson and Andrea Cortez, met with Education Manager, Lorena Gonzalez, and Site Supervisor, Cecilia Esquivel, and explained purpose of visit, conduct staff interviews and deliver complaint investigation findings for above allegations.

LPAs conducted interviews with staff and children from the facility, reviewed pertinent documents, such as children's roster, and observed staff while in the classroom and outside with children. During each visit to the facility the staff/child ratio was met, all staff members have teacher qualifications, and no yelling was observed by LPAs. Based on the available evidence, it is concluded that although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. The allegations are thus UNSUBSTANTIATED.

There were no deficiencies cited as a result of todays inspection.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
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 4
Control Number 07-CC-20240125085206
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: TERRY JIMENEZ CHILDREN'S CENTER
FACILITY NUMBER: 444400083
VISIT DATE: 04/16/2024
NARRATIVE
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LPAs informed licensee (Lorena Gonzalez) that this report dated (4/16/2024) documents one Type A citation, which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPAs informed the licensee to provide a copy of this licensing report dated (4/16/2024) that documents any 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.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.

Exit interview conducted and the report was reviewed with Education Manager, Lorena Gonzalez, and Site Supervisor, Cecilia Esquivel.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 07-CC-20240125085206
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: TERRY JIMENEZ CHILDREN'S CENTER
FACILITY NUMBER: 444400083
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/16/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/17/2024
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: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.

This requirement was not met as evidenced by:
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Lorena states that she has conducted a staff training (2/21/2024) to review classroom strategies for managing challenging behaviors and redirection techniques. This was done upon receiving notice of the complaint investigation/allegations.
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Based on interviews with staff and children in care at the facility, S1 is using inappropriate discipline with childre, by flicking their ears, and did not ensure that children were accorded their personal rights which poses an immediate health and safety risk to children in care.
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Lorena states that supervisors will continue to visit the facility unannounced. Lorena has additionally conducted observations and provided feedback to staff. The report will be shared with staff and upper management.
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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: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4