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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444412711
Report Date: 01/29/2025
Date Signed: 01/29/2025 12:54:04 PM

Document Has Been Signed on 01/29/2025 12:54 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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:ST. STEPHEN'S CHILD DEVELOPMENT CENTERFACILITY NUMBER:
444412711
ADMINISTRATOR/
DIRECTOR:		KATHRYN BERENSFACILITY TYPE:
850
ADDRESS:2500 SOQUEL AVENUETELEPHONE:
(831) 462-4453
CITY:SANTA CRUZSTATE: CAZIP CODE:
95062
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 10DATE:
01/29/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:40 AM
MET WITH:Kathryn BerensTIME VISIT/
INSPECTION COMPLETED:
01:10 PM
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On 1/29/2025, at 10:40 AM, Licensing Program Analyst (LPA) Liridon Fici- Doni arrived unannounced to conduct a Case Management investigation. Upon arrival, LPA met and was greeted by Kathryn Berens, Director and informed her the purpose of the visit.

During visit, LPA interviewed director about the incident that occurred on 1/23/2025. Director stated that the parents of child 1 (C1) informed director that Child 3 (C3) inappropriate touched C1 while the children were playing outside in the playhouse. On the same day, 1/23/2025, another incident occurred where C3 inappropriate touched Child 2 (C2) and C2 informed staff about the incident. Director stated to LPA that staff did not witness nor have any recollection of the incident that occurred. The parents of C1 and C2 informed director, via email about the incident. LPA informed director if there is additional information about the alleged incident between C1 and C2, to send to CCL as it becomes available. Director stated all three (3) children are not attending day care at the moment.

No deficiencies at this time.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with Director, and this report was reviewed and provided.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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