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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444414395
Report Date: 04/02/2025
Date Signed: 04/03/2025 01:13:12 PM

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
04/01/2025 and conducted by Evaluator Fermin Campos-Jaramillo
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250401162943
FACILITY NAME:GIVING TREE ACADEMYFACILITY NUMBER:
444414395
ADMINISTRATOR:ELIZABETH ASADIFACILITY TYPE:
830
ADDRESS:175 LAWRENCE AVENUE, BLDG.BTELEPHONE:
(831) 254-0983
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:24CENSUS: 4DATE:
04/02/2025
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Jenifer SosaTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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The facility is not clean and sanitary.
The facility is using same towel to clean all children in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Fermin Campos-Jaramillo met with Site Director Jenifer Sosa and informed her the purpose of this inspection is to deliver findings on the investigation for the allegations listed above.
LPA observed four infant children were present and two staff members were present providing supervision to the children
This Department has investigated the allegations, based on LPA observations and interviews with staff, the reporting party, and some parents of the children attending the center, which were conducted the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

Two type B deficiencies were cited today.
A NOTICE OF SITE VISIT WAS PRINTED AND HANDED TO THE LICENSEE, MUST BE POSTED NEAR THE ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 DAYS.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
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-20250401162943
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: GIVING TREE ACADEMY
FACILITY NUMBER: 444414395
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/02/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/09/2025
Section Cited
CCR
101239(j)
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(j) Common towels or washcloths are prohibited.
“This requirement was not met as evidenced by: LPA observed cloth rags were available to clean the changing table, this poses a potential risk health to children in care.
cease using cloth rags and statement.
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Site Director agreed to submit a written statement that she understands regulation and will not use common wasclothes or towels, to Licensing Program no later than 4/9/25
Type B
04/09/2025
Section Cited
CCR
101239(e)(4)
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(4) All toilets, handwashing and bathing facilities shall be maintained in safe and sanitary operating condition.
“This requirement was not met as evidenced by: On 2/12/25 LPA observed a toilet with standing water that produces bad odors, this poses a potential risk health to children in care.
Fix toilet and statement.
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LPA observed the same toilet that had standing water on 2/12/25 has been fixed.
Deficiency is cleared with today inspection.
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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: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
LIC9099 (FAS) - (06/04)
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