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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444417194
Report Date: 04/09/2025
Date Signed: 04/09/2025 03:54:04 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
04/04/2025 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250404153027
FACILITY NAME:BUILDING KIDZ OF SCOTTS VALLEYFACILITY NUMBER:
444417194
ADMINISTRATOR:MARISSA COONEY-MOOREFACILITY TYPE:
860
ADDRESS:106 VINE HILL SCHOOL ROADTELEPHONE:
(831) 438-4813
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY:43CENSUS: 22DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Marissa Cooney-Moore & Angelina BowersTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff did not provide adequate care and supervision to a daycare child
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Marilou Monico and Darnella Barnes, made an unannounced complaint investigation. LPAs met with Site Director, Marissa Cooney-Moore, and Senior Director, Angelina Bowers. LPAs toured the facility, interviewed staff, reviewed records, and obtained copy of children's roster.

Based on interviews with staff and observations, on April 2, 2025, a daycare child (C1) left the playground unnoticed by staff and went to the front door located in the Sunflower Room. A staff (S1) who was in the Poppy Room adjacent to the Sunflower Room noticed C1 standing by the front door and approached the child immediately. S1 indicated that another staff (S2) was in Sunflower Room with group of kids returning their lunch bags the moment C1 was by the door. S2 verified that they brought group of kids from the playground to the classroom after lunch. Based on interviews and observations, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

As a result, Type A deficiency is being cited on the attached LIC. 9099D.
Continuation on next page:
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
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 4
Control Number 07-CC-20250404153027
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: BUILDING KIDZ OF SCOTTS VALLEY
FACILITY NUMBER: 444417194
VISIT DATE: 04/09/2025
NARRATIVE
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Assembly Bill (AB) 633 was provided and discussed with Site Director & Senior Director. LPA informed the Site Director and Senior Director to provide a copy of this licensing report dated April 9, 2025 that documents a Type A citation to parents/guardians of all children currently enrolled no later than the next business day or the next day the children are in care, and to parents/guardians of any newly enrolled children for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC9224) must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Site Director, Marissa Cooney-Moore.

A Notice of Site Visit was issued and must remain posted for 30 days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
04/04/2025 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20250404153027

FACILITY NAME:BUILDING KIDZ OF SCOTTS VALLEYFACILITY NUMBER:
444417194
ADMINISTRATOR:MARISSA COONEY-MOOREFACILITY TYPE:
860
ADDRESS:106 VINE HILL SCHOOL ROADTELEPHONE:
(831) 438-4813
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY:43CENSUS: 22DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
08:52 AM
MET WITH:Marissa Cooney-Moore & Angelina BowersTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff did not meet a daycare child's diapering needs while in care
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs), Marilou Monico and Darnella Barnes, made an unannounced complaint investigation. LPAs met with Site Director, Marissa Cooney-Moore, and Senior Director, Angelina Bowers. LPAs toured the facility, interviewed staff and parents, reviewed records, and obtained copy of children's roster.

During the investigation, LPAs interviewed staff and parents as well as reviewed records. Based on interviews, the children's diapers are checked every 30 minutes to 2 hours or as needed. The staff document on the center's app (Building Kidz Connect) if a child had accidents, bowel movement, and when diaper is wet for staff and parents to review. Based on interviews and records review, 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
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 4
Control Number 07-CC-20250404153027
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: BUILDING KIDZ OF SCOTTS VALLEY
FACILITY NUMBER: 444417194
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
04/10/2025
Section Cited
CCR
101229(a)(1)
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Responsibility for Providing Care & 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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Site Director stated that she met with all staff and developed an action plan to enhance safety and organization. Site Director agreed to submit a written plan by 04/10/25 to Licensing to ensure that children are supervised at all times.
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This requirement was not met as evidenced by: A daycare child (C1) left the playground unnoticed by staff and went to the front door located in the Sunflower Room. This posed an immediate health, safety, and personal rights 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: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4