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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430700960
Report Date: 08/20/2026
Date Signed: 08/20/2026 03:28:37 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
07/14/2026 and conducted by Evaluator Marilou Monico
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20260714123010
FACILITY NAME:ACTION DAY NURSERY ON MOORPARKFACILITY NUMBER:
430700960
ADMINISTRATOR:GEORGIA ROBELLOFACILITY TYPE:
850
ADDRESS:3030 MOORPARK AVENUETELEPHONE:
(408) 247-6972
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:233CENSUS: 84DATE:
08/20/2026
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Georgia RobelloTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff do not provide adequate supervision resulting in child being bitten multiple times.
INVESTIGATION FINDINGS:
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On August 20, 2026, Licensing Program Analysts (LPAs) Marilou Monico and Dongzhu Li made an unannounced follow up Complaint Inspection and to deliver investigation findings. LPAs met with Site Director, Georgia Robello, and informed her the reason of today's visit. LPAs toured the facility.

During the course of this investigation, LPAs conducted observations, staff and parents were interviewed, records were reviewed, and relevant documents were obtained.

Based on interviews with staff and parents, no one reported observing children without staff supervision. Staff were described as being positioned throughout various areas of the classroom and playground to ensure consistent oversight. Parents stated that when their children were injured, they received a phone call from the office notifying them of the incident, along with an ouch report provided at pick-up.

Continuation on next page:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Adam Hamer
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
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-20260714123010
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: ACTION DAY NURSERY ON MOORPARK
FACILITY NUMBER: 430700960
VISIT DATE: 08/20/2026
NARRATIVE
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Staff reported that when a child harms or attempts to harm another child, they intervene immediately. Staff further stated that children with a history of biting or hurting others are closely monitored and shadowed to prevent incidents.

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.

Per Title 22, Division 12, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and report was reviewed with Site Director, Georgia Robello. Appeal rights were provided.

A Notice of Site Visit is provided and required to be posted for 30 days.
SUPERVISORS NAME: Adam Hamer
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2