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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416219
Report Date: 09/21/2023
Date Signed: 09/22/2023 10:01:32 AM

Document Has Been Signed on 09/22/2023 10:01 AM - 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ZHANG, LUFACILITY NUMBER:
434416219
ADMINISTRATOR:LU ZHANGFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(510) 386-3325
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 14TOTAL ENROLLED CHILDREN: 10CENSUS: 9DATE:
09/21/2023
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Lu "Maggie" ZhangTIME COMPLETED:
01:45 PM
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On 09/21/2023, Licensing Program Manager (LPM) Gladys Kuizon and Licensing Program Analyst (LPAs) Oscar Huang and Sheena Chin met with licensee for the purpose of serving a Temporary Suspension Order (TSO) for the Family Child Care Home, Issuance of Civil Penalty and an Immediate Exclusion Order for licensee, Lu Zhang.

Summary of allegations:

1. PERSONAL RIGHTS

ALLEGATIONS:

On or about September 15, 2023, Child #1, a two-year-old child in care, sustained visible injuries as a result of the following conduct:
A. Respondent Slapped Child #1's face.
B. Respondent attempted to force Child #1 to sleep by covering Child #1's face with a blanket.

2. CONDUCT INIMICAL

ALLEGATIONS:

Respondent engaged in conduct that is inimical to the health, morals, welfare, or safety of either an individual in or receiving services from the facility, or the people of the State of California as alleged in paragraph 14, above, and incorporated here by reference.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ZHANG, LU
FACILITY NUMBER: 434416219
VISIT DATE: 09/21/2023
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The Department has determined Lu Zhang’s continued or future contact with clients or presence in any facility licensed by CDSS constitutes a threat to the health and safety of the children in care. All families receiving services should be notified of the action taken by the Department.

Licensing Program Manager Gladys Kuizon explained the appeal rights to the licensee, including the process to file a Notice of Defense. Summary of Charges packet was left for the parents of the children enrolled in the daycare and the Temporary Suspension Order (TSO) was posted on the front door as per Title 22 Regulations. The licensee understand that the TSO must remain posted and the removal or concealment of the notice while the temporary suspension order is in effect is punishable as a misdemeanor with a fine up to $500.00, under section 1596.8895 of the California Health and Safety Code. The licensee further understands that if a hearing is requested, this Order will remain in effect until the Department issues a final Decision in the matters contained by the Accusation, or 30 days after the Department receives a Proposed Decision, whichever is sooner.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Yangcheng Huang
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2023
LIC809 (FAS) - (06/04)
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