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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 444408117
Report Date: 07/23/2026
Date Signed: 07/24/2026 10:28:18 AM

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
07/20/2026 and conducted by Evaluator Darnella Barnes
COMPLAINT CONTROL NUMBER: 07-CC-20260720215729
FACILITY NAME:JIMENEZ, MAURAFACILITY NUMBER:
444408117
ADMINISTRATOR:MAURA JIMENEZFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 724-1239
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 6DATE:
07/23/2026
UNANNOUNCEDTIME BEGAN:
02:42 PM
MET WITH:Maura JimenezTIME COMPLETED:
03:10 PM
ALLEGATION(S):
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Licensee did not report incident in the required time
INVESTIGATION FINDINGS:
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On 7/23/26, Licensing Program Analysts (LPAs) Darnella Barnes and Diana De Leon conducted an unannounced complaint investigation regarding an allegation that the licensee failed to report an incident within the required timeframe. The purpose of the visit was explained to the licensee, Maura Jimenez, who granted LPAs access to the facility.

Present during the visit were the licensee, the licensee's son (A1), family member and six children in care. LPAs conducted a tour of the interior and exterior areas of the facility.

It was alleged that the licensee failed to report the incident that occurred on 7/15/26 within the required timeframe. Title 22 regulations require that a report be made to the Department by telephone or fax during the Department's normal business hours before the close of the next working day following the occurrence of the event during the operation of the family day care home.
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Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
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 3
Control Number 07-CC-20260720215729
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: JIMENEZ, MAURA
FACILITY NUMBER: 444408117
VISIT DATE: 07/23/2026
NARRATIVE
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The investigation determined that the licensee did not report the 7/15/26 incident to the Community Care Licensing Division (CCLD) until 7/21/26, when the licensee contacted the Department by telephone.
During the investigation, the licensee confirmed that the incident was reported on 7/21/26

Based on LPAs record review, and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

During today’s inspection, one “Type B” deficiency is issued on attached 809-D. Appeal rights provided.

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

Exit interview conducted and report was reviewed with Licensee Maura Jimenez


----- END OF REPORT -----
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 07-CC-20260720215729
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: JIMENEZ, MAURA
FACILITY NUMBER: 444408117
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/30/2026
Section Cited
CCR
102416.2(b)(2)
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(b) The licensee shall report to the Department any of the events specified in Health and Safety Code Sections 1597.467(b)(1)(A) through (b)(1)(C) that occur during the operation of the family child care home.
(2) Any child absence means any instance where a child in care is missing.
This requirement is not met as evidenced by:
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Licensee shall submit a written plan to the LPA describing how reportable incidents will be reported to the Department within the required timeframes to prevent future violations by the due date
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Licensee did not report the 7/15/26 incident to the Department until 7/21/26, six days later. This poses an immediate risk to the health, safety, or personal rights of 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.
SUPERVISOR'S NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/23/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3