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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430700197
Report Date: 08/23/2024
Date Signed: 08/23/2024 05:15:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/05/2024 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20240605161936
FACILITY NAME:KIDDIE KAMPUS DAY CARE CENTERFACILITY NUMBER:
430700197
ADMINISTRATOR:SUSAN COREYFACILITY TYPE:
850
ADDRESS:16330 LOS GATOS BOULEVARDTELEPHONE:
(408) 356-6776
CITY:LOS GATOSSTATE: CAZIP CODE:
95032
CAPACITY:171CENSUS: 99DATE:
08/23/2024
UNANNOUNCEDTIME BEGAN:
12:31 PM
MET WITH:Kelly Kknepper and Susan CoreyTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff engage in inappropriate action
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Samantha Yip and Jennifer Beehler conducted an unannounced complaint investigation. LPAs met with Kelly Kknepper and explained the reason for the inspection. Director Susan "Susie" Corey arrived shortly after.

During the course of this investigation, LPAs conducted observation. LPAs also interviewed staff, children, and third party. Based on the information obtained, the above allegation is found to be UNSUBSTANTIATED, meaning although, the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

As a result of this inspection, no deficiencies were issued. Exit interview conducted and report was reviewed with Director Susie Corey. A notice of site visit has been issued and must remain posted for 30 days.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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