434408783-9-15-2022-07-CC-DSTN-CJJVSP-20220923164150

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434408783
Report Date: 09/15/2022
Date Signed: 09/15/2022 12:05:54 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 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
06/28/2022 and conducted by Evaluator Kassandra Medrano

COMPLAINT CONTROL NUMBER: 07-CC-20220628094703

FACILITY NAME:	KIDDIE ACADEMY OF SAN JOSE		FACILITY NUMBER:	434408783
ADMINISTRATOR:	MARIE NUNEZ		FACILITY TYPE:	830
ADDRESS:	521 WEST CAPITOL EXPRESSWAY		TELEPHONE:	(408) 978-1500
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95136
CAPACITY:	32	CENSUS: 19	DATE:	09/15/2022
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Marie Nunez		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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9

Licensee doesn't have proper equipment to care for infants.
Facility failed to follow Safe Sleep requirements.

INVESTIGATION FINDINGS:

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On September 15th, 2022 at 10:30am Licensing Program Analyst (LPA), Kassandra Medrano, conducted an unannounced subsequent complaint inspection to deliver findings. LPA met with Director, Marie Nunez, and explained the nature of today's inspection.

LPA Medrano conducted interviews, toured the facility and obtained copies of pertinent information. Based on information obtained; there is not enough evidence to prove that the above allegations have occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegations did or did not occur. Due to the above information, the allegations are UNSUBSTANTIATED.

NOTICE OF SITE VISIT WAS ISSUED AND SHALL BE POSTED FOR 30 DAYS.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

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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