430700197-1-11-2022-07-CC-SKNT-CANQNP-20220114111925

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 430700197
Report Date: 01/11/2022
Date Signed: 01/11/2022 02:59:52 PM

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
12/02/2021 and conducted by Evaluator Pietro Hernandez

PUBLIC

COMPLAINT CONTROL NUMBER: 07-CC-20211202123310

FACILITY NAME:	KIDDIE KAMPUS DAY CARE CENTER		FACILITY NUMBER:	430700197
ADMINISTRATOR:	SUSAN COREY		FACILITY TYPE:	850
ADDRESS:	16330 LOS GATOS BOULEVARD		TELEPHONE:	(408) 356-6776
CITY:	LOS GATOS	STATE: CA	ZIP CODE:	95032
CAPACITY:	171	CENSUS: 116	DATE:	01/11/2022
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Kellie Knepper		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility is not following COVID-19 mask guidance.

INVESTIGATION FINDINGS:

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On 01/11/2022: Licensing Program Analyst (LPA) Pete Hernandez conducted an unannounced Subsequent Complaint Investigation at the facility. LPA spoke with Kellie Knepper and discussed the finding for the above allegations.

During the course of the investigation, LPA inspected the Child Care Center, reviewed records, and conducted interviews with the Assistant Director Kellie Knepper, Teachers, helpers, and parents. LPA Hernandez determined that both alligations are unsubstanciated.

Continued on page 2 of LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022

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-20211202123310

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KIDDIE KAMPUS DAY CARE CENTER	FACILITY NUMBER: 430700197
	VISIT DATE: 01/11/2022

NARRATIVE

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Continuation of Page 1 LIC9099
Allegation:

1) Facility is not following COVID-19 mask guidance. LPA Hernandez observed that the facility is encouraging face coverings to be worn by the preschoolers consistent with the California Pubiic Health Department guideline dated 5/3/2021 during LPA's presence. Mask wearing of the children in care is not at issue however it requires constant encouragement to get the children to wear the face coverings. In the absence of an LPA, the effectiveness of Teacher encouraged use of face coverings cannot not be determined with certainty since there are no witnesses, pictures, or documentation that would prove that the children are or are not wearing face coverings while attending the facility or that they are or are not adhering to the Public Health mask guidance as it relates to face coverings. Therefore; this is UNSUBSTANTIATED.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 07-CC-20211202123310

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: KIDDIE KAMPUS DAY CARE CENTER	FACILITY NUMBER: 430700197
	VISIT DATE: 01/11/2022

NARRATIVE

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Continuation of page 2 of 9099c.

Based on the interviews and information obtained throughout the investigation, the allegation is UNSUBSTANTIATED. 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.

A deficiency is NOT being cited based on the LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22 An exit interview was conducted with the Licensee. A copy of this report and appeals rights were discussed and left with the Licensee, Kellie Knepper, whose signature on this form confirm receipt of these documents.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3