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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434413759
Report Date: 10/24/2023
Date Signed: 10/24/2023 11:43:40 AM

Substantiated


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
09/26/2023 and conducted by Evaluator Melvin S Matos
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230926161848
FACILITY NAME:ACCELERATION ACADEMYFACILITY NUMBER:
434413759
ADMINISTRATOR:JYOTI DAWRAFACILITY TYPE:
850
ADDRESS:743 S WOLFE ROADTELEPHONE:
(408) 732-2200
CITY:SUNNYVALESTATE: CAZIP CODE:
94086
CAPACITY:86CENSUS: 0DATE:
10/24/2023
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility was evicted from the premises

Facility did not provide services for children enrolled

Facility did not inform Licensing of Facility closure
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mel Matos conducted a complaint investigation in response to a complaint received on 09/26/2023. LPA was unsuccessful in conducting the investigation at the Facility since the Facility is closed. LPA’s attempts to contact Bhawna Patkar, Licensee representative, via telephone were unsuccessful. LPA was successful in contacting Bhawna via email: bhawnapatkar@gmail.com. Per Bhawna, email is the only means of contact with her at this time.

Based on interviews, observations, record reviews, and evidence gathered during the investigation process, the Department concludes that the Facility was evicted from the premises for non-payment of rent. The lock out date was September 11, 2023 when sheriff's deputies came out to the Facility to post the eviction notice, ensure that it had no occupants, and to change the locks.

Report continued on attached page (LIC 9099-C):
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
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 4
Control Number 07-CC-20230926161848
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: ACCELERATION ACADEMY
FACILITY NUMBER: 434413759
VISIT DATE: 10/24/2023
NARRATIVE
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The Facility stopped providing services to children in care as of September 11, 2023 due to an eviction. Facility was aware that an eviction was imminent and did not truthfully advise existing parents of such.

Moreover, the Facility stopped providing services to children in care as of September 11, 2023, due to an eviction and did not notify the Department.

The above allegations are thus found to be SUBSTANTIATED, meaning the allegations are valid because the preponderance of the evidence standard has been met.

Three type A Deficiencies are being cited on the attached LIC 9099-D. This report along with the Appeal rights are being provided to Bhawna Patkar, Licensee representative, via email (bhawnapatkar@gmail.com), certified mail, and first class mail.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 07-CC-20230926161848
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: ACCELERATION ACADEMY
FACILITY NUMBER: 434413759
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/24/2023
Section Cited
HSC
1596.858(f)
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Forfeiture of license by operation of law – A license shall be forfeited by operation of law prior to its expiration date when any one of the following occurs: The Licensee abandons the Facility. The Facility was evicted from the premises for non-payment of rent.
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The Facility will be referred to the Department's legal department for review and possible administrative action.
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The lock out date was September 11, 2023 when sheriff's deputies came out to the Facility to post the eviction notice, ensure that it had no occupants, and to change the locks.
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Type A
10/24/2023
Section Cited
HSC
1596.8897(a)(2)
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The department may prohibit any person from being a member of the board of directors, an executive director, or an officer of a licensee or a licensee from employing, or continuing the employment of, or allowing in a licensed facility, or allowing contact with clients of a licensed facility by, any employee, prospective employee, or person who is not a client who has: 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.
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The Facility will be referred to the Department's legal department for review and possible administrative action.
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The Facility stopped providing services to children in care as of September 11, 2023 due to an eviction. Facility was aware that an eviction was imminent and did not truthfully advise existing parents of such.
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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: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 07-CC-20230926161848
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: ACCELERATION ACADEMY
FACILITY NUMBER: 434413759
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/24/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/24/2023
Section Cited
CCR
101212(e)(4)
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Reporting requirements - The items below shall be reported to the Department within 10 working days following their occurrence: Any changes in the plan of operation that affect services to children. This requirement was not met as evidenced by: The Facility stopped providing services to children in care as of September 11, 2023 due to an eviction and did not notify the Department.

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The Facility will be referred to the Department's legal department for review and possible administrative action.
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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: Diana StephensonTELEPHONE: (408) 324-2158
LICENSING EVALUATOR NAME: Melvin S MatosTELEPHONE: (408) 334-8554
LICENSING EVALUATOR SIGNATURE:

DATE: 10/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4