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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 274404808
Report Date: 05/14/2026
Date Signed: 08/06/2026 12:54:59 PM

Unsubstantiated


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
05/07/2026 and conducted by Evaluator Darnella Barnes
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20260507100024
FACILITY NAME:KENNEDY, RENEEFACILITY NUMBER:
274404808
ADMINISTRATOR:KENNEDY, RENEEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 998-7415
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY:14CENSUS: 7DATE:
05/14/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Renee KennedyTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Child sustained injury while in care
INVESTIGATION FINDINGS:
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On May 14, 2026, Licensing Program Analyst (LPA) Darnella Barnes conducted an unannounced complaint investigation at the facility regarding allegations that a child sustained an injury while in care. The purpose of the visit was explained to Licensee Renee Kennedy, who granted access to the facility. At the time of the visit, licensee, licensee’s spouse and seven children were present. LPA toured interior and exterior of the facility.

LPA interviewed licensee regarding an injury sustained by Child 1. Licensee stated that at approximately 10:45 a.m., Child 1 fell backward and struck his head on a concrete surface in the play area. Licensee stated she observed a lump on the back of Child 1’s head following the incident. At approximately 3:12 p.m., Child 1 vomited after waking from nap. Licensee called parent. The parent picked up Child 1 and transported the child to the emergency room. Licensee reported Child 1 was diagnosed with a mild concussion.
-----CONTINUED NEXT PAGE -----
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
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 6
Control Number 07-CC-20260507100024
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: KENNEDY, RENEE
FACILITY NUMBER: 274404808
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/15/2026
Section Cited
CCR
102432(a)(2)
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...PERSONAL RIGHTS (a)Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from child’s authorized representative. These rights include, but not limited to the following (2) To receive safe, healthful , and comfortable accommodations, furnishings and equipment.
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The licensee stated that rubber mats had been placed in the area where C1 was injured after the incident as part of POC.The licensee stated that she would provide her preventive plan to LPA by the due date, outlining how she would prevent the issue from occurring again.
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 This was not met as evidenced by C1 sustained a head injury while in care. Licensee did not to ensure C1 received safe and healthful accomodationsand/or environment. This poses an immediate risk to the Health, Safety or Personal Rights to 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: 05/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 07-CC-20260507100024
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: KENNEDY, RENEE
FACILITY NUMBER: 274404808
VISIT DATE: 05/14/2026
NARRATIVE
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Based on LPA’s observations, record reviews, and interviews which were conducted, 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 notice of site visit was given and must remain posted for 30 days. Appeals rights provided.

Exit interview conducted and report was reviewed with licensee, Renee Kennedy.


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

DATE: 08/06/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 6
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
05/07/2026 and conducted by Evaluator Darnella Barnes
COMPLAINT CONTROL NUMBER: 07-CC-20260507100024

FACILITY NAME:KENNEDY, RENEEFACILITY NUMBER:
274404808
ADMINISTRATOR:KENNEDY, RENEEFACILITY TYPE:
810
ADDRESS:708 LA MESA DRIVETELEPHONE:
(831) 998-7415
CITY:SALINASSTATE:CAZIP CODE:
93901
CAPACITY:14CENSUS: 7DATE:
05/14/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Renee KennedyTIME COMPLETED:
12:10 PM
ALLEGATION(S):
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Licensee did not report child injury to licensing
INVESTIGATION FINDINGS:
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On May 14, 2026, Licensing Program Analyst (LPA) Darnella Barnes conducted an unannounced complaint investigation at the facility regarding allegations that Licensee did not report a child’s injury to licensing.. The purpose of the visit was explained to Licensee Renee Kennedy, who granted access to the facility. At the time of the visit, licensee, licensee’s spouse and seven children were present.

LPA interviewed licensee regarding an injury sustained by Child 1. Licensee stated that at approximately 10:45 a.m., Child 1 fell backward and struck his head on a concrete surface in the play area. Licensee stated she observed a lump on the back of Child 1’s head following the incident. Licensee did not notify the parent following the incident and placed Child 1 down for nap without additional assessment. At approximately 3:12 p.m., Child 1 vomited after waking from nap. Licensee called parent, The parent picked up Child 1 and transported the child to the emergency room. Licensee reported Child 1 was diagnosed with a mild concussion.
-----CONTINUED NEXT PAGE ----
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 07-CC-20260507100024
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: KENNEDY, RENEE
FACILITY NUMBER: 274404808
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/14/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/20/2026
Section Cited
CCR
102416(a)(3)(B)(C)
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REPORTING REQUIREMENTS ... 102416(a)The licensee shall report the following information the Department by telephone or fax within the Department’s next business day and during normal working hours (8am to 5pm) …(3) A report shall be made to the Department…following the occurrence during the operation of a family day care home of any of the following events......
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The licensee stated that she would provide her preventive plan to the LPA by the due date, outlining how she would prevent the issue from occurring again.
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...(B) Any injury to any child that requires medical attention (C) Any unusual incident …that threatens the physical or emotional health or safety of any child. …This was not met by: Based on interviews, observations, record reviews and evidence received Licensee did not report the 4/30/26 incident child injury while in Licensee’s care to licensing.
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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: 05/14/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 07-CC-20260507100024
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: KENNEDY, RENEE
FACILITY NUMBER: 274404808
VISIT DATE: 05/14/2026
NARRATIVE
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The licensee did not report the incident to licensing. The licensee stated that she had completed the UIR report but had not submitted it to licensing. The licensee had the report available at the visit and provided it to the LPA.

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 Renee Kennedy.



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

DATE: 05/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 6