<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434408781
Report Date: 10/22/2025
Date Signed: 10/22/2025 01:05:53 PM

Substantiated


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
09/10/2025 and conducted by Evaluator Syeda Bahar
COMPLAINT CONTROL NUMBER: 07-CC-20250910110507
FACILITY NAME:KIDDIE ACADEMY OF SAN JOSEFACILITY NUMBER:
434408781
ADMINISTRATOR:MARIE NUNEZFACILITY TYPE:
850
ADDRESS:521 WEST CAPITOL EXPRESSWAYTELEPHONE:
(408) 978-1500
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY:98CENSUS: 26DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
08:39 AM
MET WITH:Marie NunezTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not notifying responsible parties of children's injuries in a timely manner
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Syeda Bahar conducted an unannounced complaint investigation at the facility to deliver the findings. LPA met with the Director, Marie Nunez and explained the purpose of today's visit.

During the course of the investigation, LPA conducted observations, interviewed staff, parents and children, reviewed records, and obtained copies of facility roster, personnel report and other supporing documents. Based on evidence gathered, on 9/16/2025 and 10/07/2025, one child #C1 was injured on 8/11/2025. LPA observed the center conduct a health check everyday during the children drop off. The health check form indicated that, on 8/12/2025 and 8/13/2025, the child C1 had bruises on lower lip during the drop off. Based on the record review, the incident was not reported to the department. Director stated that, she was not present during the incident. Director stated later she forgot to notify the incident to the department.

[Continue to page 2]
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
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 5
Control Number 07-CC-20250910110507
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: KIDDIE ACADEMY OF SAN JOSE
FACILITY NUMBER: 434408781
VISIT DATE: 10/22/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
[Page 2]

As a result, the allegation noted on previous page is found to be SUBSTANTIATED, meaning the allegation is valid because the preponderance of the evidence standard has been met.

One "Type B" deficiency is being cited on the attached LIC 9099-D. Exit interview conducted and report was reviewed with the Director, Marie Nunez. Appeal rights were provided

NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 07-CC-20250910110507
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: KIDDIE ACADEMY OF SAN JOSE
FACILITY NUMBER: 434408781
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/22/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/21/2025
Section Cited
CCR
101212(d)(1)(B)
1
2
3
4
5
6
7
(d) Upon the occurrence, during the operation of the child care center of any of the events.....a report shall be made to the Department by telephone.. within the next working day...a written report...within seven days. (1)Events reported shall include..: (B)Any injury to any child...
1
2
3
4
5
6
7
By the Plan of correction (POC) due date, 11/21/2025, the Director will conduct a reporting requirements training for all staff. Director will submit the training materials and the training session's attendance sheet (signed by all staff), to the department as a proof of correction by 11/21/2025.
8
9
10
11
12
13
14
Based on records review, Child (C1) was injured on 8/11/2025, which was not reported to the department. This poses a potential risk to the health and safety of the children in care.
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
09/10/2025 and conducted by Evaluator Syeda Bahar
COMPLAINT CONTROL NUMBER: 07-CC-20250910110507

FACILITY NAME:KIDDIE ACADEMY OF SAN JOSEFACILITY NUMBER:
434408781
ADMINISTRATOR:MARIE NUNEZFACILITY TYPE:
850
ADDRESS:521 WEST CAPITOL EXPRESSWAYTELEPHONE:
(408) 978-1500
CITY:SAN JOSESTATE: CAZIP CODE:
95136
CAPACITY:98CENSUS: 26DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
08:39 AM
MET WITH:Marie NunezTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not properly supervising children in care resulting in injuries
Day Care children did not receive adequate meals while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Syeda Bahar, conducted an unannounced complaint investigation at the facility to deliver the findings. LPA met with the Director, Marie Nunez, and explained the purpose of today's visit.

During the course of the investigation, LPA conducted observations, interviewed staff, parents and children, reviewed records, and obtained copies of facility roster, personnel report and other supporing documents. Based on record review and interviews, the center conduct a health check everyday during the children drop off time. Director stated that, if the teachers notice any injury, they note it on the health check forms. Director stated that if any injury is shoulder and above they notify the parents immediately. If the injury is minor the tecahers notify the parents during the pick up time. Based on interviews, staff walk aournd the classroom and stay with the children group during the indoor and outdoor activities.

[Continue to the page 2]

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
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 5
Control Number 07-CC-20250910110507
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: KIDDIE ACADEMY OF SAN JOSE
FACILITY NUMBER: 434408781
VISIT DATE: 10/22/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
[Page 2]

Based on interviews, staff immediately attend children with injury, provide ice-pack and emotional support to comfort the children.

Director, stated that the center provides, breakfast and lunch and two snacks to the children. Director stated that they are with the state food program and the food is prepared in the center daily. During the inspection, LPA observed there is a food storage to store backup food in the center. LPA observed one refrigerator and one freezer in the food storage area. LPA also observed one refrigerator in the kitchen area. LPA observed a weekly menu posted in each classroom, in the kitchen and in the food storage area.

Based on the interviews, and evidence gathered at this time, it is concluded that the allegations noted on the previous page may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are thus UNSUBSTANTIATED.

No deficiencies were cited. Appeal rights were provided. Exit interview conducted and report was reviewed with the Director, Marie Nunez.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Syeda Bahar
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5