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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434408795
Report Date: 11/16/2023
Date Signed: 11/16/2023 04:12:36 PM

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
06/26/2023 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230626151215
FACILITY NAME:KIDDIE ACADEMY OF MORGAN HILLFACILITY NUMBER:
434408795
ADMINISTRATOR:NAKIA CENTENOFACILITY TYPE:
850
ADDRESS:15750 MONTEREY ROAD, SUITE 150TELEPHONE:
(408) 776-6800
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:84CENSUS: 33DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Nakia CentenoTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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Staff allowed uncleared adult to be present at the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced complaint investigation. LPA met with Director Nakia Centeno and explained the reason for the inspection. The purpose of this inspection was to deliver the findings.

The investigation of the above allegation was conducted by Community Care Licensing Division (CCLD) Investigator, Jorge Jauregui. Based on interviews, records reviews, and evidence gathered during the investigation process, the Department determines the above allegation to be SUBSTANTIATED, meaning the preponderance of the evidence standard has been met.
----------------continues on 9099 dated 11/16/2023 page 2-----------------------
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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-20230626151215
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 ACADEMY OF MORGAN HILL
FACILITY NUMBER: 434408795
VISIT DATE: 11/16/2023
NARRATIVE
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----------------------continuation of 9099 dated 11/16/2023 page 1------------------

A-1, who has a non-exemptible criminal record that would not allow A-1 to be present in the facility, was allowed into the facility. A-1 was in the lobby and kitchen. A-2 was aware of A-1’s criminal record.

As result of this inspection, a Type A citation was issued. Exit interview conducted and report was reviewed with Director Nakia Centeno.

LPA Samantha Yip informed Director Nakia Centeno that this report dated 11/16/2023 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Samantha informed the Director, Nakia Centeno, to provide a copy of this licensing report dated 11/16/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 4
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
06/26/2023 and conducted by Evaluator Samantha Yip
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20230626151215

FACILITY NAME:KIDDIE ACADEMY OF MORGAN HILLFACILITY NUMBER:
434408795
ADMINISTRATOR:NAKIA CENTENOFACILITY TYPE:
850
ADDRESS:15750 MONTEREY ROAD, SUITE 150TELEPHONE:
(408) 776-6800
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:84CENSUS: 33DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Nakia CentenoTIME COMPLETED:
10:05 AM
ALLEGATION(S):
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2
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9
Child sexually abused
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced complaint investigation. LPA met with Director Nakia Centeno and explained the reason for the inspection. The purpose of this inspection was to deliver the findings.

The investigation of the above allegation was conducted by Community Care Licensing Division (CCLD) Investigator, Jorge Jauregui. Based on interviews, records reviews, and evidence gathered during the investigation process, the Department determines the above allegation to be UNSUBSTANTIATED, meaning, although, the above allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

Exit interview conducted and report was reviewed with Director Nakia Centeno.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 07-CC-20230626151215
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 ACADEMY OF MORGAN HILL
FACILITY NUMBER: 434408795
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
11/17/2023
Section Cited
CCR
101208(a)(1)(a)(2)
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Exclusions. Engaged in conduct which 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.
This requirement is not met as evidenced by:
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Deficiency has been corrected. A-2 is no longer employed at the facility.
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Based on interview, A-2 was aware of A-1’s criminal record. A-1 has a non-exemptible criminal record, which poses an immediate risk 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: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 4