434415820-6-20-2025-07-CC-BDEL-DJ7UYH-20250702155959

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 434415820
Report Date: 05/01/2025
Date Signed: 06/20/2025 12:10:21 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
04/09/2025 and conducted by Evaluator Andy Yang

COMPLAINT CONTROL NUMBER: 07-CC-20250409130746

FACILITY NAME:	KIDDIE ACADEMY OF ALMADEN VALLEY		FACILITY NUMBER:	434415820
ADMINISTRATOR:	OLIVIA LOPEZ		FACILITY TYPE:	850
ADDRESS:	16607 ALMADEN EXPRESSWAY		TELEPHONE:	(408) 752-4803
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95120
CAPACITY:	142	CENSUS: 114	DATE:	05/01/2025
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Michelle Rhona		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Record Keeping - Staff do not assure the children's records are complete

INVESTIGATION FINDINGS:

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On 5/01/2025, at 9:20 AM Licensing Program Analyst (LPA) Andy Yang conducted an unannounced complaint investigation. LPA met with Director Michelle Rhone to deliver the complaint allegation of children’s files missing updated immunization record, and physician’s report. The required LIC 9224 is required documentation for current enrolled children and new children enrolled between 2/06/2024 to 2/06/2025 (12 months). Present for today's inspection were Director, Assistant Director, (16) Staff, and (114) children. LPA toured the indoor areas of the facility with Assistant Director.

LPA reviewed (12) children’s file. During the inspection of children’s files, it was observed that all (12) files have Current Immunization, Physician’s report, and LIC 9224. An inspection that was conducted on 4/14/2025, LPA had found one child's file missing completed immunization record. Therefore, no impact to children in care. This is considered a Technical Violation, and no citation is being issued at this time.

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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Andy Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 07-CC-20250409130746

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 ALMADEN VALLEY	FACILITY NUMBER: 434415820
	VISIT DATE: 05/01/2025

NARRATIVE

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This agency has investigated the complaint alleging children’s files are missing updated immunization record, and physician’s report. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

No deficiency issued for this allegation. (1) Technical Violation issued for complete and updated immunization record. Note that Technical Violations are not citations but are advisory notes. 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 the Director, Michelle Rhone

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Andy Yang
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025

LIC9099 (FAS) - (06/04)

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