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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 434417211
Report Date: 02/18/2026
Date Signed: 02/18/2026 05:01:38 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
12/29/2025 and conducted by Evaluator Anna Morales
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20251229141421
FACILITY NAME:KELEKHSAEVA, TSISANAFACILITY NUMBER:
434417211
ADMINISTRATOR:TSISANA KELEKHSAEVAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 775-1319
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY:14CENSUS: 8DATE:
02/18/2026
UNANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Tsisana KelekhsaevaTIME COMPLETED:
02:05 PM
ALLEGATION(S):
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1. Staff inappropriately touched child in care.
INVESTIGATION FINDINGS:
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On 2/18/26, Licensing Program Analyst(LPA) Anna Morales conducted an unannounced subsequent complaint investigation to deliver the findings for the above allegation. LPA met with Licensee Tsisana Kelekhsaeva. Also present was one staff with eight children.

It was alleged that staff inappropriately touched a child in care. LPA conducted interviews with the licensee, staff, children, parents and other parties involved. On 1/4/26, LPA conducted interviews with parents who stated that their child(ren)are happy to go to the day care, and have no concerns with the way the Licensee or the staff are providing care and supervision.
On 1/5/26 and 1/6/26, LPA conducted interviews with staff who stated that they have never seen any of the staff touch any of the children in a inappropriate manner.
On 1/8/26 and on 1/13/26, LPA received confirmation from a local police department that an investigation or a police report was not conducted. On 1/9/26, an interview was attempted for children in care who did not want to be interviewed.

Continue on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
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 2
Control Number 07-CC-20251229141421
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: KELEKHSAEVA, TSISANA
FACILITY NUMBER: 434417211
VISIT DATE: 02/18/2026
NARRATIVE
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On 1/27/26, an interview of child (C1) who previously attended the facility was conducted.

This Department has investigated the above allegations. Although the allegations 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.

Exit Interview was conducted with the Licensee Tsisana Kelekhsaeva. Appeal Rights were given.

A Notice of Site Visit was issued and informed Licensee to post it in a visible location.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2