434418502-2-5-2026-07-CC-JCRZ-DQZTAC-20260205133321

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434418502
Report Date: 02/05/2026
Date Signed: 02/05/2026 01:33:44 PM

Document Has Been Signed on 02/05/2026 01:33 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

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 CAMPBELL - SAN JOSE		FACILITY NUMBER:	434418502
ADMINISTRATOR/ DIRECTOR:	LILA TALAMONTES		FACILITY TYPE:	860
ADDRESS:	1522 SOUTH WINCHESTER BLVD.		TELEPHONE:	(650) 576-5050
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95128
CAPACITY: 216	TOTAL ENROLLED CHILDREN: 216	CENSUS: 0	DATE:	02/05/2026
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:38 AM
MET WITH:	Rick Kowalczyk		TIME VISIT/ INSPECTION COMPLETED:	02:00 PM

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	On 02/05/26, Licensing Program Analysts (LPAs) Janette Cruz and Harsimran Kaur met with Rick Kowalczyk, Applicant representative. Also present during inspection are Lilia Talamantes, Center Director. The purpose of the visit was an announced pre-licensing inspection at the facility to ensure the health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. This is an application for total of 216 children consisting of 168 preschool children ages 2 -5 years in rooms # 1,6,7,8,9,10 &11 and 48 infants ages 6 weeks to 24 months in rooms # 2,3,4,5. The facility has two multipurpose rooms designated for children's activities. The childcare center will operate Monday - Friday 7:00AM – 6:00 PM. The fire clearance was approved on 12/18/2025. There are no children present at the facility during today's inspection. LPAs toured and measured the on-limits areas and classrooms located at the facility. The facility has a total of 11 classrooms designated for each component. Preschool Classroom measurements are: The Indoor total measurements contain a total of {6022.33} square feet, which will accommodate Applicant’s request for 168 preschool children. Infant Classroom measurements are: The Indoor total measurements contain a total of {1896.54} square feet, which will accommodate Applicant’s request for 48 infant children. Preschool Outdoor measurements are: Outdoor total measurements contain a total of {6247.97} square feet, which will not accommodate Applicant’s request for 168 preschool children.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

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

LIC809 (FAS) - (06/04)

Page: 1 of 5

California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 CAMPBELL - SAN JOSE	FACILITY NUMBER: 434418502
	VISIT DATE: 02/05/2026

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

Infant outdoor measurements are:
The Indoor total measurements contain a total of {1887.92} square feet, which will not accommodate Applicant’s request for 48 infants.

Applicant stated that children will access the preschool and infant yards on a staggered schedule. Applicant shall submit an outdoor waiver for playground use.

LPAs observed all classrooms to be clean, safe, sanitary and in good repair. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children, including toys, shall be free of toxic substances. All play equipment and materials used by children were observed to be age-appropriate. LPAs observed no fireplace or open face heaters. LPAs observed fully charged fire extinguisher, carbon monoxide and smoke detectors in the facility. There are 206 chairs, 34 tables, 216 cubbies, 193 cots, 16 toilets, 34 sinks, 24 cribs, 8 feeding chairs and 7 changing tables available for the preschool and infants. Staff have separate bathroom that can be utilized by sick children if needed. Sick children will be isolated in the director's office area of the facility. LPAs observed that items that may pose a danger to children were stored in storage rooms inaccessible to children. LPAs observed containers with tight-fitting lids for the disposal of solid wastes. LPAs advised that Applicant maintains first-aid supplies (current edition of first-aid manual, sterile first aid dressings, bandages, adhesive tape, scissors, tweezers, thermometer and antiseptic solution) in a location accessible to staff but inaccessible to children. Facility is equipped with surveillance cameras and alarmed doors for security.

LPAs observed infant changing tables within arms reach to the sink. Applicant stated that parents will provide milk formula/breast milk for infants. LPAs advised Applicant that as per Title 22 regulations, bottles and dishes provided by authorized representatives shall be rinsed and returned to authorized representatives for sanitizing at the end of each day. Applicant was also advised that there shall be a minimum of one hand washing sink to every 15 infants and one potty chair to every 5 infants being toilet trained.

Applicant was advised Tltle 22 regulations 101415.1 In addition to the director, an assistant director shall be present and on duty if the center has 25 or more infants in attendance. LPAs discussed that director designated for this facility, Lilia Talamantes, must be assigned to only one facility. Lilia is currently the director at Kiddie Academy-Almaden. Applicant was advised that director qualification/credentials must be submitted to the assigned LPA for Kiddie Academy-Almaden, in order to officially designate Lilia as director for this location.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 CAMPBELL - SAN JOSE	FACILITY NUMBER: 434418502
	VISIT DATE: 02/05/2026

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

Applicant shall take measures to keep the center free of flies, other insects, and rodents. The facility provides lunch and snacks. Meals shall be prepared on site in the facility's kitchen. LPAs observed the facility has refrigerator and microwave in the premises. Kitchen, food warming and storage areas were observed to be clean and free of litter and rubbish. Drinking water is readily available for the children through water refill station from a filtered water source. LPAs observed that classroom sink faucets deliver hot water for hand washing. Applicant was advised that hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by children to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

Designated outdoor areas for infant and preschool children were observed to be free of hazards including, holes, broken glass, dry grass, and other debris that may pose a fire hazard. Shade was provided by trees and canopies. LPAs observed playground equipment securely anchored to the ground. The preschool climbing play structure is labeled for children ages 2-12 years while the infant climbing structure is for 6-23 months. The areas around the playground area have resilient material (grass) that can absorb falls. The playground is enclosed by a fence at least four feet high to protect children and to keep them in the outdoor activity area. Any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. LPAs observed no bodies of water. Applicant stated that there are no weapons in the facility premises. Transportation of children shall not be provided by the facility.

Drinking water from a non-contaminating fixture or container shall be readily available both indoors and in the outdoor activity area. LPAs advised per Health and Safety Code 1597.16(a)(1) Lead Testing and PIN-21-21-CCP Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test.
Per Written Directive 100700(c)(1) Written Directives for Lead Testing (1) For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information
regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC809 (FAS) - (06/04)

Page: 4 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 CAMPBELL - SAN JOSE	FACILITY NUMBER: 434418502
	VISIT DATE: 02/05/2026

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

LPA reviewed with the Applicant LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant was informed of the MyChildCarePlan.org site, a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following item is required before a licensure will be considered.
1. Approval of outdoor waiver to allow children access to the preschool and infant yards on a staggered schedule in order to meet outdoor square footage requirement.

An exit interview was conducted and copy of appeal rights and this report was provided to the Applicant Representative: Rick Kowalczyk. Final license determination will be made upon review and approval by the Licensing Program Manager.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/05/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/05/2026

LIC809 (FAS) - (06/04)

Page: 5 of 5