434417090-9-23-2026-07-CC-DLII-DY7R6T-20260923124516

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417090
Report Date: 09/23/2026
Date Signed: 09/23/2026 12:46:46 PM

Document Has Been Signed on 09/23/2026 12:46 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:	MT. PLEASANT COMMUNITY PRESCHOOL		FACILITY NUMBER:	434417090
ADMINISTRATOR/ DIRECTOR:	JESSICA TEJADA		FACILITY TYPE:	850
ADDRESS:	14275 CANDLER AVENUE		TELEPHONE:	(408) 599-4277
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95127
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 32	CENSUS: 24	DATE:	09/23/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Jessica Tejada		TIME VISIT/ INSPECTION COMPLETED:	01:00 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 09/23/2026 Licensing Program Analysts (LPAs)Dongzhu Li and Jaime Gonzales were greeted and met with Staff 5(S5), from Classroom C for an unannounced annual inspection. LPAs were granted access to the classroom and toured both Classroom C and Classroom D indoors and outdoors during the inspection. Upon arrival, LPAs completed a census head count in the facility. LPAs observed 11 preschoolers with 3 staff in the licensed Classroom C, and 13 preschoolers with 2 staff in the licensed classroom D. During the inspection, the principal from Mount Pleasant Elementary School District, Jessica Tejada took over for S5. Jessica is also the site director for preschool in CCLD’s system. LPAs informed Jessica that she cannot be both the principal and the site director for the preschool program. Jessica introduced Stephanie Arroyo to the LPAs, and LPAs checked Stephanie's qualifications. The facility is located on the Mount Pleasant Elementary School Campus and background checks are issued by the County Office of Education and do not come under the jurisdiction of Community Care Licensing. LPAs observed all required postings in the classrooms. The preschool offers both half-day and full-day programs. Classroom C offers half-day program. The hours of operation are Monday through Friday, 8:00 AM–11:30 AM, and the afternoon session is from 12:00 PM–3:00 PM. Classroom D offers full-day program. The hours of operation are Monday through Friday, 8:00 AM–3:00 PM. LPAs observed a fully charged 3A40BC fire extinguisher. The last service date was 06/02/26. LPAs observed first aid kit, functioning smoke and carbon monoxide detectors. Classrooms C and D are connected through a door that can be opened and closed. The restroom is located in Classroom C and is shared by Classroom D. The facility has a designated area for sick children, which is in Classroom C next to the children’s restroom. During the inspection, LPAs observed that a staff member from Classroom D took a child to use the restroom in Classroom C. The staff member was aware that the child was using the restroom but was standing outside without going inside the restroom. LPAs discussed the matter with the staff member. Refer to 809-D. Continued on 809-C

Gladys Kuizon
Dongzhu Li
	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

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

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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.

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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: MT. PLEASANT COMMUNITY PRESCHOOL	FACILITY NUMBER: 434417090
	VISIT DATE: 09/23/2026

NARRATIVE

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Facility conducts Fire/disaster drills at least every 6 months and it was last conducted on 06/03/2026. LPAs collected a facility roster (LIC9040) and Personnel Report (LIC 500). LPAs reviewed sign in and out through Hubbe App. Entries included electronic signatures and time stamps. LPAs did not observe barricaded stairs, fireplace, open faced heaters, pool, spas, or other types of bodies of water. Jessica stated that the facility does not transport children. Jessica stated that the facility has no firearms. The off limit areas in the facility are the 2 storage rooms.

Meals for children were provided by the Mount Pleasant School District. Food was prepared daily by Food Services Department and delivered to the Mount Pleasant Elementary School cafeteria, where staff collected and distributed it to classrooms. Breakfast was served for Classroom C at 9:15 AM, lunch at 2:00 PM, and afternoon snacks were served after the children woke up. In Classroom D, breakfast was served at 9:15 AM and lunch was served at 11:45 AM. Licensing Program Analysts (LPAs) observed that food waste was disposed of in good-condition, airtight containers. Children bring their own water. The facility also provides drinking water, and the water from the Classroom D faucets R and L has been tested for lead.

LPAs observed chemicals stored in the classroom under the sink and is inaccessible to children for both classrooms. The classrooms have age-appropriate materials, toys, furnishing, equipment, & adequate storage for children’s belongings. LPAs observed all furniture and napping equipment is in good condition and safe for the children. Personal blankets are provided by authorized representatives and are taken home every Friday to be washed. The facility provides a sheet for the cot and it is washed on every Friday.

LPAs observed that the outdoor play areas are fully fenced. Shade is provided by trees and building overhang. There are age-appropriate outdoor toys and materials for the children. LPAs observed an age appropriate play structure in the outdoor play area that has sufficient resilient material under and around the structure.

LPAs reviewed Six staff files for the following records: Health Screening Report (LIC 503), TB Test, immunization for measles and pertussis. Statement Acknowledging Requirement to Report Child Abuse (LIC 9108), Employee rights (LIC 9052), staff qualifications. mandated reporter training for child care providers. Jessica was reminded of their responsibility to renew Pediatric CPR/First Aid and Mandated Reporter Training for child care providers every two years.

Continued on 809-C

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Dongzhu Li
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

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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: MT. PLEASANT COMMUNITY PRESCHOOL	FACILITY NUMBER: 434417090
	VISIT DATE: 09/23/2026

NARRATIVE

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LPAs reviewed 10 random children files during today's inspection for the following records: Admission Agreement, Personal Rights (LIC 613A), Identification and Emergency Information (LIC 700), Notification of Parents Rights (LIC 995A), Consent for Emergency Medical Treatment (LIC 627).

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test as specified in Health and Safety Code section 1597.16. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP.). LPA verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP. LPA referred Jessica to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)

LPAs discussed the safe sleep regulations with and discussed the Child Care Licensing Safe Sleep webpage a thttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPAs also informed Director of Child Development and Extended Learning for the Live Oak School District of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22- 02-CCP. When any IMS is provided, a Plan for Providing 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)/ (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Continued on 809-C

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Dongzhu Li
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

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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: MT. PLEASANT COMMUNITY PRESCHOOL	FACILITY NUMBER: 434417090
	VISIT DATE: 09/23/2026

NARRATIVE

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Jessica was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Jessica was informed of the MyChildCarePlan.org website; 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to [email protected]. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During today’s inspection one deficiency was cited and further information can be found on the 809-D page.

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 Jessica Tejada.

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Dongzhu Li
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/23/2026 12:46 PM - It Cannot Be Edited

Created By: Dongzhu Li On 09/23/2026 at 11:30 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: MT. PLEASANT COMMUNITY PRESCHOOL	FACILITY NUMBER: 434417090
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/23/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229(a)(1)

Responsibility for Providing Care and Supervision

(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited, a staff member took a child to use the restroom, she was aware that the child was using the restroom but was standing outside without going inside the restroom, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/07/2026
	Plan of Correction
1 2 3 4	Licensee provided training to the staff members and submitted a written statement of the plan of correction by the POC due date.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Gladys Kuizon
NAME OF LICENSING PROGRAM MANAGER:

	Dongzhu Li
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/23/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026

LIC809 (FAS) - (06/04)

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