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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412147
Report Date: 02/19/2025
Date Signed: 02/21/2025 11:04:52 AM

Document Has Been Signed on 02/21/2025 11:04 AM - 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:GROWING TREE LEARNING CENTER INC.FACILITY NUMBER:
434412147
ADMINISTRATOR/
DIRECTOR:		WANG, TINGFACILITY TYPE:
850
ADDRESS:12220 SARATOGA-SUNNYVALE ROADTELEPHONE:
(408) 446-0243
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY: 102TOTAL ENROLLED CHILDREN: 60CENSUS: 43DATE:
02/19/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Ting WangTIME VISIT/
INSPECTION COMPLETED:
06:50 PM
NARRATIVE
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Licensing Program Analysts (LPAs), Farida Raja and Shine Yu met with director, Ting Wang on 02/19/2025 at 12:50 pm, for an unannounced annual/random inspection.

LPAs informed staff regarding the purpose of the visit. The senior director Cindy Huang also accompanied the LPAs during the inspection. The facility currently enrolled 60 children; LPAs observed total 43 children in room F, H, T and G during the inspection. The facility is licensed to serve 102 children ages 2 years to entry into first grade in Room A-H and 12 toddler children in Room J. Senior Director stated they are currently only using 4 classrooms including room J/T for toddlers. Senior director stated that the other classrooms are being used by the heritage program.

Days and hours of operation are Monday through Friday, 8:00 AM to 6:00 PM. Facility has one waiver on file for shared outdoor playground space. LPAs observed the required posted materials including menus, daily schedules and lesson plans in each classroom.

LPAs and Director toured the indoor and outdoor areas during today's inspection and observed the following ratios: (note: all children are taking nap time.)
Room F, Pre K/TK/K- 16 children: 1 staff
Room H, 2 yr - 3 yr - 10 children: 1 staff
Room T, 18 mo - 2.5 yr (toddler room) - 3 children: 1 staff
Room G, 3 yr - 4 yr, -14 children: 1 staff

Classrooms F, H, T and G, children's restrooms, and kitchen were inspected.
Continued on Page 2
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE: DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: GROWING TREE LEARNING CENTER INC.
FACILITY NUMBER: 434412147
VISIT DATE: 02/19/2025
NARRATIVE
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Facility has central heating/cooling for comfort of children. LPAs observed the temperature reading is 69 degree F. Director states that there are no weapons or firearms on the premises. There is a working telephone at the facility. Disinfectants, cleaning products and medicines were observed to be stored inaccessible to the children in cabinets. Medication and first aid kit were observed to be stored in the office out of reach of children. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. LPAs did not observe solid waste containers with tight-fitting lids in two rooms. Napping mats are appropriate. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. LPAs observed fire extinguishers, working smoke and carbon monoxide detectors, fire alarm and water sprinklers. LPAs reminded the director to make sure the fire extinguishers are serviced every year and documentation needs to be maintained. Log shows that the last Fire Drill was conducted on 01/22/2025 which is compliant with the six month requirement for facilities.

Drinking water is refilled in dispensers in each room from the water dispenser located in the kitchen. Water lead testing was completed by the facility in 2022 and again in 2023 until no Action Level Exceedance were reported.

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.

LPAs verified that water lead testing was completed and provided senior director with PIN 21-21.1-CCP. A copy of the LIC 9275, LIC 9276 and facility sketch indicating water outlets needs to be submitted to LPA by 03/05/2025.

Facility provides optional lunch and snacks to the children. Food storage and preparation areas in kitchen were observed to be sanitary. All food and beverages that require refrigeration were stored in covered containers.

Continued on Page 3
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
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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: GROWING TREE LEARNING CENTER INC.
FACILITY NUMBER: 434412147
VISIT DATE: 02/19/2025
NARRATIVE
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Outdoor playgrounds and play equipment was inspected and observed to be fenced in and free of hazards. Sheds and storage cabinets were observed to be locked. The center has two playgrounds outside of the room F and room T. LPAs observed play equipment was in good condition, age-appropriate. The play area has sufficient resilient materials around and under/around climbing structures and slides to absorb falls. Shaded rest area is provided by canopy and trees. No bodies of water were observed.

A sampling of 8 children and 2 staff files was selected for review. Children sign in and out procedures and logs were reviewed. Children's roster was reviewed and a copy was provided to LPAs. Each child's file reviewed contained the required forms.

A review of staff records indicates that fingerprint clearance for one facility staff (S1) has not been transferred to this facility. LPAs reminded Director that all staff need to be fingerprinted and associated prior to working with children. All staff files reviewed contain the required transcripts/verification of experience. The director has a current CPR and First Aid certification which will expires on Oct. 2025. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). All staff have the required immunization's against pertussis, measles and influenza immunization or a statement declining the vaccine. LPAs observed required Mandated Reporter Training on file for all staff. Staff S1 was observed to be missing the health screening report (LIC 503). LPAs observed that toddler classroom staff , S1 does not have the required infant/toddler units. LPAs reminded Director that a fully qualified teacher must be present in each room and an aide must be supervised by a fully qualified teacher at all times.

Director 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.

Incidental Medical Services (IMS) policy was discussed. This facility provides Incidental Medical Services- IMS. For IMS information see PIN 22-02-CCP.
Continued on Page 4
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
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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: GROWING TREE LEARNING CENTER INC.
FACILITY NUMBER: 434412147
VISIT DATE: 02/19/2025
NARRATIVE
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Facility has an approved IMS Plan on file with San Jose Regional Office. Director stated that facility does handle medications and currently does has children in care who require Incidental Medical Services. LPAs reviewed storage of medication and equipment/supplies, and reviewed children's, personnel and administrative records. Upon review of records, LPAs observed three children (C9, C10 and C11) had medication at facility that were expired. Isolation of sick child was discussed, and Director explained that sick children will be isolated in the director's office and isolation equipment will be provided. A restroom which is off limits to other children is used if necessary. Child is always under visual supervision while in care of the facility. 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 are available at: https://www.ada.gov/resources/child-care-centers/.

Facility does not provide transportation to children. Director 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.

Five (5) Type B deficiencies were cited as a result of today's inspection. Civil penalty issued. Appeal Rights were provided. Exit interview conducted and report was reviewed with Director, Ting Wang

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.

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 inspectionprocess@dss.ca.gov. 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
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:

DATE: 02/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/19/2025
LIC809 (FAS) - (06/04)
Page: 4 of 7
Document Has Been Signed on 02/21/2025 11:04 AM - It Cannot Be Edited


Created By: Syhshyan Yu On 02/19/2025 at 05:27 PM
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: GROWING TREE LEARNING CENTER INC.
FACILITY NUMBER: 434412147

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101416.2(b)
Prior to employment, an infant care teacher shall have completed, with passing grades, at least three postsecondary semesters or equivalent quarter units in early childhood education or child development, and three postsecondary semester or equivalent quarter units related to the care of infants, at an accredited or approved college or university

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in Staff 1 does not have any infant/toddler units which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2025
Plan of Correction
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Licensee to have fully qualified infant/toddler teacher in the toddler room and to submit proof of enrollment in infant/toddler units to LPA by POC date
Type B
Section Cited
CCR
101170(e)(2)
(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:

(2) Request a transfer of a criminal record clearance as specified in Section 101170(f) or

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in staff 1 does not have finger print transferred to this facility which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2025
Plan of Correction
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Director had completed the finger print transferred to this facility. Director will submit POC to prevent issue to happen again by POC date.
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2025


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Document Has Been Signed on 02/21/2025 11:04 AM - It Cannot Be Edited


Created By: Syhshyan Yu On 02/19/2025 at 05:42 PM
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: GROWING TREE LEARNING CENTER INC.
FACILITY NUMBER: 434412147

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101239(f)(1)
Fixtures, Furniture, Equipment and Supplies
(f) Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. (1) All containers used for storage of solid wastes, including moveable bins, shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above in 2 out of 4 classrooms which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2025
Plan of Correction
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Director will provide proof of purchase of solid wastes containers with tight-fitting cover to LPA by POC due date.
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in staff 1 who is missing LIC 503 which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2025
Plan of Correction
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Dircetor will submit LIC 503 to LPA by POC due date.
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2025


LIC809 (FAS) - (06/04)
Page: 6 of 7
Document Has Been Signed on 02/21/2025 11:04 AM - It Cannot Be Edited


Created By: Syhshyan Yu On 02/19/2025 at 05:42 PM
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: GROWING TREE LEARNING CENTER INC.
FACILITY NUMBER: 434412147

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101226(e)(3)(A)
Health-Related Services
(3) Prescription medications may be administered if all of the following conditions are met: (A) Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and inspection, the licensee did not comply with the section cited above in C9, C10 and C11 whose medication are observed to be expired which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/05/2025
Plan of Correction
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Director will inform parents and return expired medication, obtain new medication and consent forms. Director will submit proof of correction by POC due date.
Section Cited
Deficient Practice Statement
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2
3
4
POC Due Date:
Plan of Correction
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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.
SUPERVISOR'S NAME:Gladys Kuizon
LICENSING EVALUATOR NAME:Syhshyan Yu
LICENSING EVALUATOR SIGNATURE:
DATE: 02/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/19/2025


LIC809 (FAS) - (06/04)
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