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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 073409581
Report Date: 09/08/2025
Date Signed: 09/08/2025 01:30:09 PM

Document Has Been Signed on 09/08/2025 01:30 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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME:PRIMROSE SCHOOL OF DANVILLEFACILITY NUMBER:
073409581
ADMINISTRATOR/
DIRECTOR:		NIKITA HENDERSONFACILITY TYPE:
850
ADDRESS:2425 CAMINO TASSAJARATELEPHONE:
(925) 488-4880
CITY:DANVILLESTATE: CAZIP CODE:
94526
CAPACITY: 103TOTAL ENROLLED CHILDREN: 103CENSUS: 34DATE:
09/08/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:05 AM
MET WITH:Facility owner - Karim RamzanalTIME VISIT/
INSPECTION COMPLETED:
01:28 PM
NARRATIVE
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On 9/8/2025 at 9:05am Licensing Program Analyst (LPA) Morgan Pringle met with facility owners to deliver findings for a complaint. Present during LPAs visit were twenty-two (22) preschool age children, twelve (12) toddlers, and ten (10) additional staff. The facility operates from 7:00am – 6:00pm, Monday – Friday.

During the course of LPAs investigation records were obtained for an incident that happened on 3/14/2025 where a Deputy from the Contra Costa County Sheriffs Department was called to the facility. The incident was not reported to the Department or the child’s family. The Department was informed by facility owners that they were instructed by the Deputy to not report the incident to the Department or the child’s parents. Through interview it was found that the child’s family was also told by the facility owners that the Deputy told the owners not to report the incident to the child’s parents.

The Deputy’s body-worn camera video was reviewed from the day of the Deputy’s visit to the facility, and it was found that the Deputy did not instruct the facility owners to not report the incident to the Department or the child’s parents.

Through interviews conducted during LPAs investigation, it was also found that in February 2025 a child sustained a concussion while in care. Two children bumped into each other while transitioning from inside to outside. The child was taken to the hospital where the concussion was confirmed by a physician. The incident was not reported to the Department or to the child’s parents.

Continued on LIC809C
NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Morgan Pringle
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/08/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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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.

LIC809 (FAS) - (09/23)
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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
CCLD Regional Office, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612
FACILITY NAME: PRIMROSE SCHOOL OF DANVILLE
FACILITY NUMBER: 073409581
VISIT DATE: 09/08/2025
NARRATIVE
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Two (2) Type B citations are being issued during today visit. See LIC809D.

A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with owners.
NAME OF LICENSING PROGRAM MANAGER: Jason Jang
NAME OF LICENSING PROGRAM ANALYST: Morgan Pringle
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/08/2025 01:30 PM - It Cannot Be Edited


Created By: Morgan Pringle On 09/08/2025 at 09:49 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
, 1515 CLAY STREET, SUITE 1102
OAKLAND, CA 94612

FACILITY NAME: PRIMROSE SCHOOL OF DANVILLE
FACILITY NUMBER: 073409581

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/08/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/11/2025
Section Cited
HSC
1596.885(c)

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1596.885(c) The department may... suspend or revoke any license...issued under this act upon any of the following grounds and in the manner provided in this act: (c) Conduct which is inimical to the health, morals, welfare, or safety of
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Licensee shall submit to LPA Pringle a letter stating that they understand and agree to be truthful with the Department and parents at all times.

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either an individual in or receiving services from the facility...This requirement was not met as evidenced by: Owners were not truthful to the Department and child's family about Deputy's instructions which poses a potential risk to the health, safety and/or personal rights of children in care.
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Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Type B
09/11/2025
Section Cited
CCR101212(d)(1)(B)

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101212(d)(1)(B) Upon the occurrence...a report shall be made to the Department by telephone or fax within the Department's next working day...In addition, a written report containing the information ...shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following:
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Licensee will submit Unusual Incident Report (LIC624) to the Department by POC date. Licensee will also submit completed incident report that is used by facility to the child’s parents by POC date via email.
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This requirement was not met as evidenced by: the Department was not notified of a child sustaining a concussion while in care in February 2025 which poses a potential risk to the health, safety and/or personal rights of children in care.
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Licensee will forward the email with report sent to parents to LPA Pringle as proof of completion. Failure to correct will result in a $100 per day civil penalty until corrected. Repeat violations are $250 per violation and $100 per day until corrected.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Jason Jang
NAME OF LICENSING PROGRAM MANAGER:
Morgan Pringle
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 09/08/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/08/2025


LIC809 (FAS) - (06/04)
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