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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004599
Report Date: 06/10/2025
Date Signed: 08/29/2025 04:55:01 PM

Document Has Been Signed on 08/29/2025 04:55 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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ODYSSEY PRESCHOOLFACILITY NUMBER:
414004599
ADMINISTRATOR/
DIRECTOR:		JIANG, DANFACILITY TYPE:
850
ADDRESS:590 MYRTLE STREETTELEPHONE:
(650) 727-2306
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 19DATE:
06/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:50 PM
MET WITH:Jessica JiangTIME VISIT/
INSPECTION COMPLETED:
06:40 PM
NARRATIVE
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****This is an amended report from 06/10/2025***

On June 10, 2025 @ approximately 2:45 pm, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced case management visit. LPA met with Director Jessica (Dan) Jiang and the purpose of the inspection was explained. Present in the facility today was Director, 2 staff and 19 children. Owner Prabha Sanjay arrived as LPA was working on report.

On May 22, 2025, LPA was conducting a visit at another facility located on the same site. During inspection, LPA observed C1 outside of classroom of Odyssey preschool. C1 was gathering their belongings and no staff had visual of C1. LPA observed child walk away from facility towards right side of door, alongside portable and down pavement to gate. LPA followed child as child was unsupervised. LPA observed a parent walking to gate and child opened gate and left with parent. LPA attempted to make a visit at facility to discuss LPA’s observation. Director stated Director had to leave and could not stay to meet with LPA. LPA stated LPA would return at a later date.

On June 10, 2025, LPA arrived at facility site gate. At this time, LPA observed two children walking down from facility unsupervised. LPA asked where children were coming from, C3 stated C3 was picking up C2 (sister) from Odyssey Preschool. LPA asked C3 how C3 got through gate as gate was locked, C3 stated C3 had jumped over the gate. LPA asked where parent was and C3 stated parent was parked down the street about two blocks down. Per Director, C2/C3’s parent called facility to inform Director C3 would pick up C2. Per Director, Director signed out C2 from facility.

During today’s visit LPA spoke with Director regarding sign in/sign out procedures. Per Director, children are signed into facility by parent/guardian using Bright wheel app. Per Director, gate is opened until 8:30am, after that time parents call facility, and a teacher will come down and open gate and parents will use QR code to sign children in. Per Director, parent/guardian also use QR to sign children out. Director stated if gate is closed parent/guardian call facility and teacher will come down to open gate and parent will come to classroom to meet their child and use QR code to sign child out. LPA cited a type ‘B’ deficiency based on LPA's observations of no visual supervision, as this poses a potential health and safety hazard.

Cont. page 2...
NAME OF LICENSING PROGRAM MANAGER: Carol Marcroft
NAME OF LICENSING PROGRAM ANALYST: Cindy Interiano
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2025
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)
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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 BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ODYSSEY PRESCHOOL
FACILITY NUMBER: 414004599
VISIT DATE: 06/10/2025
NARRATIVE
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Page 2...
***Amended report from 06/10/2025***

LPA discussed both incidents with Director, reviewed sign in/sign out policy from parent handbook and reviewed two staff files. Staff files were missing immunization records and transcripts with completed units, two type B deficiency were issued for missing documents.

See page LIC809D for deficiencies issued today under California Code of Regulations, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements may result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with Owner Prahba Sanjay.
NAME OF LICENSING PROGRAM MANAGER: Carol Marcroft
NAME OF LICENSING PROGRAM ANALYST: Cindy Interiano
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/10/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5
Document Has Been Signed on 08/29/2025 05:04 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 08/29/2025 05:02 PM


Created By: Cindy Interiano On 06/10/2025 at 05:21 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL
FACILITY NUMBER: 414004599

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
07/10/2025
Section Cited
CCR
101229(a)(1)

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***This is an amended report from 06/10/2025***
101229 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:
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Owner plans to hire another teacher for classroom. Owner will meet with staff and discuss providing 100% supervison at all times. Owner will discuss providing visual supervison and handing children off to parents. Owner will send agenda of meeting with staff signatures to LPA by POC due dat.
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Based on observations, the facility did not comply with the section cited above, as children were left with out visual supervision on two seperate dates, which poses/posed a potential health, safety or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Carol Marcroft
NAME OF LICENSING PROGRAM MANAGER:
Cindy Interiano
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2025


LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 06/10/2025 06:25 PM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 06/10/2025 at 05:32 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL
FACILITY NUMBER: 414004599

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/24/2025
Section Cited
CCR
101216.1(g)

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101216.1 Teacher Qualifications and Duties (g) A photocopy of the teacher's Child Development Permit as specified in (c)(3) above, or a photocopy of the teacher's transcript(s) documenting successful completion of required course work, shall be maintained at the center.

This requirement is not met as evidenced by:




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Director will submit transcripts via email for S1 and S2 to LPA by POC due date.
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Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 staff did not have transcripts with completed units on file, which poses/posed a potential health, safety or personal rights risk to children in care.
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Type B
06/24/2025
Section Cited
HSC1596.7995(a)(1)

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1596.7995 Employees or volunteers at day care center; immunization requirements; records; exemptions
(a) (1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

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Director will submit immunization record for S1 and S2 which will include, MMR and Tdap to LPA via email by POC due date.
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Based on interview and record review, the licensee did not comply with the section cited above in 2 out of 2 staff did not have complete immunization records on file, which poses/posed a potential health, safety or personal rights risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Maria Olguin-Leon
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/10/2025


LIC809 (FAS) - (06/04)
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