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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 430700594
Report Date: 06/11/2026
Date Signed: 06/11/2026 11:16:48 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/16/2026 and conducted by Evaluator Farida Raja
PUBLIC
COMPLAINT CONTROL NUMBER: 07-CC-20260416162653
FACILITY NAME:SAINT ANDREW'S EPISCOPAL SCHOOLFACILITY NUMBER:
430700594
ADMINISTRATOR:TAMMY POWFACILITY TYPE:
850
ADDRESS:13601 SARATOGA AVENUETELEPHONE:
(408) 867-3785
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:20CENSUS: 0DATE:
06/11/2026
UNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Grace Chu and Desiree BrionesTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Staff are operating out of ratio
Staff commingle preschool children with school age children
INVESTIGATION FINDINGS:
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On 06/11/2026, Licensing Program Analyst (LPA), Farida Raja conducted an unannounced complaint visit to deliver investigation findings for the above allegations. LPA met with Head of Lower School, Grace Chu and Director of Extended Day Program, Desiree Briones and explained the purpose of today's visit.

The pre-K (preschool) program is closed for summer and no children were present during today's inspection. The complaint alleges that the facility is operating out of ratio and pre-K children are commingled with children from the private elementary and middle school (transitional kindergarten through eighth grade).

During the course of this investigation, LPA conducted a walk through, reviewed staff qualifications and interviewed Head of Lower School, directors and staff.

Continued on Page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 4
Control Number 07-CC-20260416162653
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: SAINT ANDREW'S EPISCOPAL SCHOOL
FACILITY NUMBER: 430700594
VISIT DATE: 06/11/2026
NARRATIVE
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Based on observation and record reviews, LPA observed that both staff (S1 and S2), observed in the classroom, do not have the child development units required for teachers per Title 22 regulations. The classroom was therefore observed to be operating out of ratio.

Based on interviews, LPA was informed that some transitional kindergarten students from the private school are combined with some pre-K children during after school care for the duration of enrichment classes. LPA was also informed that children in the pre-K class are commingled with children from different grades in private elementary and middle school for various school events including buddy meetups/ lunch, field day and chapel. Children participating in a program licensed by California Department of Social Services (CDSS) cannot be commingled with children from the private elementary and middle school which is under the jurisdiction of the Department of Education (DOE).

Based on interviews and evidence gathered during the investigation, the preponderance of evidence standard has been met; therefore, the above allegations are found to be SUBSTANTIATED.

One Type A and one Type B deficiency were cited on the attached LIC 809D page. LPA Raja informed Grace that this report dated 06/11/2026 documents one Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Raja informed the Grace to provide a copy of this licensing report dated 06/11/2026 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with Head of Lower School, Grace Chu. Appeal rights and LIC 9224 were printed and provided to.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 07-CC-20260416162653
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: SAINT ANDREW'S EPISCOPAL SCHOOL
FACILITY NUMBER: 430700594
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/12/2026
Section Cited
CCR
101216.3(a)
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(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. This requirement is not met as evidenced by:
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Head of Lower School to submit a written plan of correction to LPA by 06/12/2026.
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LPA observed that both staff (S1 and S2), observed in the pre-K classroom with 20 children, do not have the child development units required for teachers per Title 22 regulations. Therefore the classroom is out of ratio. This poses an immediate risk to the health, safety and personal rights of 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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 07-CC-20260416162653
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: SAINT ANDREW'S EPISCOPAL SCHOOL
FACILITY NUMBER: 430700594
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/11/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/26/2026
Section Cited
CCR
101161(a)
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A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement is not met as evidenced by:
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Head of Lower School to submit a written plan of correction to LPA by 06/26/2026.
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LPA was informed that some TK students from the private school are combined with some pre-K children during after school care for the duration of enrichment classes and children in the pre-K class are commingled with children from different grades in private elementary and middle school for various school events including buddy meetups/ lunch, field day and chapel. This poses a potential risk to the health, safety and personal rights of 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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 4