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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434409794
Report Date: 08/13/2026
Date Signed: 08/13/2026 04:33:29 PM

Document Has Been Signed on 08/13/2026 04:33 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:TA, VINH & CONG HUYEN, TUYET MAIFACILITY NUMBER:
434409794
ADMINISTRATOR/
DIRECTOR:		TA, VINH & CONG HUYEN, TUYFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 281-4659
CITY:SAN JOSESTATE: CAZIP CODE:
95121
CAPACITY: 14TOTAL ENROLLED CHILDREN: 6CENSUS: 4DATE:
08/13/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:25 PM
MET WITH:Tuyet Mai Cong Huyen & Vinh TaTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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On 08/13/2026, Licensing Program Analyst (LPA), Farida Raja, conducted an unannounced annual inspection. LPA was granted access to the home by Licensees, Tuyet Mai Cong Huyen and Vinh Ta, and explained the nature of today’s inspection. Present during the inspection were Licensees and 4 school age children. Days and hours of operation are Monday to Friday, 8:00 AM to 8:00 PM. LPA observed all required posted materials near the front entrance to the home. Per Licensee, three adults and no minor children reside in the home.

LPA toured the indoor and outdoor areas of the home during today's inspection. The home is single story with 3 bedrooms and 2 bathrooms. LPA reviewed the current facility sketch and confirmed that the living room, family room and one bathroom are used for providing care and are accessible to children. Off limit areas inside the home: master bedroom, master bathroom, two bedrooms, laundry room and attached garage. LPA observed knives on a high shelf in a kitchen cabinet but informed Licensees to move them higher as they care for school aged children. Licensee moved the knives to a higher cabinet to prevent access by children. LPA observed that the fireplace in the home had a mesh curtain screen. Fireplace was observed to be barricaded by cardboard and chairs. Licensee has a working telephone in the home. The home has central heating/cooling and ventilation for comfort of children.

Off limit areas outside the home: right and left side section and two storage sheds. Backyard is fenced and both sides of the home are gated. The outdoor area was unkempt and Licensee stated that children do not use the outdoor area. LPA advised Licensee to check the outdoor areas for any items in disrepair, bodies of water, items that are hazardous or pose a tripping hazard prior to allowing access to children.

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Gladys Kuizon
Farida Raja
DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/13/2026
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: TA, VINH & CONG HUYEN, TUYET MAI
FACILITY NUMBER: 434409794
VISIT DATE: 08/13/2026
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 LPA reminded Licensee about the Department's zero tolerance regulations regarding water bodies. LPA reminded licensee to empty water tables and any cleaning buckets with water after each use. No bodies of water were observed. The fence barricading the air conditioning compressor was observed to be broken and Licensee informed LPA that due to recent air conditioner issues the barricade was removed but will be reinstalled once the work is completed. LPA reminded Licensee to ensure that the outdoor sheds are locked if they are used to store any items that need to be out of reach of children including gardening tools.

LPA observed the bathroom used by children was in operating condition. Toilets and faucet are clean and operable. Shower area and area under the sink were observed to be free of hazards.

LPA observed a 3A40BC fire extinguisher in the laundry area and working smoke/carbon monoxide detectors. Licensee stated that this fire extinguisher is new and was recently purchased. LPA informed licensee that the fire extinguisher needs to be serviced annually and service tag or receipt of purchase needs to be maintained for review. Licensee states that she does not have any weapons or pets in the home. Licensee understands that smoking is prohibited in the home.

Licensee was reminded to notify the Department before making any alterations or additions to the home or grounds and when any change from an area of the family child care home previously identified as off limits is changed to an area where care and supervision will be provided to children in care.



Drinking water is available for children in the home via filtered water dispenser and disposable cups. Licensee states that she provides meals to the children. Snacks are provided by the parents. Licensee understands that any food brought from home shall be labeled with each child's name and properly stored or refrigerated.

LPA reviewed a current children's roster and fire drill log during today's inspection. Fire was last conducted on 04/20/2026 which is within the 6-month requirement. LPA obtained copy of the children's roster.

LPA reviewed four children’s files and observed 3 out of 4 files were complete with emergency information as required. Licensees have not maintained the required documents for one child, C3. Licensee, Tuyet, stated that the child was attending on and off and had disenrolled but has started again. C3 has only been attending part time for the past 2 days.

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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC809 (FAS) - (06/04)
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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: TA, VINH & CONG HUYEN, TUYET MAI
FACILITY NUMBER: 434409794
VISIT DATE: 08/13/2026
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Licensee stated that she will obtain all required forms from authorized representatives and maintain a file for C3. Licensees are not caring for any infants or preschoolers and stated that they do not plan to care for infants or preschoolers and will only provide care to school age children.

LPA reviewed Licensees files for the required forms and found them to be current and up to date. Licensees have current Pediatric CPR/First Aid certification and current Mandated Reporter training certification. Licensee and co-licensee have the required immunization in file for measles, pertussis and influenza. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA reminded licensees that the pediatric CPR and First Aid and Mandated Reporter Training need to be renewed every two years. Training website: www.mandatedreporterca.com.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.



Licensee stated that the form of discipline is to talk to children and advise them on the right way. They also communicate any challenging behaviors with authorized representatives. Licensee understands that children's personal rights should not be violated; including no corporal punishment. Children have personal rights that cannot be waived or abridged regardless of consent or authorization from the child’s authorized representative.


LPA discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to resources such as forms, regulations, Provider Information Notices (PINs), and Quarterly Updates. LPA discussed Reporting Requirements as outlined in the regulations (Section 102416.2).

Supervision of children was discussed with Licensee, and she understands that she or a qualified adult must be present in the home during day care hours and ensure that the children are supervised at all times. Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time and a qualified assistant must be present. Licensee understands in absence of a helper her license capacity is reduced to 8 and ratio (age of the children) must be observed.



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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: TA, VINH & CONG HUYEN, TUYET MAI
FACILITY NUMBER: 434409794
VISIT DATE: 08/13/2026
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LPA discussed "zero tolerance" related regulations which includes the assessment of an immediate $500 per day civil penalty for any violation of a "zero tolerance" related regulation. A $500 immediate civil penalty is assessed for serious violations such as absence of supervision, accessible bodies of water, accessible firearms, refused entry of licensing staff, presence of an excluded person, and violations that result in illness or injury. An ongoing civil penalty of $100 per day continues until the violation(s) is corrected.

Incidental Medical Services (IMS) policy was discussed. Licensee states that she is not administering any medications or IMS to children at this time. Licensee states that a child will be isolated in the living room if necessary due to illness or communicable disease until parent pick up. 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/.

Licensee states that they do transport day care children or parents hire someone to transport them. LPA reminded Licensee that children cannot be left in parked vehicles unattended at any time, the motor vehicles used to transport children shall be maintained in safe operating conditions, and all vehicle occupants must be secured in an appropriate restraint system.

Licensee 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.

Per Title 22, Division 12, of the California Code of Regulations, no deficiencies are cited.

Exit interview conducted and appeal rights and report were provided to Licensee, Tuyet Mai Cong Huyen. During the exit interview, the licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA verified the RSO profile in FAS.



A NOTICE OF SITE VISIT WAS GIVEN 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.

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/13/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2026
LIC809 (FAS) - (06/04)
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