<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414171
Report Date: 04/02/2026
Date Signed: 04/02/2026 04:02:19 PM

Document Has Been Signed on 04/02/2026 04:02 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:LITTLE TREE MONTESSORI INTL.SCHOOL OF SUNNYVALEFACILITY NUMBER:
434414171
ADMINISTRATOR/
DIRECTOR:		YINGCHIA "EVA" LIUFACILITY TYPE:
850
ADDRESS:420 S. PASTORIA AVETELEPHONE:
(408) 462-9891
CITY:SUNNYVALESTATE: CAZIP CODE:
94086
CAPACITY: 188TOTAL ENROLLED CHILDREN: 93CENSUS: 81DATE:
04/02/2026
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Yingchia 'Eva' LiuTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 04/02/2026, Licensing Program Analyst (LPA), Farida Raja, conducted an unannounced Required -3 Year inspection and met with office staff who stated that Director will arrive shortly. LPA explained the purpose of the inspection. Director, Yingchia 'Eva' Liu arrived at 9:40am. The facility is licensed to serve children ages 2-6 years in rooms 1, 3 to 10 and children 18-36 months in room 2. LPA did not observe waivers for the preschool and toddler outdoor space. Director stated that a waiver request was previously submitted and LPA obtained a copy of the waiver request during today's inspection. LPA obtained a copy of the updated Designation of Facility Responsibility (LIC 308) and Personnel Record (LIC 500) during today's inspection. LPA observed the required postings in the lobby. Daily schedules, monthly lunch and snack menu's and monthly activity schedule was observed to be posted in each classroom. Days and hours of operation are Monday through Friday, 9:00 AM to 6:00 PM.

LPA and Director toured the indoor and outdoor areas of the facility. Facility has a after school Heritage Program on the same premises. Only five classrooms are in use at present and LPA and observed the following ratios in each classroom:
Room 2 (Toddler room): 8 children: 2 teachers
Room 1 (3-4 yrs): 21 children: 3 teachers
Room 3: (2-3 yrs): 15 children: 3 teachers
Room 5 (4-5 yrs): 18 children: 3 teachers
Room 7 (TK): 16 children: 2 teachers

Facility was in compliance with teacher to children ratio requirement. Classrooms, children's restrooms, outdoor areas, staff restrooms and kitchen were inspected. Children were engaged in various activities under the visual supervision of teachers.

Continued on Page 2
NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/02/2026
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 8
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)
Page: 2 of 8
Document Has Been Signed on 04/02/2026 04:02 PM - It Cannot Be Edited


Created By: Farida Raja On 04/02/2026 at 03:15 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: LITTLE TREE MONTESSORI INTL.SCHOOL OF SUNNYVALE
FACILITY NUMBER: 434414171

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/02/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Per the water lead test only one outlet in the kitchen was tested. Director stated that children are using three other drinking water outlets. LPA informed Director that all outlets used for drinking and food preparation purposes were required to be tested. Director stated that she will have the other outlets tested and submit the water lead report.
POC Due Date: 04/24/2026
Plan of Correction
1
2
3
4
Director to submit the water lead testing report along with the LIC 9275, LIC 9276 and facility sketch indicating the water outlets tested to LPA by plan of correction due date of 04/24/2026.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(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.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation, interview and record review, the licensee did not comply with the section cited abovefor staff, S3 which poses a potential health, safety or personal rights risk to persons in care. Staff was observed to be missing proof of negative tuberculosis test, immunization's for measles and pertussis and the health screening report.
POC Due Date: 04/24/2026
Plan of Correction
1
2
3
4
Driector to submit the missing proof of negative tuberculosis test, immunization's for measles and pertussis and the health screening report for S3 to LPA by 04/24/2026.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Gladys Kuizon
NAME OF LICENSING PROGRAM MANAGER:
Farida Raja
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/02/2026


LIC809 (FAS) - (06/04)
Page: 3 of 8
Document Has Been Signed on 04/02/2026 04:02 PM - It Cannot Be Edited


Created By: Farida Raja On 04/02/2026 at 03:15 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: LITTLE TREE MONTESSORI INTL.SCHOOL OF SUNNYVALE
FACILITY NUMBER: 434414171

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/02/2026

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, interview and record review, the licensee did not comply with the section cited above for two children, C11 and C12 which poses a potential health, safety or personal rights risk to persons in care. LPA observed that two children, C11 and C12 have medication that is expired. Director stated that children no longer require this medication. LPA reminded Director that all medication that is expired or no longer required needs to be returned to the authorized representative.
POC Due Date: 04/24/2026
Plan of Correction
1
2
3
4
Driector to submit a written plan of correction to LPA by 04/24/2026.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
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.
Gladys Kuizon
NAME OF LICENSING PROGRAM MANAGER:
Farida Raja
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 04/02/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/02/2026


LIC809 (FAS) - (06/04)
Page: 4 of 8
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: LITTLE TREE MONTESSORI INTL.SCHOOL OF SUNNYVALE
FACILITY NUMBER: 434414171
VISIT DATE: 04/02/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 Facility has central heating/cooling for comfort of children. LPA reminded Director that the temperature in rooms that children occupy should be between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C). Director states that there are no weapons or firearms on the premises. There is a working telephone at the facility. Disinfectants and cleaning products in each classroom were observed to be stored out of reach of children. Director stated that the facility is cleaned every evening by a janitorial service and the carpets are deep cleaned on a monthly basis. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. LPA observed solid waste containers with tight-fitting lids in all the classrooms. LPA observed appropriate changing table that has raised sides and a vinyl changing pad that is at least 1 inch thick in room 2. LPA observed a trash can with tight fitting cover for the disposal of diapers. Napping equipment is appropriate and each child's bedding was observed to be stored in separate containers. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. Staff have separate bathrooms that can be utilized by sick children if needed.

LPA observed fire extinguishers and the facility has a built-in smoke detector/ fire system. Log shows that the last Fire Drill was conducted on 03/17/2026 which is compliant with the six-month requirement for facilities.

Drinking water is readily available for children in each room and in the outdoor playground area via individual water bottles which are refilled using filtered water. LPA observed filtered water outlets in the bathrooms that staff use to refill children's water bottles. Water lead testing was completed for the facility on 12/17/2022 and no Action Level Exceedances were reported. Per the water lead test only one outlet in the kitchen was tested. Director stated that children are using three other drinking water outlets. LPA informed Director that all outlets used for drinking and food preparation purposes were required to be tested. Director stated that she will have the other outlets tested and submit the water lead report. LPA obtained a copy of the External Water Sampler Self Certification Form (LIC 9275) and facility sketch indicating the outlets tested on 12/17/2022 during today's inspection.

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 as specified in Health and Safety Code section 1597.16. LPA verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP.

Continued on Page 3
NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026
LIC809 (FAS) - (06/04)
Page: 5 of 8
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: LITTLE TREE MONTESSORI INTL.SCHOOL OF SUNNYVALE
FACILITY NUMBER: 434414171
VISIT DATE: 04/02/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)

Facility provides AM/PM snacks for the children. Children bring lunch from home or can purchase hot lunch provided by a contracted third party vendor. Food and beverages were stored safely in the classroom and kitchen area to prevent contamination and spoilage. Food storage and preparation areas were observed to be sanitary.

The playground areas utilized by children are surrounded by appropriate fencing and the outdoor surfaces are safe for children. LPA observed that the outdoor equipment is age appropriate and in good condition. There is adequate equipment, supplies, and toys for children outdoors. There are sufficient resilient material in the outdoor playground area and under play structures. There are no bodies of water observed. Shade is provided by building overhang and trees.

Children sign in and out procedures and logs were reviewed. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed 10 children’s files during today's inspection. Each child's file reviewed contained the required forms. LPA reminded Licensee that Needs & Services Plans need to be maintained for all infants and they should be updated atleast quarterly or more often if needed. Facility was in compliance with the Safe Sleep regulations/requirements.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for and removing any recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Ten staff files were reviewed. Upon review of staff records LPA observed that five staff have fingerprint clearances but are not associated with this facility. LPA observed documentation showing attempts made to associate staff but no follow up to ensure that the transfer was complete.

Continued on Page 4
NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026
LIC809 (FAS) - (06/04)
Page: 6 of 8
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: LITTLE TREE MONTESSORI INTL.SCHOOL OF SUNNYVALE
FACILITY NUMBER: 434414171
VISIT DATE: 04/02/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
 LPA advised Director to verify that the transfer of fingerprints to this facility is complete prior to have staff working with children in care. Director submitted five Criminal Record Clearance Transfer Request Forms for S3, S4, S5, S7 and S8 to LPA during today's inspection. All staff files reviewed contain the required transcripts/verification of experience. At least one staff member on site has a current CPR and First Aid certification. 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). LPA observed the required Mandated Reporter Training on file for all staff. One staff, S3 was observed to be missing proof of negative tuberculosis test, immunization's for measles and pertussis and the health screening report.

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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. Director to submit a copy of the IMS plan to LPA by 04/24/2026. 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/

Any medications at the facility are stored in the office area along with the first aid supplies. 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 staff restroom which is off limits to other children is used if necessary. Child is always under visual supervision while in care of the facility. LPA observed that two children, C11 and C12 have medication that is expired. Director stated that children no longer require this medication. LPA reminded Director that all medication that is expired or no longer required needs to be returned to the authorized representative.

Facility does not provide transportation to children, but Director understands that children cannot be left alone, unattended in parked vehicles.

Continued on Page 5
NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026
LIC809 (FAS) - (06/04)
Page: 7 of 8
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: LITTLE TREE MONTESSORI INTL.SCHOOL OF SUNNYVALE
FACILITY NUMBER: 434414171
VISIT DATE: 04/02/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
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.

Three Type B deficiencies and one technical violation were cited today on the attached LIC 809D pages. Appeal rights were printed and provided to Director.

Exit interview conducted and report was reviewed with Director, Yingchia 'Eva' Liu.

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 https://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: 04/02/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2026
LIC809 (FAS) - (06/04)
Page: 8 of 8