434415594-5-8-2026-07-CC-FRAA-DTVRPT-20260508131227

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415594
Report Date: 05/08/2026
Date Signed: 05/08/2026 01:12:44 PM

Document Has Been Signed on 05/08/2026 01:12 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:	PRECIOUS MOMENTS PRESCHOOL LLC		FACILITY NUMBER:	434415594
ADMINISTRATOR/ DIRECTOR:	THUONG LE		FACILITY TYPE:	850
ADDRESS:	830 WEST EVELYN AVENUE		TELEPHONE:	(408) 685-2261
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94086
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 28	CENSUS: 28	DATE:	05/08/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:50 AM
MET WITH:	Thuong Le and Priyanka Bansal		TIME VISIT/ INSPECTION COMPLETED:	01:20 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 05/08/2026, Licensing Program Analyst (LPA), Farida Raja, met with Director, Thuong Le for an unannounced Annual/Random Inspection. The facility is licensed to serve 10 toddler children in the Brown Room and 20 preschool children until 6 years of age in the the Orange and Green Rooms. The facility has one waiver on file for having a maximum of 15 children in the outdoor area at any time. During today's inspection LPA observed both preschool and toddler children use the same bathroom and outdoor area. Licensee Representative submitted a copy of the original waiver requests for the shared restroom and outdoor area during today's inspection. LPA also obtained a copy of the Personnel Report (LIC 500). LPA observed the required posted materials including menus and daily schedule for each classroom near the entrance. Days and hours of operation are Monday through Friday, 8:00 AM to 5:30 PM. LPA toured the indoor and outdoor areas of the facility during today's inspection and observed the following ratios: Brown Room (Toddler Component)- 4 children : 1 teacher (fully qualified staff) Orange + Green Room (Preschool)- 9 children : 1 teacher (director) Facility was in compliance with teacher to children ratio requirement. Licensee Representative/ Teacher, Priyanka Bansal arrived during the inspection. Classrooms, children's restroom, staff restroom, outdoor area, kitchen and office area were inspected. LPA observed that stairs leading to the Brown Room had a child gate at the foot of the stairs that was not attached and could easily be moved by children. LPA advised Licensee Representative to place a child gate at both at the top and foot of the stairs, which could not easily be moved by children therefore making the area inaccessible. Licensee Reprehensive will submit picture proof of installed children's gates to LPA by 05/22/2025. Continued on Page 2

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

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: PRECIOUS MOMENTS PRESCHOOL LLC	FACILITY NUMBER: 434415594
	VISIT DATE: 05/08/2026

NARRATIVE

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There is a working telephone at the facility. Facility has central heating/cooling for comfort of children. Director states that there are no weapons or firearms on the premises. Disinfectants, cleaning products and medicines were stored inaccessible to the children in care. Furniture and equipment were age appropriate. LPA observed solid waste containers with tight-fitting lids in all rooms. LPA observed appropriate changing table that has raised sides (3 inches in height) and has vinyl changing pads that are at least 1 inch thick in the restroom. LPA observed a trash can with tight fitting cover for the disposal of diapers. Napping mats are appropriate. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. Staff have one separate bathroom that can be utilized by sick children if needed. LPA reminded Licensee Representative that all cleaning products must be placed inaccessible prior to allowing sick child access to staff restroom.

LPA observed serviced fire extinguishers and working smoke and carbon monoxide detectors. The facility has a built-in smoke detector/ fire system. Log shows that the last Fire Drill was conducted on 04/14/2026 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 store bought water. Water lead testing was completed for the facility on 10/06/2023 and no Action Level Exceedances were reported. Licensee Representative provided LPA with a copy of the water lead report, External Water Sampler Self Certification Form (LIC 9275) and facility sketch indicating the outlet tested 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.

Facility provides breakfast, lunch and afternoon snack to the children in care. Monthly menu was observed to be posted in the kitchen. Parents have the option to provide meals and snacks to the children. Food and beverages were stored safely to prevent contamination and spoilage. The food preparation area is in the toddler room. Food storage and preparation areas were observed to be sanitary. All food and beverages that require refrigeration are stored in covered containers.

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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

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: PRECIOUS MOMENTS PRESCHOOL LLC	FACILITY NUMBER: 434415594
	VISIT DATE: 05/08/2026

NARRATIVE

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The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. There is adequate equipment, supplies, and toys for children outdoors. LPA observed that the play equipment is age appropriate. LPA observed some cracks and breakage on the small outdoor slide and advised Licensee Representative to replace or make it inaccessible to children. There are sufficient resilient material in the outdoor playground area. There are no bodies of water observed. Shade is provided by trees and building overhang in the playground. Facility does not provided transportation to the children. The play structure in the outdoor area is for older children and LPA advised Licensee Representative to follow manufacturer instructions prior to allowing access to children.

Children sign in and out procedures and logs were reviewed. LPA observed that some authorized representatives had not signed children in and out. LPA reminded Licensee Representative that authorized representatives must sign children in and out at drop off and pick up times. Children's roster was reviewed, and a copy will be emailed to LPA. LPA reviewed 6 children’s files during today's inspection. Each child's file reviewed contained the required forms. Needs & Services Plans were on file for toddler children. LPA observed log of 15 minute checks for two children under 24 months of age.

LPA discussed the safe sleep regulations with Licensee Representative 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 Representative 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.

Three staff files were reviewed. All teachers and staff maintain valid background clearances. All staff files reviewed contain the required transcripts/verification of experience. One staff has current CPR and First Aid certification and all Mandated Reporter Training. 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). All staff have the required immunization's against pertussis, measles, statement declining the influenza immunization and the Health Screening Report.

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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

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: PRECIOUS MOMENTS PRESCHOOL LLC	FACILITY NUMBER: 434415594
	VISIT DATE: 05/08/2026

NARRATIVE

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Licensee Representative 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. LPA reminded Licensee Representative that all medications must be accepted in the original container with an unaltered label with child's name and dosage. Medications are stored in a high cabinet in the Orange Room out of reach of children. First aid supplies were reviewed. 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/

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. 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.

Licensee representative 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.

One Type B deficiency was cited today on the attached LIC 809D pages. Appeal rights were printed and provided to Licensee Representative.

Exit interview conducted and report was reviewed with Licensee Representative, Priyanka Bansal.

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: 05/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/08/2026 01:12 PM - It Cannot Be Edited

Created By: Farida Raja On 05/08/2026 at 12:48 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: PRECIOUS MOMENTS PRESCHOOL LLC	FACILITY NUMBER: 434415594
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/08/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229.1(b)

Sign In and Sign Out

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. 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. LPA observed that some authorized representatives had not signed children in and out. LPA reminded Licensee Representative that authorized representatives must sign children in and out at drop off and pick up times.
	POC Due Date: 05/22/2026
	Plan of Correction
1 2 3 4	Licensee Representative to submit a plan of correction to LPA by 05/22/2026.

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: 05/08/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2026

LIC809 (FAS) - (06/04)

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