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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417216
Report Date: 06/23/2026
Date Signed: 06/23/2026 06:01:47 PM

Document Has Been Signed on 06/23/2026 06:01 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:LEARN AND PLAY MONTESSORI SUNNYVALEFACILITY NUMBER:
434417216
ADMINISTRATOR/
DIRECTOR:		SVETLANA TSUKERFACILITY TYPE:
860
ADDRESS:1055 SUNNYVALE SARATOGA ROADTELEPHONE:
(510) 916-1503
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 231TOTAL ENROLLED CHILDREN: 168CENSUS: 147DATE:
06/23/2026
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:40 PM
MET WITH:Svetlana TsukerTIME VISIT/
INSPECTION COMPLETED:
06:15 PM
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On 06/23/2026, Licensing Program Analyst (LPA) Martha Jimenez-Villanueva conducted an unannounced Case management incident inspection. Upon arrival, LPA met with Center Director (CD) Svetlana Tsuker and Regional Director (RD) Selva Namokarean and explained the reason for inspection. The purpose of this inspection is the review an incident that was self reported to the San Jose Regional office on 06/16/2026.

Regional Director (RD) states that the teacher in the Room 10 took her class, after snack time to the playground area around 9:30AM. There were 18 preschool children in the Room 10 but Child 1 was not listed in the sign sheet and either in the white board. When the teacher did a name to face roll call before exiting the classroom, C1 was not name to face roll. C1 was leaving in the classroom. Staff were notified by a parent that a child remained in the classroom. The C1 was located at approximately at 9:48AM alone in the Room 10. RD states that the child was fine and not upset or crying and did not sustain any injuries. Parents were notified. RD states that the Staff involved was sent home for the day pending an investigation and under administrative leave.

Based on the available evidence (interviews and reviewed of video footage), LPA concluded that there was a lack of supervision on June 16, 2026 which involved C1 was left in the classroom 10 unattended during transition time, from 9:28AM to 9:48AM. LPA reviewed Video footage showed the time C1 was alone in the classroom.

LPA discussed with RD about procedures and protocols to ensure all children are accounted for and supervised at all time. Director stated that she conducted a staff meeting with all her staff on June 17, 2026.

As a result of this investigation, a Type A deficiency was cited on the attached page (809-D) and a civil penalty of $500 has been assessed for immediate $500. Center Director was informed that failure to correct the deficiency by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.
Report continues in next pages
NAME OF LICENSING PROGRAM MANAGER: Mireya Flores
NAME OF LICENSING PROGRAM ANALYST: Martha Jimenez-Villanueva
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/23/2026
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: LEARN AND PLAY MONTESSORI SUNNYVALE
FACILITY NUMBER: 434417216
VISIT DATE: 06/23/2026
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An exit interview was conducted where this report, citation, plan of correction, appeal rights, and civil penalty were discussed and provided to Center Director (CD) Svetlana Tsuker.

LPA Martha Jimenez-Villanueva informed Center Director Svetlana Tsuker that this report dated 06/23/2026 documents one deficiency 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 Martha Jimenez-Villanueva informed the licensee Center Director Svetlana Tsuker to provide a copy of this licensing report dated 06/23/2026 that documents any 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.

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

NAME OF LICENSING PROGRAM MANAGER: Mireya Flores
NAME OF LICENSING PROGRAM ANALYST: Martha Jimenez-Villanueva
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/23/2026 06:01 PM - It Cannot Be Edited


Created By: Martha Jimenez-Villanueva On 06/23/2026 at 05:25 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: LEARN AND PLAY MONTESSORI SUNNYVALE
FACILITY NUMBER: 434417216

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/23/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/24/2026
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision: (a) The licensee shall provide care and supervision .to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, ... Supervision shall include visual observation. This requirement is not met as evidenced by:
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Per Site Center Director Svetlana Tsucker will submit a written plan to ensure that staff maintain 100% supervision is provided to children at all times. The plan of correction will be submitted to LPA Jimenez by 06/24/2026 at the end business day via email.
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C1 was left in the classroom 10 unattended during transition time, from 9:28AM to 9:48AM. LPA reviewed Video footage showed the time C1 was alone in the classroom.
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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.
Mireya Flores
NAME OF LICENSING PROGRAM MANAGER:
Martha Jimenez-Villanueva
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/23/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/23/2026


LIC809 (FAS) - (06/04)
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