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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417272
Report Date: 08/10/2026
Date Signed: 08/10/2026 05:20:50 PM

Document Has Been Signed on 08/10/2026 05:20 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:SCHOLARS ACADEMYFACILITY NUMBER:
434417272
ADMINISTRATOR/
DIRECTOR:		ARSHIA ALIFACILITY TYPE:
860
ADDRESS:3703 SILVER CREEK ROADTELEPHONE:
(408) 238-2500
CITY:SAN JOSESTATE: CAZIP CODE:
95121
CAPACITY: 142TOTAL ENROLLED CHILDREN: 58CENSUS: 45DATE:
08/10/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Tarika Chawla and Arshia AliTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 08/10/2026, Licensing Program Analyst (LPA), Farida Raja and Office Technician, Rose Anne Bantug, met with Director, Arshia Ali, for an unannounced annual inspection. The facility is licensed to serve 13 infant children, 31 toddler component children and 98 preschool children for a total capacity of 142 children in 9 classrooms. The facility has two active waivers on file: waiver for shared outdoor activity space between preschool and private elementary school children at different times and waiver for infant and toddler component children to share outdoor activity space at different times and waiver to commingle infant and toddler component children in Room 11 from 7:30 AM to 8:30 AM and 5:00 PM to 6:00 PM. LPA observed the required postings at the entrance of both facility buildings. Days and hours of operation are Monday through Friday, 7:30 AM to 6:00 PM. Director will submit an updated Facility Sketch (LIC 999) and Personnel Record (LIC 500) to LPA by 08/31/2026.

LPA, Office Technician and Director of Enrollment, Tarika Chawla toured 9 classrooms and outside play areas of the facility and observed the following ratios:

Dolphins (Room 3)- Not in use


Lions (Room 4)- Not in use
Stallions (Room 5)- 2 children: 1 teacher
Panthers (Room 6)- 3 children : 1 teachers
Turtles (Room 8)- Not in use
Puma (Room 7)- Not in use
Cubs (Room 11)- 6 children: 3 teachers
Colts (Room 10)- Not in use
Unicorn (Room 9)- 4 children: 1 teacher

Continued on Page 2

Gladys Kuizon
Farida Raja
DATE: 08/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/10/2026
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: SCHOLARS ACADEMY
FACILITY NUMBER: 434417272
VISIT DATE: 08/10/2026
NARRATIVE
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Facility was in compliance with teacher to children ratio requirement. Facility has central heating/cooling for comfort of children. Director states that there are no weapons or firearms on the premises. There is a working telephone at the facility. Disinfectants and cleaning products were stored on high shelves inaccessible to the children and in a locked kitchen cabinet. LPA reminded Tarika that all disinfecting wipes need to be placed out of reach of children. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Floors were free from tripping hazards. Napping equipment is appropriate. LPA observed solid waste containers with tight-fitting lids in the rooms and for the disposal of diapers. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. Staff has one separate bathroom. Director stated that the facility is cleaned on a daily basis by house keeping staff.

LPA observed fire extinguishers, working smoke and carbon monoxide detectors, and fire pull stations. The facility has a built-in smoke detector/ fire system. Log shows that the last Fire Drill was conducted on 06/15/2026 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. Director stated that facility provides snacks and optional lunch through a third party vendor called 8Elements. Snacks and beverages were observed to be stored safely to prevent contamination and spoilage. Kitchen and storage areas were observed to be sanitary. All food and beverages that require refrigeration are stored appropriately. Menus are posted at least one week in advance where an authorized representative can view them.

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. LPA observed one covered water fountain in the outdoor area during today's inspection. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA referred [facility representative] to the Department website for lead: www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information.

Facility has a written attestation of testing exemption on file stating that they exclusively use bottled water for drinking and food preparation purposes are therefore are not required to test any water outlets as this time. LPA reminded Director that if, after January 1, 2023, it is determined that any water outlets at your facility have been or are being used for either drinking or food preparation, as the licensee, you will be subject to potential adverse action consistent with statute, Title 22 regulations, and the Written Directives, including but not limited to citations and civil penalties. If they plan or expect to begin using an outlet for food preparation or drinking water, Director must notify the regional office.

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

DATE: 08/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026
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: SCHOLARS ACADEMY
FACILITY NUMBER: 434417272
VISIT DATE: 08/10/2026
NARRATIVE
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Four outdoor playgrounds and play equipment were inspected and observed to be fenced in and free of hazards. LPA observed play equipment was in good condition and age-appropriate. Areas around and under high climbing equipment and slides were cushioned with rubber resilient material or artificial grass that absorbs falls. Shaded rest area is provided by canopies, building overhang and trees. There is no swimming pool or other bodies of water on the premises.

Children sign in and out logs were reviewed. Several children were observed to be missing signatures of authorized representatives on sign in and out logs. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed six (6) children's files during today's inspection. Each child's file reviewed was complete with contact information for authorized representative and or relatives or others who can assume responsibility for the child and medical assessment. Infant files reviewed include Infant Needs and Services Plan and Individual Infant Sleeping Plan. Staff providing care to infants meet the education requirements. LPA reminded Director that a child who is between 18 months and 36 months of age may participate in the toddler program with written permission from the child's authorized representative. No child in the toddler program shall be placed in the preschool program before the age of 30 months without written permission from the child's authorized representative. Facility has not been conducting and documenting 15 minute sleep logs for infants over 12 months and for children in the toddler component between the ages of 18 months to 24 months. LPA reminded Director that 15 minute sleep checks are required to be completed for all children under 24 months of age.

Three (3) staff files were reviewed. 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 on file. 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 and statement declining the influenza vaccine. LPA observed the required Mandated Reporter Training on file for all staff. LPA obtained an updated Personnel Report (LIC 500) during today's inspection. The name of the child care center director or fully qualified teacher designated to act in the director’s absence has been reported to the Department. One staff, S3 does not have fingerprint clearance. Director stated that they mistook the letter stating that staff fingerprints are submitted to mean that the staff's fingerprints were cleared.

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 101212) and the availability of resources provided by the Technical Support Program.

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

DATE: 08/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026
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: SCHOLARS ACADEMY
FACILITY NUMBER: 434417272
VISIT DATE: 08/10/2026
NARRATIVE
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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.

Director stated that facility does handle medications and currently has children in care who require Incidental Medical Services. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Facility has an approved IMS Plan on file with San Jose Regional Office. LPA observed that three children's medication has expired. LPA reminded Director that expired medication cannot be stored at the facility. 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 or outdoor restroom which is off limits to other children is used if necessary. Child must always be under visual supervision while in care of the facility. For IMS information see PIN 22-02-CCP. 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/.

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

One Type A and two Type B deficiencies were cited today on the attached LIC 809D pages. LPA Raja informed Director, Arshia Ali that this report dated 08/10/2026 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 Director, Arshia Ali to provide a copy of this licensing report dated 08/10/2026 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.

Appeal rights and LIC 9224 were printed and provided to Director.Exit interview conducted and report was reviewed with the Director, Arshia Ali.
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: 08/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/10/2026
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/10/2026 05:20 PM - It Cannot Be Edited


Created By: Farida Raja On 08/10/2026 at 01:28 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: SCHOLARS ACADEMY
FACILITY NUMBER: 434417272

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2026

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
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Based on observation, interview and record review, the licensee did not comply with the section cited above for 3 children which poses a potential health, safety or personal rights risk to persons in care. LPA observed that three children's medication has expired. LPA reminded Director that expired medication cannot be stored at the facility.
POC Due Date: 08/31/2026
Plan of Correction
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Director shall submit a written plan of how the center will check expiration dates on medications and request renewal or return expired medication to authorized representatives. Director will return children's expired medication. Director will send proof of correction to LPA by 08/31/2026.
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
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Based on record review and interview 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 LPA's review of the sign in and out records, several children were observed to be missing signatures of authorized representatives on sign in and out logs. Some parents were observed to have included the sign in and out time but not their signatures.
POC Due Date: 08/31/2026
Plan of Correction
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Director to submit proof of sign in and out log from 08/10/2026 to 08/14/2026 to LPA by plan of correction due date of 08/31/2026.
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: 08/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2026


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/10/2026 05:20 PM - It Cannot Be Edited


Created By: Farida Raja On 08/10/2026 at 02:07 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: SCHOLARS ACADEMY
FACILITY NUMBER: 434417272

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/10/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101170(e)(1)
All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility:
(1) Obtain a California clearance or a criminal record exemption as required by the Department

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on observation, interview and record review, the licensee did not comply with the section cited above for one staf , S3 which poses an immediate health, safety or personal rights risk to persons in care. Director stated that they mistook the letter stating that staff fingerprints are submitted to mean that the staff's fingerprints were cleared.
POC Due Date: 08/11/2026
Plan of Correction
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Director to submit a written plan of correction to LPA by 08/11/2026.
Section Cited
Deficient Practice Statement
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3
4
POC Due Date:
Plan of Correction
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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: 08/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/10/2026


LIC809 (FAS) - (06/04)
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