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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434418503
Report Date: 02/26/2026
Date Signed: 02/26/2026 01:20:52 PM

Document Has Been Signed on 02/26/2026 01:20 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:SJB TAMIEN STATION CDCFACILITY NUMBER:
434418503
ADMINISTRATOR/
DIRECTOR:		ALISA CALANTOCFACILITY TYPE:
860
ADDRESS:1221 LICK AVENUE, SUITE 101TELEPHONE:
(408) 593-2428
CITY:SAN JOSESTATE: CAZIP CODE:
95110
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: DATE:
02/26/2026
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:03 AM
MET WITH:Mariel Que & Alisa CalantocTIME VISIT/
INSPECTION COMPLETED:
01:50 PM
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On 02/26/25, Licensing Program Analyst (LPA) Janette Cruz met with Mariel Que- Program Compliance Coordinator/Applicant Representative. Also present during today’s inspection is Alisa Calantoc, designated facility director. The purpose of the visit was an announced pre-licensing inspection at the facility to ensure the health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. This is an application for total of 37 children consisting of 16 preschool children ages 2 years to entry to first grade in the preschool room, 12 toddlers ages 18 to 36 months in the toddler room and 9 infants ages 0 to 24 months in the infant room. The childcare center will operate Monday - Friday 7:00AM - 6:00 PM. The fire clearance was approved on 01/28/2026. There are no children present at the facility during today's inspection. Facility is situated in an apartment building, Tamien Station Apartments.

LPA toured and measured the on-limits areas and classrooms located at the facility. The facility has a total of 3 classrooms designated for each component.

Preschool Classroom measurements are:

The Indoor total measurements contain a total of {599.82} square feet, which will accommodate Applicant’s request for 16 preschool children.

Toddler Classroom measurements are:

The Indoor total measurements contain a total of {439.77} square feet, which will accommodate Applicant’s request for 12 toddler children.

Infant Classroom measurements are:

The Indoor total measurements contain a total of {320.48} square feet, which will accommodate Applicant’s request for 9 infant children.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/26/2026
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: SJB TAMIEN STATION CDC
FACILITY NUMBER: 434418503
VISIT DATE: 02/26/2026
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Preschool Outdoor measurements are:

Outdoor total measurements contain a total of {1693.86} square feet, which will accommodate Applicant’s request for 16 preschool children.

Infant/Toddler outdoor measurements are:


The Indoor total measurements contain a total of {1075.54} square feet, which will accommodate Applicant’s request for 9 infants or 12 toddlers.

Applicant stated that the infants and toddlers will access the playground on a rotation schedule. Applicant shall submit an outdoor waiver for playground use.


LPA observed all classrooms to be clean, safe, sanitary and in good repair. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children, including toys, shall be free of toxic substances. All play equipment and materials used by children were observed to be age-appropriate. LPA observed no fireplace or open face heaters. LPA observed fully charged fire extinguisher, carbon monoxide and smoke detectors in the facility. There are 46 chairs, 10 tables, 58 cubbies, 33 cots, 4 toilets, 1 potty chair, 9 sinks, 6 cribs, 4 feeding chairs and 2 changing tables available for the preschool, toddlers and infants. Staff have two separate bathrooms that can be utilized by sick children if needed. Sick children will be isolated in the office area of the facility The isolation area shall be equipped with a crib, cot, mat or playpen for each ill child or infant.. LPA observed that items that may pose a danger to children were stored in storage rooms inaccessible to children. LPA advised applicant that all containers used for storage of solid wastes shall have a tight-fitting cover that is kept on, shall be in good repair; and shall be leakproof and rodent-proof. LPA advised that Applicant maintains first-aid supplies in a location accessible to staff but inaccessible to children. Facility is equipped with alarmed doors for security.

LPA observed infant changing table within arms reach to the sink. Applicant stated that facility will provide milk bottles for infants, baby food is prepared at the facility's kitchen. LPA advised Applicant that as per Title 22 regulations, bottles and dishes provided by authorized representatives shall be rinsed and returned to authorized representatives for sanitizing at the end of each day. Applicant was also advised that there shall be a minimum of one hand washing sink to every 15 infants and one potty chair to every 5 infants being toilet trained. LPA discussed that director designated for this facility, Alisa Calantoc, must be assigned to only one facility. Alisa is currently the director at SJB Vinci Park. Applicant was advised that director qualification/credentials must be submitted to the assigned LPA for SJB Vinci Park, in order to officially designate Alisa as director for this location.

NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
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: SJB TAMIEN STATION CDC
FACILITY NUMBER: 434418503
VISIT DATE: 02/26/2026
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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.

The Applicant shall take measures to keep the center free of flies, other insects, and rodents. Lunch and snacks are delivered to the facility from SJB San Juan central kitchen LPA advised Applicant as per Title 22, if food is prepared off the center premises, the following shall apply: (A)The preparation source shall meet all applicable requirements for commercial food services. (B)The center shall have the equipment and staff necessary to receive and serve the food and to clean up. (C)The center shall maintain the equipment necessary for in-house food preparation, or shall have an alternate source for food preparation and service in the event of an emergency. Commercial foods shall be approved by appropriate federal, state and local authorities. All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption. LPA observed the facility has off-limits kitchen area equipped with refrigerator and microwave in the premises. Kitchen and storage areas were observed to be clean and free of litter and rubbish. Drinking water is readily available for the children though water pitchers supplied from a filtered water source. LPA observed that some of classroom sink faucets are dispensing hot water. Applicant was advised that hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by children to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C).

Designated outdoor areas for preschool, toddler and infant children that were observed to be free of hazards including, holes, broken glass, dry grass, and other debris that may pose a fire hazard. Shade was provided by canopy structures. The playground areas have resilient materials (grass) that can absorb falls. Facility did not have a climbing equipment, it is equipped with a slide structure. The playground is enclosed by a fence at least four feet high to protect children and to keep them in the outdoor activity area. LPA observed an outdoor sensory table capable of collecting water after rainfall. Applicant was reminded to ensure proper drainage and safe disposal of any accumulated water to prevent the table from becoming water basins and to mitigate the risk of child drowning. Any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. LPA observed no bodies of water. LPA observed the exits from infant and preschool yards open directly to a public outdoor area. Applicant stated that additional locking mechanism or alarms will be implemented to ensure the outdoor area remains secure. Applicant stated that the apartment complex is equipped with surveillance cameras that monitor the exterior of the building premises. Applicant confirmed that there are no weapons in the facility premises. Facility will not provide transportation to children.
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
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: SJB TAMIEN STATION CDC
FACILITY NUMBER: 434418503
VISIT DATE: 02/26/2026
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Drinking water from a non-contaminating fixture or container shall be readily available both indoors and in the outdoor activity area. LPA advised per Health and Safety Code 1597.16(a)(1) Lead Testing and PIN-21-21-CCP Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test.
Per Written Directive 100700(c)(1) Written Directives for Lead Testing (1) For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA reviewed with the Applicant LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant was informed of the MyChildCarePlan.org site, 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.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPA discussed the safe sleep regulations with Director 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 Applicant of the importance of checking for 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.
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: SJB TAMIEN STATION CDC
FACILITY NUMBER: 434418503
VISIT DATE: 02/26/2026
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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

The following items are needed before a licensure will be considered.
1. Approval of outdoor activity waiver to allow infant and toddlers to share the infant/toddler yard on rotation schedule.

An exit interview was conducted and copy of appeal rights and this report was provided to the Applicant Representative: Mariel Que. Final license determination will be made upon review and approval by the Licensing Program Manager.
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC809 (FAS) - (06/04)
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