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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434414441
Report Date: 07/22/2026
Date Signed: 07/22/2026 02:30:48 PM

Document Has Been Signed on 07/22/2026 02:30 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:SANTEE HEAD START/STATE PRESCHOOLFACILITY NUMBER:
434414441
ADMINISTRATOR/
DIRECTOR:
ELISA HERNANDEZ VEGAFACILITY TYPE:
850
ADDRESS:1399 SANTEE DRIVETELEPHONE:
(408) 573-4823
CITY:SAN JOSESTATE: CAZIP CODE:
95122
CAPACITY: 181TOTAL ENROLLED CHILDREN: 57CENSUS: 36DATE:
07/22/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:ELISA HERNANDEZ VEGATIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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On 07/22/26, Licensing Program Analyst (LPA) Syeda Bahar conducted an Unannounced ‘Case Management - Licensee Initiated’ inspection and was greeted by Director, Elisa Hernandez Vega. LPA explained the purpose of the inspection to Director. LPA conducted a tour of the facility and observed 13 staff supervising 36 preschool aged children. LPA observed that the facility was operating in compliance with teacher to children ratio requirements during today's inspection. Days of operations are Monday-Friday, 8:15 AM to 4:15 PM. Director stated that there are two sessions. The single session program’s operating hours are from 8:15 AM to 2:15 PM; and the full day program’s operating hours are from 8:15 AM to 4:15 PM.

The facility submitted an application for a change of capacity from 181 to 80 children, adding classroom Madrone 2 (Room 140), and removing classrooms Cottonwood 3 (Room 167), and Cottonwood 4 (Room 163), Maple 3 (Room 183), Maple 4 (Room 178).

Fire Clearance was granted on 07/09/26 for a total of 80 capacity for preschool age children. Director stated that staff furniture was added inside classrooms Madrone 1, Madrone 2, Madrone 3 and Madrone 4. Thus LPA toured and measured all four classrooms of the facility, during today’s inspection.


The following are indoor measurements and information:
Madrone 1 (Room 136): 38.92 x 19.07 = 742.20 minus 39.84 (encumbered space) = 702.36
Madrone 2 (Room 140): 38.95 x 19.45 = 757.58 minus 34.10 (encumbered space) = 723. 48
Madrone 3 (Room 141): 38.90 x 21.51 = 836.74 minus 39.27 (encumbered space) = 797.47
Madrone 4 (Room 146): 38.85 x 23.7 = 920.75 minus 36.58 (encumbered space) = 884.17

TOTAL PRESCHOOL INDOOR SPACE = 3107.47 sq. ft. divided by 35 sq. ft. = 88 children.


[Continue to page 2]
Mireya Flores
Syeda Bahar
DATE: 07/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2026
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: SANTEE HEAD START/STATE PRESCHOOL
FACILITY NUMBER: 434414441
VISIT DATE: 07/22/2026
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LPA observed there are sufficient tables, chairs, cubbies, and mats/cots for preschool children. There are adequate equipment, supplies, and toys for the children in all classrooms. LPA observed trash can with tight fitting lid for the disposal of solid waste in each classroom. Drinking water is available to children via pitchers and disposable cups in the classrooms. LPA observed functioning smoke/carbon monoxide detectors in each classroom.

LPA observed the following inside the preschool classrooms:


Madrone 1 (Room 136): 8 cubbies, 16 hooks, 20 chairs, 8 tables, 3 children’s couches, 15 shelves, 2 sinks, 15 mats/cots, 2 toilets, and 2-bathroom sinks.

Madrone 2 (Room 140): 8 cubbies, 21 hooks, 23 chairs, 6 tables, 2 children’s couches, 17 shelves, 5 toy storage, 2 sinks, 20 mats/cots, 2 toilets, and 2-bathroom sinks.

Madrone 3 (Room 141): 7 cubbies, 20 hooks, 28 chairs, 7 tables, 1 sand table, 3 children’s couches, 13 shelves, 5 toy storage, 2 sinks, 20 mats/cots, 3 toilets, and 2-bathroom sinks.

Madrone 4 (Room 146): 7 cubbies, 20 hooks, 22 chairs, 4 tables, 5 children’s couches, 12 shelves, 2 toy storage, 2 sinks, 20 mats/cots, 3 toilets, and 2-bathroom sinks.

The sinks used by children only have cold running water. There are 3 staff bathrooms at the facility. The sick children will be using the staff bathroom located next to Madrone Room 4 if needed and will be escorted by a staff member. Sick children will be isolated in the Office located next to Madrone Room 3 and isolation equipment will be provided. Staff and children's bathrooms are clean, sanitary, and operable.

Facility provides breakfast, lunch, and PM snacks (full day program only). Meals are prepared in the facility’s kitchen. The kitchen is equipped with a stove, oven, hot and cold running water, refrigerator, microwave, and dishwasher. All poisons are kept in a locked storage area. Disinfectants, cleaning solutions, medication and other hazardous items are made inaccessible.

Playground equipment is in safe condition, free of sharp, loose or pointed parts. The surface of the outdoor activity space is maintained in a safe condition and is free of hazards. Areas around high climbing equipment, swings and slides have cushioning material to absorb falls. LPA observed the playgrounds are fully fenced.

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NAME OF LICENSING PROGRAM MANAGER: Mireya Flores
NAME OF LICENSING PROGRAM ANALYST: Syeda Bahar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2026
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: SANTEE HEAD START/STATE PRESCHOOL
FACILITY NUMBER: 434414441
VISIT DATE: 07/22/2026
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Shades are provided by trees, canopies, and building overhang. Drinking water outdoors is provided via pitchers and disposable cups. There are no swimming pools or other bodies of water on the premises. There are no firearms or ammunition allowed or stored on the premises.

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.

LPA discussed the safe sleep regulations with the 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 Director 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.

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. 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-carecenters/.

Exit interview conducted and report was reviewed with the Director, Elisa Hernandez Vega. Appeal rights were provided. Per Title 22, Division 12, of the California Code of Regulations, no deficiencies are cited.

LPA advised Director, Elisa Hernandez Vega that a license for 80 preschool children is approved effective today, July 22, 2026.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.


-------------------------------------------------------------End of Report----------------------------------------------------------------
NAME OF LICENSING PROGRAM MANAGER: Mireya Flores
NAME OF LICENSING PROGRAM ANALYST: Syeda Bahar
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2026
LIC809 (FAS) - (06/04)
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