ACTION DAY NURSERY-PRIMARY PLUS

Type B citation - potential risk if not corrected

Type B citation - potential risk if not corrected

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 06/12/2025 at approximately 10:40am, Licensing Program Analyst (LPA) Kassandra Medrano met with Site Director, Jessica Guzman, for an unannounced Case Management Inspection. The purpose of the inspection was to discuss an unusual incident that occurred on 04/24/2025; Oakland South Regional Office (OSRO) received written documentation of the incident on 05/01/2025. At approximately 11:00am, during tour of facility it was observed that facility was currently installing fences on the property but had not notified OSRO. On the day mentioned above, an incident occurred where threatening and inappropriate language was found on the facility's parent portal- "Preschool2Me." A lock down was initiated by Action Day Staff, and Mountain View Police Department (MVPD) responded to the allegation and began their investigation. The investigation by MVPD remains ongoing. Based on information available, Facility did not appropriately notify OSRO about the incident that occurred. As well as, on 4/25/25, facility representatives found a bottle of alcohol in a cabinet within a classroom, which was accessible to children and belonged to S1. Per facility representatives, the alcohol could not be reached by children in that classroom. Action Day School staff have addressed the concern and have followed the schools policies and procedure's regarding alcohol on campus. During inspection, LPA obtained copies of children's roster, staff roster, and other documents pertaining to the incident listed above. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative, Jessica. California Code of Regulations, Title 22 deficiencies are being cited on the following pages: NAME OF LICENSING PROGRAM MANAGER: Wynn Norona NAME OF LICENSING PROGRAM ANALYST: Kassandra Medrano LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 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 c

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 06/12/2025 at approximately 10:40am, Licensing Program Analyst (LPA) Kassandra Medrano met with Site Director, Jessica Guzman, for an unannounced Case Management Inspection. The purpose of the inspection was to discuss an unusual incident that occurred on 04/24/2025; Oakland South Regional Office (OSRO) received written documentation of the incident on 05/01/2025. At approximately 11:00am, during tour of facility it was observed that facility was currently installing fences on the property but had not notified OSRO. On the day mentioned above, an incident occurred where threatening and inappropriate language was found on the facility's parent portal- "Preschool2Me." A lock down was initiated by Action Day Staff, and Mountain View Police Department (MVPD) responded to the allegation and began their investigation. The investigation by MVPD remains ongoing. Based on information available, Facility did not appropriately notify OSRO about the incident that occurred. As well as, on 4/25/25, facility representatives found a bottle of alcohol in a cabinet within a classroom, which was accessible to children and belonged to S1. Per facility representatives, the alcohol could not be reached by children in that classroom. Action Day School staff have addressed the concern and have followed the schools policies and procedure's regarding alcohol on campus. During inspection, LPA obtained copies of children's roster, staff roster, and other documents pertaining to the incident listed above. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative, Jessica. California Code of Regulations, Title 22 deficiencies are being cited on the following pages: NAME OF LICENSING PROGRAM MANAGER: Wynn Norona NAME OF LICENSING PROGRAM ANALYST: Kassandra Medrano LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 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 c

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 06/12/2025 at approximately 10:40am, Licensing Program Analyst (LPA) Kassandra Medrano met with Site Director, Jessica Guzman, for an unannounced Case Management Inspection. The purpose of the inspection was to discuss an unusual incident that occurred on 04/24/2025; Oakland South Regional Office (OSRO) received written documentation of the incident on 05/01/2025. At approximately 11:00am, during tour of facility it was observed that facility was currently installing fences on the property but had not notified OSRO. On the day mentioned above, an incident occurred where threatening and inappropriate language was found on the facility's parent portal- "Preschool2Me." A lock down was initiated by Action Day Staff, and Mountain View Police Department (MVPD) responded to the allegation and began their investigation. The investigation by MVPD remains ongoing. Based on information available, Facility did not appropriately notify OSRO about the incident that occurred. As well as, on 4/25/25, facility representatives found a bottle of alcohol in a cabinet within a classroom, which was accessible to children and belonged to S1. Per facility representatives, the alcohol could not be reached by children in that classroom. Action Day School staff have addressed the concern and have followed the schools policies and procedure's regarding alcohol on campus. During inspection, LPA obtained copies of children's roster, staff roster, and other documents pertaining to the incident listed above. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative, Jessica. California Code of Regulations, Title 22 deficiencies are being cited on the following pages: NAME OF LICENSING PROGRAM MANAGER: Wynn Norona NAME OF LICENSING PROGRAM ANALYST: Kassandra Medrano LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 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 c

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25On 06/12/2025 at approximately 10:40am, Licensing Program Analyst (LPA) Kassandra Medrano met with Site Director, Jessica Guzman, for an unannounced Case Management Inspection. The purpose of the inspection was to discuss an unusual incident that occurred on 04/24/2025; Oakland South Regional Office (OSRO) received written documentation of the incident on 05/01/2025. At approximately 11:00am, during tour of facility it was observed that facility was currently installing fences on the property but had not notified OSRO. On the day mentioned above, an incident occurred where threatening and inappropriate language was found on the facility's parent portal- "Preschool2Me." A lock down was initiated by Action Day Staff, and Mountain View Police Department (MVPD) responded to the allegation and began their investigation. The investigation by MVPD remains ongoing. Based on information available, Facility did not appropriately notify OSRO about the incident that occurred. As well as, on 4/25/25, facility representatives found a bottle of alcohol in a cabinet within a classroom, which was accessible to children and belonged to S1. Per facility representatives, the alcohol could not be reached by children in that classroom. Action Day School staff have addressed the concern and have followed the schools policies and procedure's regarding alcohol on campus. During inspection, LPA obtained copies of children's roster, staff roster, and other documents pertaining to the incident listed above. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Facility representative, Jessica. California Code of Regulations, Title 22 deficiencies are being cited on the following pages: NAME OF LICENSING PROGRAM MANAGER: Wynn Norona NAME OF LICENSING PROGRAM ANALYST: Kassandra Medrano LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/12/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/12/2025 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FAS) - (06/04)Page: 1 of 3 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 c

Type B citation from complaint investigation - potential risk if not corrected