CHALLENGER SCHOOL-SUNNYVALE

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 11/05/2025, Licensing Program Analyst(LPA), Mandeep Kaur met with Director, Denise Reid for an unannounced case management-incident inspection. LPA toured the indoor and outdoor areas of the facility and census was taken. The purpose of today's inspection was to address an unusual incident, that occurred on 10/30/2025 and was reported to the San Jose Regional office on 10/31/2025 by the facility. LPA interviewed staff and children and obtained pertinent documents during today's inspection. On October 30, 2025, during recess time in the outdoor play area, Child(C1) was reportedly hit by another Child(C2). The incident was not observed by any staff members or other children. Staff reported that they did not observe any unusual behavior from Child(C1) throughout the day of October 30, 2025. On the morning of October 31, 2025, the parent of C1 informed the facility’s Director about the incident, reporting that C1 was taken to the emergency room due to experiencing double vision. C1 returned to the facility on November 3, 2025. LPA discussed the importance of active supervision at all times with the Director. LPA inspected the area where the incident said to be occurred and did not observe any safety hazards or areas of concern. Based on interviews and information obtained during today’s inspection, it was determined that appropriate supervision and staff-to-child ratios were in place, none of the children’s personal rights were violated, and reporting requirements were met. No deficiency issued during today's inspection and Appeal rights were provided. **Continue on next page** NAME OF LICENSING PROGRAM MANAGER: Susy Cervantes NAME OF LICENSING PROGRAM ANALYST: Mandeep Kaur LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2025 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 corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is requi

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 11/05/2025, Licensing Program Analyst(LPA), Mandeep Kaur met with Director, Denise Reid for an unannounced case management-incident inspection. LPA toured the indoor and outdoor areas of the facility and census was taken. The purpose of today's inspection was to address an unusual incident, that occurred on 10/30/2025 and was reported to the San Jose Regional office on 10/31/2025 by the facility. LPA interviewed staff and children and obtained pertinent documents during today's inspection. On October 30, 2025, during recess time in the outdoor play area, Child(C1) was reportedly hit by another Child(C2). The incident was not observed by any staff members or other children. Staff reported that they did not observe any unusual behavior from Child(C1) throughout the day of October 30, 2025. On the morning of October 31, 2025, the parent of C1 informed the facility’s Director about the incident, reporting that C1 was taken to the emergency room due to experiencing double vision. C1 returned to the facility on November 3, 2025. LPA discussed the importance of active supervision at all times with the Director. LPA inspected the area where the incident said to be occurred and did not observe any safety hazards or areas of concern. Based on interviews and information obtained during today’s inspection, it was determined that appropriate supervision and staff-to-child ratios were in place, none of the children’s personal rights were violated, and reporting requirements were met. No deficiency issued during today's inspection and Appeal rights were provided. **Continue on next page** NAME OF LICENSING PROGRAM MANAGER: Susy Cervantes NAME OF LICENSING PROGRAM ANALYST: Mandeep Kaur LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/05/2025 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received. FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2025 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 corrections are telephoned to the licensing agency, the date, person contacted, and information given. CIVIL PENALTIES The licensing agency is requi