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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417231
Report Date: 11/07/2025
Date Signed: 11/07/2025 01:43:48 PM

Document Has Been Signed on 11/07/2025 01:43 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:SARATOGA FRENCH CULTURAL PRESCHOOLFACILITY NUMBER:
434417231
ADMINISTRATOR/
DIRECTOR:		NADIA BOUGACHOUCH IDRISSIFACILITY TYPE:
860
ADDRESS:12850 SARATOGA AVENUETELEPHONE:
(408) 255-0902
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY: 45TOTAL ENROLLED CHILDREN: 42CENSUS: 38DATE:
11/07/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:37 AM
MET WITH:Nadia IdrissiTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
NARRATIVE
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On 11/07/2025, Licensing Program Analyst (LPA) Farida Raja conducted an unannounced Case Management inspection in response to an unusual incident that was self-reported by the facility to Licensing on October 31, 2025. The incident occurred on 10/30/2025 involving children, C1 and C2. LPA met with Director, Nadia Idrissi and informed her of the purpose of the inspection.

LPA toured the facility and observed ratios in each classroom. Facility is operating within the ratio and capacity requirements of the license. During today's inspection, LPA conducted observations of the play ground where the incident occurred, interviewed Director and four staff and reviewed video footage and pictures pertaining to the incident.

Based on interviews, three staff (S1, S2 and S3) were present in the outdoor area at the time of the incident. Staff S2 was sweeping the wood chips from the concrete walking area and observed the plastic table and chairs being thrown next to her by children including C1 and C2. Staff present outdoors, including S2, stated that they did not observe child C1 being hurt by C2. Based on the video footage reviewed, LPA observed children including C1 and C2 being physical and playing in a rough manner with each other. Director and staff stated that the children are active and physical with each other and play regularly in this manner and therefore staff did not intervene. Director and staff stated that they did not notice any marks or bruises on C1 for the rest of the day and C1 did not mention, to any staff, that he was hurt by C2. Facility was notified by parent later the same day that child (C1) had marks on his neck from the interaction with C2.

One Type B deficiency was cited as a result of today's inspection. Appeal rights were printed and provided to Director. Exit interview conducted and report was reviewed with Director, Nadia Idrissi.

Director refused to sign today's inspection report.

A NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Farida Raja
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/07/2025
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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Document Has Been Signed on 11/07/2025 01:43 PM - It Cannot Be Edited


Created By: Farida Raja On 11/07/2025 at 11:48 AM
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: SARATOGA FRENCH CULTURAL PRESCHOOL
FACILITY NUMBER: 434417231

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type B
11/11/2025
Section Cited
CCR
101229(a)(1)

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101229 (a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time... Supervision shall include visual observation. This requirement is not met as evidenced by:
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Director to submit a written plan of correction to LPA by 11/11/2025.
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Based on interviews and review of video footage, LPA observed children including C1 and C2 being physical and playing in a rough manner with each other. Director and staff stated that the children are active and physical with each other and play regularly in this manner and therefore staff did not intervene. Facility was notified by parent later the same day that child, C1 had marks on his neck from the interaction with C2. This poses a potential risk to the health, safety and personal rights of children in care.
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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: 11/07/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/07/2025


LIC809 (FAS) - (06/04)
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