<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270709833
Report Date: 06/13/2023
Date Signed: 06/13/2023 05:24:41 PM


Document Has Been Signed on 06/13/2023 05:24 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:MISS BARBARA'S CHILD CARE CENTERFACILITY NUMBER:
270709833
ADMINISTRATOR:CHRISTINE AIELLOFACILITY TYPE:
850
ADDRESS:226 BEACH ROADTELEPHONE:
(831) 883-2616
CITY:MARINASTATE: CAZIP CODE:
93933
CAPACITY:48CENSUS: 23DATE:
06/13/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
04:30 PM
MET WITH:John MimsTIME COMPLETED:
05:40 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Joe Macias conducted an unannounced Case Management Inspection. The purpose of today’s visit is to ensure the facility is in compliance with Title 22 California Code of Regulations. LPA met with the Administrator John Mims, and explained the nature of today's visit.

During the course of a complaint investigation it was determined that the Licensee on record, Barbara Moore, no longer maintains control of property so the license is forfeited. The current operator, John Mims, has been served with a Notice of Operation in Violation of Law (NOVL) and if a completed application is not submitted or operation does not cease within 15 calendar days of the Notice, on day 16, a civil penalty of $200 per day is assessed until a completed application is submitted or operation ceases.

LPA Macias explained that no person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license therefore as provided in this act. LPA Macias reviewed the requirements for obtaining a child care license with John Mims.

Type A deficiency cited, exit interview conducted and copy of this report provided to the Administrator John Mims. The LPA reviewed the Notice of Operation in Violation of Law with the Administrator John Mims

LPA discussed the requirements of AB633 with the Director and provided the AB633 fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224), the Director understands the requirements.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE FRONT ENTRANCE TO THE CENTER, AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2023
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 2


Document Has Been Signed on 06/13/2023 05:24 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: MISS BARBARA'S CHILD CARE CENTER
FACILITY NUMBER: 270709833

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/13/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/14/2023
Section Cited
CCR
101157(1)

1
2
3
4
5
6
7
Operation Without a License:
No person, firm, partnership, association, or corporation shall operate, establish, manage, conduct, or maintain a child day care facility in this state without a current valid license therefore as provided in this act.
1
2
3
4
5
6
7
The Administrator John Mims shall submit a plan outlining the what next steps will be taken moving forward. Mims will notify CCL in writing of what direction will be taken regarding obtaining a license by the POC date.
8
9
10
11
12
13
14
During the course of a complaint investigation it was determined that the Licensee on record, Barbara Moore, no longer maintains control of property so the license is forfeited. The current operator, John Mims, has been served with a Notice of Operation in Violation of Law (NOVL). This poses an immediate risk to the health, safety, and personal rights of the children in care.
8
9
10
11
12
13
14
AB633 to issued to all parents of children in care, signed, filed in each child's file, and provider to do the same for all new clients for the next 12 months to this day.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:
DATE: 06/13/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/13/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2