270710358-4-17-2024-07-CC-FCJO-D4EUBP-20240417152641

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 270710358
Report Date: 04/17/2024
Date Signed: 04/17/2024 03:26:48 PM

Document Has Been Signed on 04/17/2024 03:26 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:	GABILAN HEAD START		FACILITY NUMBER:	270710358
ADMINISTRATOR:	FLETES, SANDRA		FACILITY TYPE:	850
ADDRESS:	417 NORTH RUSS STREET		TELEPHONE:	(831) 385-1568
CITY:	KING CITY	STATE: CA	ZIP CODE:	93930
CAPACITY:	24	CENSUS: 20	DATE:	04/17/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Margarita Medina and Raquel Rodriguez.		TIME COMPLETED:	03:35 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), Fermin Campos-Jaramillo, conducted an annual visit to the facility and met with Raquel Rodriguez, master teacher, and explained the nature of today’s visit. LPA observed 20 children were present and two fully qualified teachers were with them providing care and supervision. LPA toured the Facility both inside and outside during today’s visit. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents’ Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menu for the current month, and Activity Schedule. All facility staff are fingerprinted and cleared by the Monterey County Office of Education (MCOE). LPA reviewed six children files, LPA observed the medical assessment and the Information and Emergency Information form (LIC 700) in the children’s files. LPA observed the required health screening in three staff files. Three staff filers reviewed have unexpired CPR and First Aid Certifications. Master teacher understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). Master teacher understands the conditions, limitations, and capacity specifications of the Facility license. Master teacher understands that children shall be visually supervised at all times. LPA reviewed the sign-in, sign-out have full signatures and obtained a copy of the Child Care Facility Roster (LIC 9040). LPA observed that the teacher/child ratio was in compliance during today’s visit. Drinking water is readily available for the children in the licensed room 5 and in the outdoor playground area via drinking fountain in the classroom and a water cooler with disposable cups in the outdoor area. LPA observed solid waste containers with tight-fitting lids in the classroom and in the playground area. Staff and children’s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Master teacher stated there are no weapons on the premises. Report dated 4/17/24 continues on page 2.

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024

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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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: GABILAN HEAD START	FACILITY NUMBER: 270710358
	VISIT DATE: 04/17/2024

NARRATIVE

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Report dated 4/17/24 continues from page 1.

Food is delivered daily from the MCOE central office in Salinas. The food preparation area is adequately equipped with warmer, refrigerator, and hot and cold running water. Cleaning supplies are inaccessible to the children and stored in the kitchen. Medications at the Facility are stored appropriately and is out of reach for the children.
LPA observed a disaster drill log that was last conducted on 3/15/24 Smoke detector and carbon monoxide detector are operable. LPA observed a 3A40BC fire extinguisher that was last serviced on 06/05/23

LPA observed all furniture and equipment are in operable condition. The playground area utilized by children is surrounded by appropriate fencing. LPA observed that the outdoor equipment is age appropriate and in good condition. There is also sufficient resilient material, grass, in the outdoor playground area. LPA did not observe any bodies of water. LPA observed shade is provided by tarps and trees.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Ms. Raquel Rodriguez 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
******Report dated 4/17/24 continues on page 3.

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024

LIC809 (FAS) - (06/04)

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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: GABILAN HEAD START	FACILITY NUMBER: 270710358
	VISIT DATE: 04/17/2024

NARRATIVE

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Report dated 4/17/24 continues from page 2.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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-care-centers/.

Ms. Raquel Rodriguez was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

LPA conducted an exit interview with Master teacher, Raquel Rodriguez.

No deficiencies cited during today's visit.

NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Susy Cervantes	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 04/17/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024

LIC809 (FAS) - (06/04)

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