274400486-1-16-2020-07-CC-FCJO-BKVQZ7-20200116113616

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274400486
Report Date: 01/14/2020
Date Signed: 01/16/2020 11:36:23 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	VISTA VERDE PRESCHOOL/H.S		FACILITY NUMBER:	274400486
ADMINISTRATOR:	JUANITA GONZALEZ		FACILITY TYPE:	850
ADDRESS:	1199 ELM AVENUE		TELEPHONE:	(831) 674-9378
CITY:	GREENFIELD	STATE: CA	ZIP CODE:	93927
CAPACITY:	20	CENSUS: 15	DATE:	01/14/2020
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Connie Avalos		TIME COMPLETED:	01:00 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 made an unannounced annual random inspection to the center today. LPA observed the center is located in the room #700 of the Vista Verde Middle School. LPA met with Connie Avalos, Lead teacher, and explained the nature of today's inspection to her. LPA observed 15 children were in care today. LPA observed there were three staff members taking care of the children. LPA observed that all the staff members present during the inspection have taken a 15 minutes long training on CPR/First Aid certifications. LPA explained to Ms. Avalos of the requirement of a 8 hours long training in pediatric CPR and First aid. LPA observed the teacher-child ratio was in compliance with regulations. LPA observed posted the forms required by this Licensing Department. LPA toured the facility inside and outside. Staff and children's toilets and sinks are safe and in sanitary operating conditions. LPA observed the storage areas are clean and free of litter. LPA observed disinfectants, cleaning solutions, sharp objects, and other similar items are stored inaccessible to children. LPA observed there is a first aid kit inaccessible to children. LPA observed posted a menu with the snacks and food provided by the center. LPA observed the center is equipped with a sink with running water in the food preparation area. LPA observed the center has a refrigerator located in the center's office. Ms. Avalos stated food is prepared in the cafeteria of the Vista Verde Middle School. LPA observed the facility has a functioning smoke detector and a fire extinguisher type 3A40BC last serviced on February 2019. LPA observed that drinking water is readily available indoor via water fountain. LPA observed there are trash cans with tight fitting covers for the disposal of solid waste. LPA observed the center has at least one working Carbon Monoxide detector. Ms Avalos stated that there are no weapons in the premises. The outdoor areas are surrounded with appropriate fencing and not bodies of water. LPA observed that all furniture, equipment and playground equipment is safe and in good conditions, free of sharp, loose, or pointed parts. LPA observed that shade in the playgrounds is provided by a canopy. ************************REPORT DATED 1/14/2020 CONTINUES ON PAGE #2

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: VISTA VERDE PRESCHOOL/H.S	FACILITY NUMBER: 274400486
	VISIT DATE: 01/14/2020

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
26
27
28
29
30
31
32

Report dated 1/14/2020 continues from page 1.
LPA observed that outdoors water is provided via water fountain. LPA observed there is sand and wood chips as resilient materials under the climbing structures in the playground. LPA observed all floors were clean and safe.
LPA observed that a fire drill was documented on 12/06/2019. LPA reviewed a random sample of six children's files and found in them the Emergency Information form. LPA reviewed the sign-in, sign-out sheets and are signed with full signatures. LPA observed there was a medical assessment document and a preadmission health history document in each child’s record. LPA observed there are records in each personnel file documenting the educational background of the staff.

All staff have clearances through Greenfield Union School District. LPA reminded Ms Avalos of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violations within a 12-month-period.
Ms. Avalos stated there are not children under medication currently enrolled in the center.
For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.
LPA observed that all the staff has obtain proof of completion of the mandated reporter training AB1207. LPA referred Ms. Avalos to the Department website: www.ccld.ca.gov for additional information on the online training. LPA observed that all the staff members present today have proof of immunization for measles, pertussis and influenza in file in compliance with the SB792.

One type B deficiency was cited during today's inspection. Exit interview was conducted with Ms. Avalos LPA provided Ms. Avalos with the notice of site visit which has to be visible posted for the following 30 consecutive days.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: VISTA VERDE PRESCHOOL/H.S	FACILITY NUMBER: 274400486
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/14/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 01/28/2020 Section Cited	1 2 3 4 5 6 7	(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This regulation was not met as evidenced by:
	8 9 10 11 12 13 14	Staff of the center have taken only CPR- 15 minutes long- trainings. Licensee understand this poses a potential risk to the children in care.	8 9 10 11 12 13 14
	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: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo	TELEPHONE: 408-334-8557
LICENSING EVALUATOR SIGNATURE:	DATE: 01/14/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2020

LIC809 (FAS) - (06/04)

Page: 3 of 3