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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274404857
Report Date: 01/23/2025
Date Signed: 01/23/2025 04:32:31 PM

Document Has Been Signed on 01/23/2025 04:32 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MAOF CHILD CARE CENTER PRESCHOOLFACILITY NUMBER:
274404857
ADMINISTRATOR/
DIRECTOR:
VICKY RODRIGUEZ-SANTOSFACILITY TYPE:
850
ADDRESS:559 E. ALISAL STREET STE. #103TELEPHONE:
(831) 422-4211
CITY:SALINASSTATE: CAZIP CODE:
93905
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 12DATE:
01/23/2025
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:38 AM
MET WITH:Maria Luisa BecceraTIME VISIT/
INSPECTION COMPLETED:
04:30 PM
NARRATIVE
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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannounced Annual/Required 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 Site Supervisor Maria Luisa Beccera, and explained the nature of today's visit. LPA toured the facility both inside and outside during todays 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), and activity schedule in each classroom. The hours of operation are Monday - Friday, 6:00am - 5:30pm.

LPA reviewed staff files during today's visit. All staff have fingerprint clearances. Staff has current CPR and First Aid certifications on file. Staff had Health Screening Report and TB test, Immunization (Measles, Pertussis, and Flu) record and required training. Staff had current Mandated Reporter Training certificate in file. Site Supervisor 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.

Site Supervisor understands the conditions, limitations, and capacity specifications of the facility license. Director understands that children shall be visually supervised at all times. LPA observed classroom in order. Drinking water is readily available for the children in each room and in the outdoor playground area via water dispensers/water filter cups and individualized water bottles. LPA observed solid waste containers with tight-fitting lids in facility. Staff and children's bathrooms are clean, sanitary. There is a separate staff bathrooms not utilized by the children which an isolated child can use if needed. Director states that there are no weapons or firearms on the premises.

====CONTINUE IN LIC 809-C====

Joel Segura
Elizabeth Larios
DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/23/2025
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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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: MAOF CHILD CARE CENTER PRESCHOOL
FACILITY NUMBER: 274404857
VISIT DATE: 01/23/2025
NARRATIVE
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LPA observed furniture and equipment were not in good condition and safe for the children. The playground areas utilized by children is surrounded by appropriate fencing. LPA did not observed sufficient resilient materials under slides and other similar equipment, and surrounded area that should be cushioned with material that absorbs falls. LPA observed that the outdoor equipment is age appropriate. LPA did not observe any bodies of water.

The facility only provides meals, snacks, and beverages to day care children. Food storage such refrigerator, and microwave areas are clean, free of litter & rubbish, and free of rodents and other vermin. LPA observed a fully charged 3A40BC/2A10BC fire extinguishers in facility, and working fire pull stations/carbon monoxide detector and first aid kits. Site Director states that the facility does not administer medications at this time.

Incidental Medical Services (IMS) policy was discussed. 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

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.


Exit interview conducted and report was reviewed with Site Supervisor Maria Luisa Becera. Deficiencies issued during today's inspection and appeal rights were given.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Joel Segura
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:

DATE: 01/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2025
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Document Has Been Signed on 01/23/2025 04:32 PM - It Cannot Be Edited


Created By: Elizabeth Larios On 01/23/2025 at 03:52 PM
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: MAOF CHILD CARE CENTER PRESCHOOL

FACILITY NUMBER: 274404857

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/23/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above in not having S1 file with her immunization record in file along with no influenza immunization record or declination form which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/30/2025
Plan of Correction
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S1 will obtain immunization record or influenza immunization declination and submit it to the department by POC date.
Type B
Section Cited
CCR
101170(e)(2)
Criminal Record Clearance. All individual subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a license facility: Request a transfer of a criminial record clearance as specified in Section101170(f)

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record reviewed, S3 has cleared fingerprints and are associated to other facilities that are under the same Licensee. S3 fingerprints were not transferred to this facility number which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 01/30/2025
Plan of Correction
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Deficiency was corrected during visit S3 submitted the LIC 9182 to CCL via email during inspection. Corrected during visit.
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:Joel Segura
LICENSING EVALUATOR NAME:Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:
DATE: 01/23/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/23/2025


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