274408849-6-9-2022-07-CC-CNEN-CF8RVX-20220609132216

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274408849
Report Date: 06/09/2022
Date Signed: 06/09/2022 01:22:24 PM

Document Has Been Signed on 06/09/2022 01:22 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:	HALL DISTRICT INFANT MIGRANT & SEASONAL HEAD START		FACILITY NUMBER:	274408849
ADMINISTRATOR:	ANGELICA RENTERIA		FACILITY TYPE:	830
ADDRESS:	300 SILL ROAD		TELEPHONE:	(831) 761-6604
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	16	CENSUS: 0	DATE:	06/09/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Maria Ramos & Maria Cortes		TIME COMPLETED:	01:35 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), Cortney Nelson, met with Site Supervisor, Maria Ramos, to conduct Required- 1 Year inspection. The facility is currently closed due to staff shortages, as of 5/27/2022. All infants who were previously enrolled into the center have been relocated to other Migrant Head Start Family Child Care Homes. Director, Angelica Renteria, states that she anticipates reopening the infant center once additional staff have been hired. Child Development Coordinator, Maria Cortes, arrived at the facility during todays inspection. LPA observed all required postings near the entrance to the facility and reviewed fire/disaster drill log during today’s inspection. The last fire/disaster drill was conducted on 5/19/2022 & 5/25/2022, which is compliant with the six-month requirement for facilities. LPA observed a fully charged 3A40BC fire extinguisher, functioning smoke detector and carbon monoxide detector. The Site Supervisor states that there are no weapons or firearms on the premises. Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for day care infants. Infant room at the facility is physically separate from preschool component. Toys in the facility are currently packed up due to center closure, however all furniture in the room is appropriately sized for infant use. Infant changing tables were observed to be padded, within arms reach of a sink, in good repair. There is one crib that is free from loose articles, covered with a fitted sheet, and has no objects hanging above or attached to it. There are 16 cots available for toddler use. Site Supervisor states that enrollment at the facility is primarily toddler age (12-18 months). Currently, the infant room has strollers stored due to on-going construction in front of the facility. Site Supervisor states that construction is anticipated to end August 2022 and strollers were purchased to assist parents with walking to the facility around the construction area. Strollers are no longer going to be used by parents and are stored in the facility until it will reopen. Upon reopening, strollers will need to be relocated prior to infants utilizing the room again.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 06/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/06/2022

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: HALL DISTRICT INFANT MIGRANT & SEASONAL HEAD START	FACILITY NUMBER: 274408849
	VISIT DATE: 06/09/2022

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

The outdoor area of the facility was inspected and observed to be fenced in and physically separated from space utilized by preschool component. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (rubber padding) to absorb falls. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by canopy and building overhang. There are two (2) properly covered sandboxes and three (3) functioning sinks located outside for toddler use. Hot water for the sinks has been disconnected. No toys or additional outdoor activities were observed during todays inspection.

Food is provided by the facility (PVUSD), however not currently present due to no infants enrolled in program. Facility offers full day program when open and provides breakfast, AM/PM snack, and lunch to children. Menu is in writing and posted at least one week in advance, accessible to authorized representatives. The kitchen and storage area is clean and free of litter and rubbish. Equipment necessary for the storage, preparation and service of food is well maintained, clean, and sanitized after each use.

No children's files were reviewed during todays inspection due to no children currently enrolled at the facility. Five (5) staff files were reviewed today and all staff have criminal background check clearances transferred to new temporary relocation site. Site Supervisor has current First-Aid/CPR that expires 3/27/2023 and Mandated Reporter training certificate that expires 8/18/2023. LPA reminded Site Supervisor that First-Aid/CPR and Mandated Reporter training must be renewed every 2 years. All staff files reviewed have at least 3 semester units related to the care of infants.

Site Supervisor 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.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

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: HALL DISTRICT INFANT MIGRANT & SEASONAL HEAD START	FACILITY NUMBER: 274408849
	VISIT DATE: 06/09/2022

NARRATIVE

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The Site Supervisor understands that she shall be on the premises during the hours the center is in operation and that infants at the center shall be visually supervised at all times. LPA reminded Site Supervisor 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, such as field trips.

Upon reopening, Licensing should be notified of the planned opening date and staff that will be present at the facility. LPA advised that longer closure should consider inactive status of the facility.

Exit interview conducted and report was reviewed with the Site Supervisor, Maria Ramos, and Child Development Coordinator, Maria Cortes.

As a result of today’s inspection, no deficiencies were cited.

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

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.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 06/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/09/2022

LIC809 (FAS) - (06/04)

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