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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274415297
Report Date: 05/08/2023
Date Signed: 05/08/2023 03:18:50 PM


Document Has Been Signed on 05/08/2023 03:18 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:RYAN RANCH CHILDREN'S CENTER (PRE-SCHOOL)FACILITY NUMBER:
274415297
ADMINISTRATOR:LORETTA EHRHARTFACILITY TYPE:
850
ADDRESS:2 JUSTIN COURTTELEPHONE:
(831) 647-9556
CITY:MONTEREYSTATE: CAZIP CODE:
93940
CAPACITY:104CENSUS: DATE:
05/08/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:44 PM
MET WITH:AliciaTIME COMPLETED:
03:30 PM
NARRATIVE
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Licensing Program Analyst (LPA), Joe Macias, conducted an unannounced Case Management Inspection in response to an unusual incident that the facility self reported to Community Care Licensing (CCL) on May 1, 2023. LPA met with the Lead Teacher Alicia Bushey, and explained the nature of today's inspection to her. Bushey is the staff member in charge in the absence of the Director The purpose of today’s visit is to ensure the facility is in compliance with Title 22 California Code of Regulations.

This case management inspection was made to inquire about an unusual incident that occurred on April 20, 2023.

During today's visit LPA Macias toured the facility, interviewed staff, reviewed the LIC 624, and obtained copies of pertinent information. LPA Macias reviewed the toileting/ diapering procedure with the staff, and obtained a copy of the diaper log.


As a result of the incident the Director has conducted a classroom training/ meeting on toileting procedures.

No deficiencies cited, exit interview conducted, and a copy of this report was reviewed by the Alicia Bushey.

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: 05/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/08/2023
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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