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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 354415339
Report Date: 12/18/2019
Date Signed: 12/18/2019 11:11:29 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:LITTLE LEARNERS CHILDCARE CENTERFACILITY NUMBER:
354415339
ADMINISTRATOR:ADRIANNA CASTELOFACILITY TYPE:
840
ADDRESS:1431 SANTA ANA ROADTELEPHONE:
(831) 637-5065
CITY:HOLLISTERSTATE: CAZIP CODE:
95023
CAPACITY:36CENSUS: 0DATE:
12/18/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Adrianna CasteloTIME COMPLETED:
11:20 AM
NARRATIVE
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LPA Deanna Villagrana met with Director Adrianna Castelo to deliver findings for a complaint. During the complaint investigation, it was found the facility did not provide a current roster of children to driver of facility. LPA observed the facility did not have a plan of operation to determine which children would need to be picked up or not from school.

The following type B deficiencies were cited on the attached page (809-D). Appeal rights were provided to the Director prior to the conclusion of today's inspection.

Director was informed that failure to correct the deficiencies by the specified Plan of Correction Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

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

SUPERVISOR'S NAME: Mary SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2019
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 2
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: LITTLE LEARNERS CHILDCARE CENTER
FACILITY NUMBER: 354415339
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/18/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/18/2019
Section Cited

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1596.841 Current roster of children provided care in facility required
Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.
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This requirement was not met as evidenced by during the complaint investigation, it was found the facility did not provide a current roster of children to driver of facility. This poses a potential risk Health, Safety Personal Rights risk to children in care.
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Type B
01/03/2020
Section Cited

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101173(b)(9) Plan of Operation
Transportation arrangements provided by the applicant/licensee for children who do not have independent arrangements.
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This requirement was not met as evidenced by LPA observed the facility did not have a plan of operation to determine which children would need to be picked up or not from school. This poses a potential risk Health, Safety Personal Rights risk to children in care.
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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 SeguraTELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Deanna VillagranaTELEPHONE: (408) 335-9890
LICENSING EVALUATOR SIGNATURE:
DATE: 12/18/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/18/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2