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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430700419
Report Date: 08/23/2022
Date Signed: 08/23/2022 05:37:36 PM


Document Has Been Signed on 08/23/2022 05:37 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:MILPITAS DISCOVERYLANDFACILITY NUMBER:
430700419
ADMINISTRATOR:PENNY CORPUSFACILITY TYPE:
850
ADDRESS:1991 LANDESS AVENUETELEPHONE:
(408) 263-7626
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:110CENSUS: 29DATE:
08/23/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Penny CorpusTIME COMPLETED:
03:30 PM
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On Tuesday, August 23, 2022 at 12:30 pm, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required 1 Year Visit. LPA met the Director Penny Corpus and explained the nature of site visit. Present on this visit were 8 teachers and 29 preschool children. Facility operates from Monday to Friday 7am to 6pm.

LPA toured the facility to conduct a health and safety inspection. Facility was observed to be following teacher to children ratio requirement. Facility has 5 classrooms with the following naming convention: Room 1 - Ladybugs, Room 2 - Parrots, Room 3 - Frogs, Room 4 - Owls and Room 5 - Butterflies. The Room 4 is being use as a Staff and storage room. At 1 pm, the preschool classrooms, restrooms, kitchen, storage, and office area were inspected by LPA. Director stated that facility does not possess nor store any weapons on the premise. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Furniture and equipment such as mats, cots, tables, and chairs were age appropriate and were in good condition, free of sharp, loose, or pointed parts. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard.

Outdoor activity space is fenced and play equipment were maintained in a safe condition and free of hazards. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children. Drinking water are arranged to be readily available to children during indoor and outdoor activities. Foods and beverages were kept protected against contamination and spoilage. Menus and Children Food Allergies List were posted. Kitchen and food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans use for solid waste had tight-fitting covers on and were in good repair.

SEE 809 C.

SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 08/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/16/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MILPITAS DISCOVERYLAND
FACILITY NUMBER: 430700419
VISIT DATE: 08/23/2022
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Continuation.

Facility files were reviewed. Children sign in and out procedures and logs are in each room and were reviewed by LPA.

A sampling of Children's files was taken for review. The records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, and Immunization.

A sampling of Staff's files was taken for review. There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. LPA reminded the Director that AB 1207 Child Care Providers training online at https://mandatedreporterca.com/ requires 2 year requirement. LPA reviewed Staff Immunization records of Measles and Pertussis immunization, Influenza vaccination and TB clearance. LPA reminded Facility Representative that only the Influenza vaccination can be decline with a written declination.

LPA obtained copies of the LIC 500 and Facility's Children's Roster and a copy of Lead Sampling Document dated 8/19/2022.

LPA discussed the PIN 20-12 CCP, Guardian New User Information and PIN 22-10-CCP UPDATED GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE (COVID-19).

Director stated that facility does handle medications and does currently have children in care who requires Incidental Medical Services - IMS Epinephrine and Inhaled Medication. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.

SEE 809.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: MILPITAS DISCOVERYLAND
FACILITY NUMBER: 430700419
VISIT DATE: 08/23/2022
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Continuation.

LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations, fire extinguishers and sprinkler system. Facility Representative stated that the School conducted a Fire and Earthquake Disaster Drills on March 14, 2022.

Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles.

Facility Representative 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.

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/inspection-process.

There are no deficiencies cited on this visit.

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with the Director, Penny Corpus.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2022
LIC809 (FAS) - (06/04)
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