<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430700419
Report Date: 07/18/2023
Date Signed: 07/18/2023 01:22:04 PM


Document Has Been Signed on 07/18/2023 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, 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: 37DATE:
07/18/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Penny CorpusTIME 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
On Tuesday, July 18, 2023, at 10:30 am, 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 37 preschool children. The facility operates from Monday to Friday 7am to 6pm.

LPA toured the facility to conduct a health and safety inspection with the Director. Facility’s License, Parents’ Rights Poster, Personal Rights, Activity Schedules and Menus were observed to be posted. At 11 am, LPA observed teacher to children ratio complied and children were engaged in various activities under the visual supervision of the teachers.

Facility's licensed 5 classrooms which are 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. The facility is currently on its Summer Program that will end of July and new school year starts on August 14th.

The preschool classrooms, restrooms, kitchen, pantry, storage, and office area were inspected. The floors of all rooms appear to be safe and clean. 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.

All kitchen, food-preparation and storage areas were all kept clean and free of litter and rubbish. Food and beverages were kept protected against contamination and spoilage. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. LPA reminded the Director that firearms and other weapons is not be allowed on or stored on the facility premises.
SEE LIC 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/18/2023
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 6


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: 07/18/2023
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
26
27
28
29
30
31
32
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. Trash cans use for solid waste had tight-fitting covers on and were in good repair.


Facility files were reviewed. LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations, fire extinguishers and sprinkler system. Fire and Disasted Drills were conducted and documented every 6 months, the last drills were conducted on May 2023. Acitvity schedule, children sign in and out sheets and enrolled students were reviewed in each classrooms. Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles.

Children's files were reviewed. The records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, "Boo Boo" Report and Immunization. Staff file was reviewed. 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 Child Care Providers Mandated Reporter training requires 2 year requirement. LPA reminded that only the Influenza vaccination can be decline with a written declination.

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

DATE: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC809 (FAS) - (06/04)
Page: 5 of 6
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: 07/18/2023
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
26
27
28
29
30
31
32
LPA discussed to the Director that CDSS has revised the ARPA survey to meet federal requirements. As a result, all child care providers must complete anew American Rescue Plan Act (ARPA) survey by August 15, 2023. LPA also provided a copy of the CDSS Program Overview and Instructions for the Construction and Major Renovation Grant. LPA provided a copy of IMM - 874 Child care staff and volunteers in California are required to show proof of vaccination against these dangerous diseases: measles, whooping cough, and flu.

The Director will require the staff to complete the above requirement.


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: 07/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2023
LIC809 (FAS) - (06/04)
Page: 6 of 6