430700665-7-27-2021-07-CC-PHEZ-C5BTT6-20210727150012

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430700665
Report Date: 07/27/2021
Date Signed: 07/27/2021 03:00:23 PM

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:	VILLAGE PRESCHOOL		FACILITY NUMBER:	430700665
ADMINISTRATOR:	LINDA KERIN GARVEY		FACILITY TYPE:	850
ADDRESS:	20390 PARK PLACE		TELEPHONE:	(408) 867-3181
CITY:	SARATOGA	STATE: CA	ZIP CODE:	95070
CAPACITY:	65	CENSUS: 0	DATE:	07/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Linda Garvey		TIME COMPLETED:	03:15 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), Pete Hernandez, met with Site Director, Linda Kerin Garvey, for a Required 1 Year inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule. There is an active waiver to allow licensure even though outdoor space is only measured for 50 children. LPA reviewed 8 children's files and six staff files. One teacher showed proof of valid CPR/First Aid that expires 6/30/23. Site Director understands 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: should they resume. LPA reviewed the sign in/out sheets. LPA observed that the teacher/child ratio was in compliance during today's inspection of records. Site Director understands the conditions, limitations, and capacity specifications of the Facility license. Site Director understands that the children shall be visually supervised at all times and never left unattended. The rooms are clean. Site Director states that the Facility has a third-party cleaning service that cleans the Facility Monday through Friday in the early morning and after school. Drinking water is readily available for the children indoor via water bottles and disposable cups and in the outdoor areas via drinking fountains. Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which a sick child can use if needed. Site Director states that there are no weapons or firearms on the premises. Cleaning supplies are stored in the upper cabinet in each room inaccessible to children. There are trash cans with tight lids throughout the facility for the disposal of solid waste. LPA observed a functioning carbon monoxide detector at the facility. REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 07/27/2021):

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021

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 3

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: VILLAGE PRESCHOOL	FACILITY NUMBER: 430700665
	VISIT DATE: 07/27/2021

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

CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 07/27/2021):
The playground areas utilized by children are surrounded by appropriate fencing and the outdoor surfaces are safe for the children. All playground equipment and climbing areas are covered in soft cushioning material to protect the children from falls. Shade is provided by canopies, umbrella, and trees. LPA observed rubberized resilient material under the climbing structures. LPA did not observe any bodies of water.

This facility provides Incidental Medical Services – IMS. 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

A review of staff records during the inspection indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA conducted an exit interview with the site director prior to the conclusion of today's inspection and advised the site director of the required "mandated reporter" training for CA Child Care Workers for AB 1207 that all Licensees and staff are required to complete every two years as of January 1, 2018. The website for the online training is: http://www.mandatedreporterca.com.

A deficiency is being cited based on the LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, An exit interview was conducted, and Plan of Corrections were reviewed and developed with the licensee. A copy of this report and appeals rights were discussed and left with the Licensee, Linda Garvey, whose signature on this form confirm receipt of these documents.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: VILLAGE PRESCHOOL	FACILITY NUMBER: 430700665
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/27/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/01/2021 Section Cited	1 2 3 4 5 6 7	On or before March 30, 2018, a person who on, January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training […] and shall complete renewal […] every two years […] This requirement is not met as evidenced by:
	8 9 10 11 12 13 14	This requirement is not met as evidenced by: Based on today’s inspection, Operations Manager, Director and Teachers 1 and 2 on LIC859. Teachers have expired Mandated Reporter Training AB 1207. This poses a potential risk to the children.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 07/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/27/2021

LIC809 (FAS) - (06/04)

Page: 3 of 3