430702374-12-17-2019-07-CC-SYIP-BJXRUG-20191217121956

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430702374
Report Date: 12/17/2019
Date Signed: 12/17/2019 12:20:08 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:	VINEYARD PRESCHOOL		FACILITY NUMBER:	430702374
ADMINISTRATOR:	KERRY DRAGO		FACILITY TYPE:	850
ADDRESS:	1735 HECKER PASS		TELEPHONE:	(408) 847-8463
CITY:	GILROY	STATE: CA	ZIP CODE:	95020
CAPACITY:	45	CENSUS: 13	DATE:	12/17/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:38 AM
MET WITH:	Kerry Drago		TIME COMPLETED:	12:22 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) Samantha Yip conducted an unannounced annual random inspection. LPA met with Director Kerry Drago and explained the reason for the inspection. Present during the inspection were at least 5 staff and 13 children. The teacher child ratio was observed to be in compliance during today's inspection. Sign in/sign out sheet was reviewed, which contains full legal signature. License, Notification of Parent's Rights, and Emergency Disaster Plan were observed to be posted. The hours of operation are Monday to Friday 830AM to 1230PM. LPA toured in the inside and outside of the facility with Director. The facility were observed to be clean. Disinfectant, cleaning supplies, and other items that are dangerous to children were inaccessible to children. LPA reminded Director that any disinfectant wipes needs to be stored inaccessible to children. LPA observed that there is sufficient amount of toys for children. Furniture and equipment, such as tables and chairs, were age appropriate. Bathroom for children's use was in functioning condition. LPA reminded Director to check any trash can for any cracks. LPA observed a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. Director stated that there are no weapons, such as firearms, stored at the facility. The outdoor area is fenced. The play structure was observed to be in good condition. Area around play structure have resilient material to absorb falls. There were no bodies of water observed during today's inspection. Shaded rest area is provided through building overhang and trees. ---------------continues on 809 dated 12/17/2019 page 2--------------------------------------------

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: VINEYARD PRESCHOOL	FACILITY NUMBER: 430702374
	VISIT DATE: 12/17/2019

NARRATIVE

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-----------------continuation of 809 dated 12/17/2019 page 1------------------------------------

Facility only provides snacks to the children in care, which is brought by assigned parent. Lunch is prepared and brought from home. The kitchen used to prepare snacks was observed to clean. Drinking water is provided through water fountains, water pitchers, and cups.

A copy of the facility roster was obtained. 5 children's files were reviewed during today's inspection. The records reviewed include but not limited to immunization records.

3 staff files were reviewed during today's inspection. The records reviewed include but not limited to education credit. LPA reminded Director that Mandated Reporter Training requires renewal every two (2) years. There is currently at least one staff on site with a valid CPR/1st Aid, which expires on 08/16/2020. All staff present have cleared criminal record clearance and child abuse index clearance.

Director stated that she currently does have a child in care who requires Incidental Medical Services (IMS). Plan for Providing IMS is on file. Medication was stored where it is inaccessible to children in care and with proper documentation.

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.

In the areas that were evaluated, no deficiencies have been cited. An exit interview was conducted where this report was discussed and provided to Director Kerry Drago. A notice of site visit has been issued and must be posted for 30 consecutive days.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 12/17/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/17/2019

LIC809 (FAS) - (06/04)

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