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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430709420
Report Date: 08/12/2022
Date Signed: 08/12/2022 01:03:09 PM


Document Has Been Signed on 08/12/2022 01:03 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 CHRISTIAN PRESCHOOLFACILITY NUMBER:
430709420
ADMINISTRATOR:SHEILA TANIMURAFACILITY TYPE:
850
ADDRESS:1000 S. PARK VICTORIA DRIVETELEPHONE:
(408) 945-6530
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:180CENSUS: 70DATE:
08/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sheila TanimuraTIME COMPLETED:
01:15 PM
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On Friday , August 12, 2022 at 9 AM, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required 1 Year Visit. LPA met with the Director Sheila Tanimura and explained the purpose of today's visit. Present on this visit were 21 staff and 70 preschool children. Facility's operates from Monday to Friday 7:30 am to 6 pm.

LPA toured the facility with the Director to conduct a Health and Safety Inspection. Facility’s License, Parents’ Rights Poster, Personal Rights and Activity Schedules were observed to be posted. LPA observed teacher to children ratio requirement compliance. LPA observed children were engaged in various activities under the visual supervision of the teachers.

Classrooms W131, W132, N106, N107, N102, N103, E103 and E104 are currently being used. The classrooms, restrooms, pantry, storage room, and office area were inspected. The Director stated that facility does not possess nor store any weapons on the premises.
Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Cabinets, drawers, and rooms used for storage were locked. 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 spaces is fenced and was inspected. The play equipment was 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.

SEE 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/12/2022
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 CHRISTIAN PRESCHOOL
FACILITY NUMBER: 430709420
VISIT DATE: 08/12/2022
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Continuation.

Food and beverages were kept protected against contamination and spoilage. The facility's third party Food Provider is "My Green Lunch" that prepares and provide school lunches. Children's AM and PM snacks are brought from home. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers on and were in good repair.

Facility files were reviewed. Children sign in and out procedures and logs were reviewed. Facility is currently using an electronic sign in and out system called ProCare application. LPA observed Name to Face Transition Log In, Manual Children's Sign In and out, Children Food Allergies List in each classroom.
LPA reviewed the ProCare system's operation/logging with the Director. A sampling of Children's files was taken for review. The records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, Immunization and the LIC 9224 ACKNOWLEDGEMENT OF RECEIPT OF LICENSING REPORT.

A sampling of Staff's files was taken for review. There were more than one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. LPA reminded the Facility Representative 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 paper copies of the Children's Sign in and Out, Facility's Children's Roster, Sample Enrollment Packet, Outdoor Activity Schedules and Fire & Earthquake Drill dated 6/2/2022.

LPA observed First Aid Kits, Smoke and Carbon Monoxide Detectors, fire pull stations, fire extinguishers and sprinkler system. Facility had an Inspection from Milpitas Fire Department on May 2022.

Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles.
SEE 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
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 CHRISTIAN PRESCHOOL
FACILITY NUMBER: 430709420
VISIT DATE: 08/12/2022
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Continuation.

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.

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.

LPA discussed the PIN 21021-CCP RELEASE OF THE WRITTEN DIRECTIVES FOR LEAD TESTING OF WATER IN LICENSED CHILD CARE CENTERS PER AB 2370https://cdss.ca.gov/inforesources/child-care-licensing/water-testing-information, Guardian New User Information and PIN 22-10-CCP UPDATED GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE (COVID-19).

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

DATE: 08/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2022
LIC809 (FAS) - (06/04)
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