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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430709449
Report Date: 01/11/2024
Date Signed: 01/12/2024 10:41:00 AM


Document Has Been Signed on 01/12/2024 10:41 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:MORGAN HILL PARENT-CHILD NURSERY SCHOOLFACILITY NUMBER:
430709449
ADMINISTRATOR:KAITLIN CRYAN FULLERTONFACILITY TYPE:
850
ADDRESS:16870 MURPHY AVENUETELEPHONE:
(408) 779-4515
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:24CENSUS: 17DATE:
01/11/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Elizabeth HuckabyTIME COMPLETED:
12:40 PM
NARRATIVE
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Licensing Program Analysts (LPA's) Anna Morales and Doni Fici conducted a Case Management inspection regarding an Unusual Incident that was reported by the facility to Licensing on 12/22/23. LPA's was greeted by Co-Site Director Elizabeth Huckaby.

During the course of investigation, LPA's became aware that the former Director enrolled a child who was under two years old to attend the Preschool on 9/5/2023; The Center is licensed to serve ages 2-5 years old.

LPA's toured the facility, interviewed staff, reviewed files, and obtained copies of documents.
Based on interviews and evidence gathered, it was determined that on
December 21, 2023, approximately at 10:15am, a preschool aged child was left unattended for approximately 5 to 7 minutes in the front parking lot (facing Murphy Ave). This poses an immediate risk to the health, safety, and personal rights to children in care.

As a result of today's inspection, Two Type A citations were issued at today's visit. A copy of today's Facility Evaluation Report ( LIC809) has to be posted on the wall and a copy to be given to all parents of currently and newly enrolled children for the next 12 months. In addition, copy of LIC9224 Statement Acknowledging Receipt of Licensing Reports need to be signed and kept in child files.
A citation warrants an immediate civil penalty of $500.00 and is hereby assessed, See LIC421IM. An exit interview was conducted, and Plan of Corrections were reviewed and developed with the Director. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Anna MoralesTELEPHONE: (408) 334-8325
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2024
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


Document Has Been Signed on 01/12/2024 10:41 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: MORGAN HILL PARENT-CHILD NURSERY SCHOOL
FACILITY NUMBER: 430709449

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/12/2024
Section Cited
CCR
101229(a)(1)

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Responsibility for Providing Care and Supervision(a)(1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.
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Director stated that she will submit a plan to ensure that children are supervised at all times by the POC date. This is a zero-tolerance violation, an immediate civil penalty of $500 was assessed during the
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This requirement was not met as evidenced by: A child was left unattended in the front parking lot
(facing Murphy Ave)on 12/21/23. This is a zero tolerance violation. This poses an immediate risk to the health, safety, and personal rights to children in care.
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Upon receipt, Director shall post and provide copies of this licensing report, have LIC 9224 signed and kept on file, to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months. According to AB 633, parents must be provided with this report which contains this Type A deficiency for the next 12 months & copy of the signed acknowledgment form must be kept in each child's file.

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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: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Anna MoralesTELEPHONE: (408) 334-8325
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3


Document Has Been Signed on 01/12/2024 10:41 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: MORGAN HILL PARENT-CHILD NURSERY SCHOOL
FACILITY NUMBER: 430709449

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/11/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/12/2024
Section Cited
CCR
101161(a)

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 Limitations on Capacity:101161(a): A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation. This requirement was not met by:
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The Director stated that she will submit a plan to ensure that she operates in accordance with the terms specified in the plan of operation at all times. Director stated that C2 is still enrolled(C2 turned two in 11/2023).
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Through interview and record review, C2 who was younger than two years of age began Preschool on 9/5/23.This poses an immediate risk to the health, safety, and personal rights to children in care.
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According to AB 633, parents must be provided with this report which contains this Type A deficiency for the next 12 months & copy of the signed acknowledgment form must be kept in each child's file.

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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: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Anna MoralesTELEPHONE: (408) 334-8325
LICENSING EVALUATOR SIGNATURE:
DATE: 01/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/11/2024
LIC809 (FAS) - (06/04)
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