430709449-4-24-2025-07-CC-LFII-DG2R84-20250424124721

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430709449
Report Date: 04/24/2025
Date Signed: 04/24/2025 12:47:34 PM

Document Has Been Signed on 04/24/2025 12:47 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
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
ADMINISTRATOR/ DIRECTOR:	ELIZABETH HUCKABY		FACILITY TYPE:	850
ADDRESS:	16870 MURPHY AVENUE		TELEPHONE:	(408) 779-4515
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 0	CENSUS:	DATE:	04/24/2025
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:40 AM
MET WITH:	ELIZABETH HUCKABY		TIME VISIT/ INSPECTION COMPLETED:	01:00 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 Analysts (LPAs) Liridon Fici- Doni, and Farida Raja conducted an unannounced case management inspection following a request to increase the facility's capacity from 24 to 48 preschool children ages 2 to 5 years. LPAs met with ELIZABETH HUCKABY- Director and informed her purpose of inspection. The Preschool Program currently serves children ages 2 – 5 years in preschool main room, operating in a functioning church. The facility does not operate any other license on the same premise. The facility received a fire safety inspection approval from Morgan Hill Fire Department on 03/27/25. The childcare center will operate Monday through Friday 8:30AM to 11:00AM, and Monday though Thursday from 11:15AM to 2:15PM. LPAs toured and measured the indoor and outdoor areas of the facility during today's inspection. Facility currently has no approved waivers for the preschool. LPA observed no bodies of water. Preschool Classroom measurements are: The Indoor total measurements contain a total of {1732.48} square feet, which will accommodate Applicant's request for 48 preschool children. Preschool Outdoor Play measurements are: Outdoor total measurements contain a total of {4714.59} square feet, which will accommodate Applicant’s request for 48 preschool children. Page 1 of 3

Gladys Kuizon	TELEPHONE: (510) 566-5850
Liridon Fici	TELEPHONE: 408-598-9250
	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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
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
	VISIT DATE: 04/24/2025

NARRATIVE

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LPAs observed classrooms are clean, safe, sanitary and in good repair. All outdoor and indoor passageways and other areas of potential hazard were free of obstruction. Director was reminded that a comfortable temperature for children shall be maintained at a minimum of 68 Degrees F to 85 Degrees F at all times. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. All play equipment and materials used by children were observed to be age appropriate. There are 43 chairs, 9 tables, 0 cubbies, 0 mats, 3 toilets, 1 urinal, and 7 sinks available for preschool children. Licensee stated children do not take naps at the center and children only have hooks to hang their items. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Licensee will purchase additional children's equipment as needed. Director stated, if children need medication, the medication will be held in the Directors office. Isolation area is located in the directors office where children will be placed in case a child is sick and waits for their parent to pick them up.

LPAs observed that the teacher/child ratio was in-compliance during today's visit. Lunch and snacks will be provided by parents. LPAs observed a fridge, and a microwave inside the directors office for staff use. Drinking water is available in the classrooms through commercial water dispensers.

LPAs observed that the preschool playgrounds are surrounded by appropriate fencing. The preschool playgrounds have climbing structures with sufficient resilient materials (tanbark and sand). LPAs observed shady area provided by trees and canopies. Children have access to 5 picnic play tables located in the playground area. There is adequate age-appropriate supplies and toys outdoors. Playground climbing equipment does not have a age range sticker on the playground. Facility representative was reminded that per regulations all play equipment and materials used by children shall be age-appropriate.

Based on today's inspection, LPAs determined that the facility's physical plant is in compliance with applicable Health & Safety Codes and Title 22 Regulations.

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SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Liridon Fici	TELEPHONE: 408-598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

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
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
	VISIT DATE: 04/24/2025

NARRATIVE

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LPAs advised that a revised license indicating the approved preschool classrooms and outdoor play space waiver requirements will be issued pending manager review and the submission of the following corrections:

-Updated Application for a Child Care Center (LIC200A) with adjusted capacity request for 48 preschool-age children.

As a result of today’s inspection, no deficiencies were cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

Exit interview conducted and report was reviewed with Director, ELIZABETH HUCKABY.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Liridon Fici	TELEPHONE: 408-598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 04/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025

LIC809 (FAS) - (06/04)

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