430709449-5-24-2023-07-CC-SYIP-CS5PPM-20230524112946

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430709449
Report Date: 05/24/2023
Date Signed: 05/24/2023 11:29:52 AM

Document Has Been Signed on 05/24/2023 11:29 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	MORGAN HILL PARENT-CHILD NURSERY SCHOOL		FACILITY NUMBER:	430709449
ADMINISTRATOR:	STEFANIE ZOCCOLI		FACILITY TYPE:	850
ADDRESS:	16870 MURPHY AVENUE		TELEPHONE:	(408) 779-4515
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	24	CENSUS: 20	DATE:	05/24/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:54 AM
MET WITH:	Elizabeth Huckaby and Stefanie Zoccoli		TIME COMPLETED:	11:35 AM

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 Required- 1 Year inspection. LPA met with staff, Elizabeth Huckaby and explained the reason for the inspection. Director Stefanie arrived shortly after. Present during today's inspection were 20 children, two (2) full time teachers, and six (6) parents. Facility was within ratio during today's inspection. There is an area to post required postings, such as license, notification of parent's rights, and personal rights. The hours of operation are Monday through Thursday 8:30AM to 2:30PM and Friday 8:30AM to 11:30AM. LPA toured the inside and outside of the center. Disinfectant and cleaning supplies were observed to be inaccessible to children. LPA discussed with teachers, Elizabeth and Kaitlin, that any items that state to keep out of reach of children needs to be inaccessible to children, such as items for fish tank and Swiffer wet wipes. There are toys and equipment for children. There is a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. The last disaster drill was conducted on 03/22/2023. Director stated that there are no weapons, such as firearms, stored on the premise. The outdoor area is fenced. LPA observed that there were a wading pool filled that had water and a sensory table that had water. LPA reminded Director that the water in the wading pool and sensory table need to be dumped out after use. ----------------------continues on 809 dated 05/24/2023 page 2---------------------

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023

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: MORGAN HILL PARENT-CHILD NURSERY SCHOOL	FACILITY NUMBER: 430709449
	VISIT DATE: 05/24/2023

NARRATIVE

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------------------continuation of 809 dated 05/24/2023 page 1----------------------

There were no other bodies of water observed during today's inspection. Shaded rest area is provided through canopy and building overhang. Play structure and equipment were observed to be in a good condition. LPA observed that there is not enough resilient material under the climbing structure and the play structure. LPA discussed with teachers, Elizabeth and Kaitlin, that there needs to be sufficient amount of resilient material.

Director stated that they currently do not have any children who require Incidental Medical Services (IMS). For IMS information, see PIN 22-02-CCP. 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.

All meals and snacks are prepared and brought from home. Drinking water is provided through individual water bottles or water bottles.

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

Three (3) staff files and three parent volunteer files were reviewed. The records reviewed include but not limited to Health Screening, immunization records, and education credit. There is at least one staff with a valid CPR/1st, which expires on 06/22/2023.

All staff present have cleared fingerprints. Director 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.

As a result of this inspection, type b citation was issued. Exit interview conducted and report was reviewed with Director Stefanie Zoccoli. A notice of site visit has been issued and must remain posted for 30 days.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/24/2023 11:29 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
CCLD Regional Office, 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: 05/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(e)

Outdoor Activity Space

(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that areas around climbing structure did not have enough material to absorb falls.
	POC Due Date: 05/31/2023
	Plan of Correction
1 2 3 4	By POC 05/31/2023, Director stated that she will send proof that additional resilient material is purchased.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2023

LIC809 (FAS) - (06/04)

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