430709462-5-2-2019-07-CC-MMOO-BBSULX-20190502154127

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430709462
Report Date: 05/02/2019
Date Signed: 05/02/2019 03:41:31 PM

COMPREHENSIVE INSPECTION

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:	GARDEN GATE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	430709462
ADMINISTRATOR:	MADHU PAUL		FACILITY TYPE:	840
ADDRESS:	10500 ANN ARBOR AVENUE		TELEPHONE:	(408) 725-0269
CITY:	CUPERTINO	STATE: CA	ZIP CODE:	95014
CAPACITY:	84	CENSUS: 29	DATE:	05/02/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Madhu Paul		TIME COMPLETED:	03:50 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), Marilou Monico, conducted an annual random inspection. LPA met with Site Director, Madhu Paul, and explained the nature of today's visit. The facility utilizes two classrooms for the school age program: Rooms 20 and 21 from 1:30 PM to 6:00 PM, Monday thru Friday. LPA reviewed sign in/sign out sheets and children's roster. Copy of children's roster was obtained. LPA observed all required posted materials: License, Parent’s Rights, Emergency Disaster Plan, menus, Earthquake Preparedness Checklist, Child Passenger Safety Law, and activity schedule. This facility is located on Garden Gate Elementary School. The facility was toured inside and outside. The facility observed to be clean, safe, and in good repair. Disinfectants, cleaning solutions, and all other items that are dangerous to children were observed to be securely stored and inaccessible to children. Furniture and equipment were age-appropriate and in good condition. Restrooms for children’s use were observed to be sanitary and operable. Trash cans used for the disposal of solid waste have tight fitting lids. Site Director states that there are no weapons on the premise. LPA observed functioning carbon monoxide detector, and smoke detectors. LPA did not observe any bodies of water. LPA reviewed ten random children's files and three staff files. The facility does snacks to the children in care. The kitchen was observed to be clean and sanitary. The kitchen is equipped with microwave, stove, oven, refrigerator, dishwasher, and a sink with hot and cold running water. The facility uses the elementary school's playground after school hours. LPA observed climbing structures on the playground with tanbarks as resilient material. Drinking water outdoor is provided through individual water bottles. REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 05/02/19):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

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: GARDEN GATE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 430709462
	VISIT DATE: 05/02/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 05/02/19)

Staff present during the inspection have cleared criminal record and child abuse index clearance or exemption. LPA also reminded Site Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

LPA discussed Senate Bill 792, Assembly Bill (AB) 1207 (Mandated Child Abuse Reporter Training) which is required training that began on January 1, 2018 and requires renewal every two years. AB 633 was discussed with Site Director. Licensing forms, Title 22 regulations, can be obtained through the internet at ww.ccld.ca.gov. Mandated Reporter Training can be accessed at www.mandatedreporterca.com. LPA discussed and provided Site Director a copy of lead information sheets and advised her to provide copies to parents.

Site Director stated that she currently has no children in care who requires Incidental Medical Services (IMS) services. 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.

No deficiencies were cited as a result of today's inspection.

A NOTICE OF SITE VISIT WAS ISSUE AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
LICENSING EVALUATOR SIGNATURE:	DATE: 05/02/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2019

LIC809 (FAS) - (06/04)

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