430710597-9-18-2024-07-CC-MSMS-D98SY6-20240918141700

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430710597
Report Date: 09/18/2024
Date Signed: 09/18/2024 02:17:05 PM

Document Has Been Signed on 09/18/2024 02:17 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:	CATALYST KIDS - VARGAS		FACILITY NUMBER:	430710597
ADMINISTRATOR/ DIRECTOR:	BEATRICE MARTINEZ		FACILITY TYPE:	840
ADDRESS:	1054 CARSON DRIVE		TELEPHONE:	(408) 736-0174
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94086
CAPACITY: 105	TOTAL ENROLLED CHILDREN: 105	CENSUS: 9	DATE:	09/18/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:00 PM
MET WITH:	Beatrice Martinez		TIME VISIT/ INSPECTION COMPLETED:	02:30 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) Mel Matos met with Beatrice Martinez, Director, for an unannounced Required - 3 year inspection. LPA toured the indoor and outdoor areas of the Facility with the Director during today's inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), menus, and Activity Schedule. The school age program is licensed to serve a maximum of one hundred five (105) children ages 4.9 to 13 years in Rooms 1, 2, and 22 on the campus of Vargas Elementary School (facing Leota Ave). The school age program shares Rooms 1 & 2 (at different times) with the preschool program (Facility #: 434410773). The school age program hours: 6:30 AM to 8 AM and 2:30 PM to 6 PM, except Friday: 12:45 PM to 6 PM. The preschool program hours are: 8:30 AM to 11:30 AM during the calendar school year for the Sunnyvale School District. LPA reviewed five children's and three staff files (Director, one teacher, and one aide) during today's inspection. Each child's file reviewed contains the required documents; including the Information and Emergency Information form (LIC 700) and immunization records. All staff files reviewed contain the required documents; including transcripts/verification of experience/immunization records, and Health Screening Report. All staff have current certificates of completion of the Mandated Reporter Training for Child Care Workers on file. Last fire/disaster drill was completed on September 11, 2024. Director and one staff has current CPR and First Aid certifications on file. Beatrice understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). LPA observed that the teacher/child ratio was in compliance during today's inspection. LPA observed 1 teacher & 1 aide with nine school age children in Room 2 during today's inspection. Beatrice states that Room 22 is currently not in use due to low enrollment. Beatrice understands the conditions, limitations, and capacity specifications of the Facility license. Director understands that children shall be visually supervised at all times. Beatrice is aware of the required sign in and sign out procedures for school age children who arrive on their own. Beatrice states that all school age children are picked up by their parent(s)/guardian(s) and no children are allowed to leave the Facility on their own. Any child(ren) who exhibit symptoms of illness including, but not limited to, fever or vomiting, are not accepted in care. Any child(ren) who become ill during the day, shall be isolated in the director’s office area, located in Room 1. LPA observed that the Facility is clean, safe, sanitary, and in good repair for children, staff, and visitors. The Facility has adequate ventilation, including central air conditioning/heating. Beatrice states that a third party company provides cleaning services in the evenings Monday to Friday. Beatrice understands that the Facility must be kept free of flies and other insects & rodents. LPA observed that all furniture and equipment is in good condition and safe for the children. Drinking water is readily available indoors for the children in the Facility via reusable water bottles/water dispenser/disposable cups.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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 2

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: CATALYST KIDS - VARGAS	FACILITY NUMBER: 430710597
	VISIT DATE: 09/18/2024

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
26
27
28
29
30
31
32

Staff and children's bathrooms are clean, sanitary, and operable. There are separate bathroom facilities for both boys and girls that allow for individual privacy. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Beatrice states that there are no weapons or firearms on the premises. The Facility has functioning carbon monoxide detectors in the Facility. LPA observed a complete First Aid kit in the Facility. Director understands that smoking is not allowed on the Facility premises.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. The food preparation area has a dishwasher, microwave, stove, toaster, hot/cold water, refrigerator, and dishwasher. The Facility provides breakfast and snacks for the children. The Facility has trash cans with tight fitting lids for solid waste. Cleaning supplies are inaccessible to the children and stored in high cabinets & locked lower storage cabinets inaccessible to children. Any poisons are stored in the locked storage cabinet, located near the kitchen area.

Beatrice states that the Facility does not administer any medications at this time. Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

The playground area facing Rooms 1 & 2 is surrounded by appropriate fencing and the outdoor surfaces are safe for children. There are no climbing structures in the playground area facing Rooms 1 & 2. Note: Room 22 uses the elementary school playground located closest to Room 22 which has an age appropriate climbing structure with rubber padding as resilient materials. Shade is provided by building overhangs and trees in the outdoor area. Drinking water is available outdoors via reusable water bottles/water dispenser/disposable cups. There is adequate age appropriate supplies and toys for children outdoors. LPA did not observe any bodies of water during today's inspection. Beatrice states that the Facility does not provide transportation.

Beatrice Martinez, 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.

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/process.

Exit interview conducted and report was reviewed with the Director, Beatrice Martinez. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

LIC809 (FAS) - (06/04)

Page: 2 of 2