434400316-3-13-2020-07-CC-SYIP-BMNSZ9-20200313141846

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400316
Report Date: 03/12/2020
Date Signed: 03/13/2020 02:18:54 PM

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:	LITTLE SONSHINE SCHOOLHOUSE		FACILITY NUMBER:	434400316
ADMINISTRATOR:	SULLIVAN, YOLANDA		FACILITY TYPE:	850
ADDRESS:	16970 DEWITT AVENUE		TELEPHONE:	(408) 779-6788
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	53	CENSUS: 26	DATE:	03/12/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Yolanda Sullivan		TIME COMPLETED:	11:25 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 Ms. Yolanda Sullivan, Licensee, and explained the reason for the inspection. License, Emergency Disaster Plan, and Notification of Parent's Rights were posted. LPA reviewed in the sign in/out sheet, which contains full legal signatures. The hours of operation are Monday through Friday 7AM to 6PM. LPA toured in the inside and outside of the facility. Furniture and equipment, such as chairs and tables, were age appropriate. LPA observed that there is sufficient amount of toys for children in care. Disinfectant, cleaning, supplies, and other items that are dangerous to children were inaccessible. LPA reminded Ms. Sullivan that all disinfectant, cleaning supplies, or other sharp objects, such as Lysol/Clorax wipes or disinfectant sprays, need to be stored inaccessible to children. The restroom for children was observed to be clean. LPA observed a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. The last fire/disaster drill was conducted on 01/28/2020. Ms. Sullivan stated that there are no weapons, such as firearms, stored on the premise. The outdoor area is fenced. Play structure was observed to be in good condition. Areas around play structure have resilient material to absorb falls. LPA reminded Ms. Sullivan to even out resilient material before children's use. Shaded rest area is provided through trees, canopy, and pergola. There were no bodies of water observed during today's inspection. *---------------------continues on 809 dated 03/12/2020 page 2-----------------------------------*

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

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 4

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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
	VISIT DATE: 03/12/2020

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

------------------------continuation of 809 dated 03/12/2020 page 1------------------------------

All meals are prepared and brought from home. Facility does provide snacks to children in care. Menu was observed to be posted. Area to store and prepare snacks was observed to be clean. Drinking water is provided through water jug and cups or individual water bottles.

Ms. Sullivan stated that she currently does have children in care who requires Incidental Medical Services. Medication is stored where it out of reach of children and with proper documentation. LPA reminded Ms. Sullivan to check expiration date on medication and that medication needs to be in the original packaging. LPA observed that a one child's medication was expired. Ms. Sullivan stated that she will obtain a new medication and send proof to licensing. 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.

10 children's files were reviewed during today's inspection. The records reviewed include but not limited to admission agreement and immunization records.

4 staff files were reviewed during today's inspection. The records reviewed include but not limited to education credit and Mandated Reporter Training. LPA discussed with Ms. Sullivan that the Mandated Reporter Training requires renewal every 2 years.
LPA observed that S-1 and S-2 completed training in 10/2017 and have not renewed it. Ms. Sullivan stated that she will have S-1 and S-2 renew Mandated Reporter Training and send a copy to Licensing office.

All staff present have cleared criminal record and child abuse index clearance. LPA also reminded 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

----------------------continues on 809 dated 03/12/2020 page 3-----------------------------------

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
	VISIT DATE: 03/12/2020

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

-------------------continuation of 809 dated 03/12/2020 page 2-----------------------------------

provide care and supervision to the children. Penalty amounts: $100.00 per person per day, 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 discuss and provided Ms. Sullivan with Lead Exposure. Licensee is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online Licensing Forms, Adoption of new Laws, etc.

In the areas evaulated during today's inspection, two Type B deficiencies have been cited. An exit interview was conducted, where this report, the citation, plan of correction, and appeal rights were discussed with Licensee.

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

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

LIC809 (FAS) - (06/04)

Page: 4 of 4

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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/12/2020

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 03/19/2020 Section Cited	1 2 3 4 5 6 7	Health-Related Services. Prescription medications shall be administered in accordance with the label directions as prescribed by the child's physician. This requirement is not met as evident by:
	8 9 10 11 12 13 14	Based on record reviews, one child's medication was expired and was not in the original packaging. This poses a potential risk to the health and safety to the children in care.	8 9 10 11 12 13 14
Type B 04/29/2020 Section Cited	1 2 3 4 5 6 7	On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training...and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evident :
	8 9 10 11 12 13 14	Based on record reviews, S-1 and S-2 did not renew mandated reporter training. Training was completed on 10/2017. This poses a potential risk to the health and safety to the children in care.	8 9 10 11 12 13 14

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: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2020

LIC809 (FAS) - (06/04)

Page: 2 of 4