434400316-10-13-2023-07-CC-SYIP-CWKCYY-20231013022131

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400316
Report Date: 10/12/2023
Date Signed: 10/13/2023 02:21:40 AM

Document Has Been Signed on 10/13/2023 02:21 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:	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: 20	DATE:	10/12/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Yolanda Sullivan		TIME COMPLETED:	04:40 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) Samantha Yip conducted an unannounced Required- 1 Year inspection. LPA met with Licensee/Director Yolanda Sullivan and explained the reason for the inspection. The purpose of this inspection is to also review an usual incident report that was report to the San Jose Regional Office on 09/18/2023 for an incident that occurred the week of 08/16/2023 and a possible violation of child's personal rights. LPA interviewed staff and child. LPA also reviewed staff file. Present during today's inspection were 20 children and at least four (4) staff. LPA observed around 2:40PM that Licensee and S-1 were with 17 children. S-1 does not have proof of completion of at least two semester units in child development and proof of enrollment in additional courses. There is an area to post required postings, such as license and parent's rights. The hours of operation are Monday through Friday 7AM to 5PM. LPA reviewed sign in/out sheet during today's inspection. LPA discussed with Licensee about ensuring that all children are signed in and out. LPA toured the inside and outside of the center with Licensee. Licensee stated that they are currently only using Room 1, 3, 4, and 5 and has changed the room numbers. There is an elementary school on campus that uses Room 2. An updated LIC 999 will be submitted to reflect the changes to the room being used and the numbers of the room. There are toys and equipment for children. LPA discussed with Licensee about ensuring that all disinfectant spray or cleaning supplies are inaccessible to children or locked. Bathroom for children were observed to be in functioning condition. LPA observed that some of the tiles and flooring in the restroom in Room 8 is chipped and there is a hole in the wall. There is a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. Licensee stated that there are no weapons, such as firearms, stored on the premise. --------------------continues on 809 dated 10/12/2023 page 2-----------------------

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
	VISIT DATE: 10/12/2023

NARRATIVE

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-----------------continuation of 809 dated 10/12/2023 page 1----------------------

The outdoor area is fenced. LPA observed that the elementary school on site was using the outside area. There were no children from the preschool program outside at the time. Licensee stated she will submit a waiver request for the elementary school to share the outside area along with daily schedule for the preschool and elementary school to Licensing. LPA observed that there is not enough resilient material to absorb falls. Play equipment and play structure was observed to be in good condition. Shaded rest area is provided through trees and canopy. There were no bodies of water observed during today's inspection.

The center only provides snacks to children. All meals are prepared and brought from home. Drinking water inside and outside are provided through individual water bottles and water pitchers, which is filled up at the water cooler.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Licensee will submit letter that the center obtains water from a third party.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. There was a bottle of allergy medicine that expired on 05/2023. Center does not have written permission from parent to administer medication. 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) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

---------------------continues on 809 dated 10/12/2023 page 3--------------------

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
	VISIT DATE: 10/12/2023

NARRATIVE

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A copy of the facility roster was obtained during today's inspection. Four (4) children's files were reviewed during today's inspection. The records reviewed include but not limited to physician's report, admission agreement and personal rights. LPA discussed with Licensee about ensuring that the all the forms are filled out correctly, such as date of birth and name of child.

Five (5) staff files were reviewed during today's inspection. The records reviewed include but not limited to Health Screening, Mandated Reporter training, immunization records for measles, pertussis and influenza. Licensee does have a valid CPR/1st Aid, which expires on 05/20/2025.

Licensee was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Licensee will submit the following by 10/23/2023:
- waiver request for the elementary school to use the outside area along with the schedule
- letter stating that the center purchases drinking water from a third party
- LIC 200A and LIC 999 to reflect the change to the rooms being used and room numbers

As a result of this inspection, deficiencies were issued. Exit interview conducted and report was reviewed with the licensee, Yolando Sullivan. A notice of site visit was given 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: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/13/2023 02:21 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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101212(d)

Reporting Requirements. Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. Licensee report an incident that occurred the week of 08/16/2023 to the San Jose Regional office on 09/18/2023.
	POC Due Date: 10/23/2023
	Plan of Correction
1 2 3 4	By POC 10/23/023, Licensee will submit written statement that she understands the reporting requirements to Licensing.

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: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/13/2023 02:21 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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/12/2023

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 there is not enough resilient material to absorb falls.
	POC Due Date: 10/23/2023
	Plan of Correction
1 2 3 4	By 10/23/2023, Licensee will submit proof of additional resilient material purchased and proof that it has been installed.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), 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 evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. Staff either only completed the General Training or did not completed training.
	POC Due Date: 11/27/2023
	Plan of Correction
1 2 3 4	By 11/27/2023, Licensee stated that she will have staff complete training and send certificate to Licensing.

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: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/13/2023 02:21 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: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. Two staff were missing immunization records for measles and influenza.
	POC Due Date: 11/02/2023
	Plan of Correction
1 2 3 4	By 11/02/2023, Licensee will send proof of immunization records for staff.

Type B

Section Cited

CCR

101226(e)(3)(B)

Health-Related Services

(3) Prescription medications may be administered if all of the following conditions are met: (B) For each prescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. There is no written permission from the parent for the center to administer medication.
	POC Due Date: 10/23/2023
	Plan of Correction
1 2 3 4	By 10/23/2023, Licensee stated that she will obtain written permission from parent and send proof to Licensing.

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: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/25/2023 03:12 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 10/16/2023 04:58 PM

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: 10/12/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101226(e)(4)(A)

Health-Related Services

(4) Nonprescription medications may be administered without approval or instructions from the child's physician if all of the following conditions are met: (A) Nonprescription medications shall be administered in accordance with the product label directions on the nonprescription medication container(s). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. Medication for child expired on 05/2023.
	POC Due Date: 10/23/2023
	Plan of Correction
1 2 3 4	By POC 10/23/2023, Licensee will submit proof that a new medication was obtained.

Deficiency Dismissed

Type B

Section Cited

CCR

101216.3(b)(1)

Teacher-Child Ratio

(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1) A ratio of one fully qualified teacher (as specified in Section 101216.1(c) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. Licensee and S-1 were with 17 children. S-1 does not have proof of completion of at least 2 semester units and enrollment in courses.
	POC Due Date: 10/23/2023
	Plan of Correction
1 2 3 4	By 10/23/2023, Licensee will submit written plan how she will ensure that facility is within ratio at all times.

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: 10/25/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023

LIC809 (FAS) - (06/04)

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