434400322-5-5-2023-52-CC-MESA-CRJPTA-20230505113535

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400322
Report Date: 05/05/2023
Date Signed: 05/05/2023 11:35:44 AM

Document Has Been Signed on 05/05/2023 11:35 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	MERRYHILL SCHOOL 1070		FACILITY NUMBER:	434400322
ADMINISTRATOR:	LEW, VIOLA		FACILITY TYPE:	850
ADDRESS:	1500 YOSEMITE DRIVE		TELEPHONE:	(408) 945-9090
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	50	CENSUS: 21	DATE:	05/05/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Viola Lew		TIME COMPLETED:	12:00 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	On Friday, May 5, 2023, at 9:45 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required One (1) Year Visit. LPA met with the Director Viola Lew and explained the purpose of the visit. Present on this visit were 3 staff and 21 Preschool Children. The Preschool Program is located and operated in the Milpitas Unified School District. The Preschool Program opens at 8:00 am to 6:00 pm, Monday to Friday in Room 8 (formerly assigned as Room 3). The other licensed Room 9 (formerly assigned as Room 2) is currently being used by School District for Kindergarten. LPA toured the facility to conduct a Health and Safety Inspection with the Director. Facility was observed to follow teacher to children ratio requirement during LPAs' inspection. Children were engaged in various activities under the visual supervision of the teachers. Facility's License, Notification of Parents’ Right Poster, Child Car Seat Law, Menus and LIC 613A Personal Rights were observed to be posted. The classrooms, restrooms, pantry, kitchen, storage room, and office area were inspected. The facility does not possess nor store any weapons on the premises. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment such as mats, cots, tables, and chairs were age appropriate and were in good condition. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Outdoor activity space is fenced and was inspected. The play equipment was maintained in a safe condition and free of hazards. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children. Drinking water are arranged to be readily available to children during indoor and outdoor activities. See LIC 809 C.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MERRYHILL SCHOOL 1070	FACILITY NUMBER: 434400322
	VISIT DATE: 05/05/2023

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Continuation.

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

Facility Representative 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.

Facility files were reviewed. LPA reviewed Children Sign in and Out Sheets and Children Food Allergies List in the classroom. A sampling of Children's files and Staff files was taken for review. Full meal and Snacks are brought from home and or can be arranged through "Choice Lunch." LPA obtained copies of the facility updated Facility Sketch, LIC 500 and LIC 9040. LPA discussed to the Director on the future plan on the Licensee's Additional Room Application and American Rescue Plan Act Survey.

LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations, fire extinguishers and sprinkler system. Fire and Disaster Drills conducted on 2/6/2023. Facility does not provide transportation for children.

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/inspection-process.

There are no deficiencies cited on this visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Viola Davis.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 05/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2023

LIC809 (FAS) - (06/04)

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