434400322-8-13-2024-52-CC-MESA-D84S6X-20240813133639

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400322
Report Date: 08/13/2024
Date Signed: 08/13/2024 01:36:49 PM

Document Has Been Signed on 08/13/2024 01:36 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
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:	90	CENSUS: 45	DATE:	08/13/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Director Viola Lew		TIME COMPLETED:	01:50 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	On 8/13/2024 at 10:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Annual / Required Visit. LPA met with the Director Viola Lew and explained the purpose of the visit. Present on this visit were 7 staff and 45 Preschool Children. The facility operates from Monday to Friday, 7:30 am to 6pm. The Preschool Program is located and operating in the same address as the Merryhill Elementary & Middle School Campus. 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 Poster, Bathroom Waiver, Activity Schedules and Personal Rights Poster were observed to be posted. Classroom 8, 9, 10 and the Portable Room 4 are the licensed rooms. Currently, Room 4 is not being used by the Preschool Program as per the Director. The classrooms, restrooms and storage room were inspected. 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, free of sharp, loose, or pointed parts. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Director stated that facility does not possess nor store any weapons on the premises. Facility provides a catered lunch and AM/PM snacks or children bring lunch from home. Menus are posted on the facility's website. Trash cans for solid waste had tight-fitting covers on and were in good repair. 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.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024

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: 08/13/2024

NARRATIVE

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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.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Facility files were reviewed. Facility is currently using an electronic sign in and out system application. LPA observed Children Food Allergies List in each classroom. Children and Staff sign in logs for today were reviewed and LPA obtained copies. LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations and fire extinguishers. LPA observed the facility's current fire inspection permit from the City of Milpitas. The facility conducted. Earthquake Drill was conducted on 10/19/2023. Fire Disaster Drills conducted on 1/252/2024, 2/9/2024 and 3/14/2024. Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles.

A sampling of Children's files was taken for review. The records reviewed include Admission Agreement, Identification and Emergency Information, FOOD RESTRICTION, AND HEALTH CONDITION INFORMATION, LIC 9221, Medical Assessment, and Immunization. LPA obtained copies of the Facility's Children's Roster.

Director stated that facility does handle medications and does currently have children in care who requires Incidental Medical Services - IMS Epinephrine and Inhaled Medication. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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.

A sampling of Staff's files was taken for review. LPA reviewed staff current certification in Pediatric CPR and First Aid, Child Care Providers, Staff Immunization and TB clearance, and Staff Educational Units were verified. LPA obtained copies of an updated LIC 500 and Facility's Children's Roster.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024

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: 08/13/2024

NARRATIVE

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The Director 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.

The Director was informed of the MyChildCarePlan.org site, 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.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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 were no Title 22 regulation observed today. No deficiency/ies cited today.

A notice of site visit was given to the Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Director Viola Lew.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms.

To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 08/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2024

LIC809 (FAS) - (06/04)

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