434400322-10-12-2023-52-CC-MOTI-CWJTMD-20231012145059

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400322
Report Date: 10/12/2023
Date Signed: 10/12/2023 02:51:07 PM

Document Has Been Signed on 10/12/2023 02:51 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:	50	CENSUS: 50	DATE:	10/12/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Viola Lew		TIME COMPLETED:	03:10 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	A Case Management Inspection was conducted on this date 10/12/2023 by Licensing Program Analyst (LPA) Melanie Otsuji. LPA met with Director, Viola Lew. An application was submitted for a Capacity Increase and Room Addition from 50 preschool aged children to 96 preschool aged children. The program is currently utilizing 2 classrooms on campus (Room 8 & Room 9) facility is looking to add 2 classrooms (Room 4 & Room 10). Operating hours are Monday through Friday from 7:30AM - 6PM. Present today were 7 additional staff members and 50 napping preschool aged child. A health and safety inspection was conducted inside and outside. Measurements were taken and are as follows: INDOORS: 3429.22 square feet = 97 children OUTDOORS: 13029.44 square feet = 173 children There are a total of 6 sinks and 6 toilets available for children use. Facility utilizes 1 playground which has building overhang and shade tarps. Drinking water is available inside and outside by way of bottles brought from home. Facility provides a catered lunch and AM/PM snacks or children bring lunch from home. Menus are posted. Facility has a functioning carbon monoxide detector, smoke detector and fire extinguisher accessible throughout the facility. Facility utilizes an electronic sign in/out application which provides a unique identifier for each authorized representative. A paper copy is available should the application not work. An approved Fire Clearance was received on 10/04/2023 from Milpitas Fire Department for 96 preschool aged children.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
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)

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: MERRYHILL SCHOOL 1070	FACILITY NUMBER: 434400322
	VISIT DATE: 10/12/2023

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

All licensing required documents are posted. Per Director, all Opening and Closing staff have current Pediatric CPR/First Aid. This facility plans to provide Incidental Medical Services – IMS. An updated Plan of Operation that includes IMS must be submitted to the Department when any changes are made. 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.

Mandated reporter and appeal rights, unusual incident reporting and fingerprint requirements were discussed today. Director is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained.
The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during today's visit. A license with approval for 90 preschool aged children operating out of 4 classrooms will be issued effective today, 10/12/2023.

An exit interview was conducted with Director, Viola Lew.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR NAME: Melanie Otsuji	TELEPHONE: (510) 622-2613
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)

Page: 2 of 2