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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400411
Report Date: 10/03/2019
Date Signed: 10/03/2019 10:01:33 AM

COMPREHENSIVE INSPECTION
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:FOOTHILL CHRISTIAN PRESCHOOL & DAYCAREFACILITY NUMBER:
434400411
ADMINISTRATOR:TRICIA TRAHANFACILITY TYPE:
850
ADDRESS:5301 MCKEE ROADTELEPHONE:
(408) 258-2171
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY:71CENSUS: 20DATE:
10/03/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
08:35 AM
MET WITH:Tricia TrahanTIME COMPLETED:
10:10 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Tuoc Doan, Stephanie Collins, and Pietro Hernandez arrived at the facility to complete the Annual Inspection that was started on 08/29/19. LPAs met with Director Tricia Trahan and informed her the purpose of the visit. A sampling of Staff files was selected for review. Records reviewed include Criminal Record and Child Abuse Index Background Check Clearance, Health Screening Report with TB Clearance, Immunization Record for Measles and Pertussis, Education Qualification, and required Training. LPAs reminded Director that the AB1207 Mandated Reporter Training needs to be renewed every two years. There was at least one person with documented current certification in Pediatric CPR/1st Aid present at the facility during LPAs’ inspection.

LPAs 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 provide care and supervision to the children. For an initial violation, civil penalty amounts to $100.00 per person up to $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person per day up to $3000.00 per person. LPAs also reviewed with Director the violations that would result in an immediate $500 civil penalty.
Director is encouraged to visit the Department’s website at www.cdss.ca.gov [Shortcut: ccld.ca.gov] to access resources for Providers, Regulations etc. Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPAs provided a copy of the “Lead Poisoning Facts Information Flyer” to the facility.

In the areas that were evaluated, regulatory violations were observed at the time of the inspection. Exit interview was conducted, where this report, the violations, plan of corrections, and appeal rights were reviewed with Director.
A NOTICE OF SITE VISIT WAS ISSUED AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2019
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: FOOTHILL CHRISTIAN PRESCHOOL & DAYCARE
FACILITY NUMBER: 434400411
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/03/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/17/2019
Section Cited

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HEALTH & SAFETY CODE. 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 [...] pertussis, and measles. [...] The day care center shall maintain documentation of the required immunizations.
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This requirement is not met as evidenced by: Per Director and LPAs' review of files, facility failed to maintain documented evidence of Director and staff Amelita Phillips' immunity against Measles and/or Pertussis. This poses a potential risk to the health and safety of children in care.
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Type B
10/17/2019
Section Cited

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MANDATED REPORTER TRAINING. [...] a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee [...] shall complete the mandated reporter training provided [...] and shall complete renewal mandated reporter training every two years [...].
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This requirement is not met as evidenced by: Director stated that she, and staff Amelita Phillips and Phuong Anh Ho have not completed the Mandated Reporter Training. This poses a potential risk to children's health and safety of children in care.
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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: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:
DATE: 10/03/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/03/2019
LIC809 (FAS) - (06/04)
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