434400411-10-3-2019-07-CC-TDON-BFHVPX-20190829163727

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400411
Report Date: 08/29/2019
Date Signed: 10/03/2019 09:57:18 AM

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 & DAYCARE		FACILITY NUMBER:	434400411
ADMINISTRATOR:	TRICIA TRAHAN		FACILITY TYPE:	850
ADDRESS:	5301 MCKEE ROAD		TELEPHONE:	(408) 258-2171
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95127
CAPACITY:	71	CENSUS: 12	DATE:	08/29/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:15 PM
MET WITH:	Tricia Trahan		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 Analysts (LPAs) Tuoc Doan and Stephanie Collins conducted an unannounced Annual inspection of the Preschool. LPAs met with Director Tricia Trahan and informed her the purpose of the visit. Facility's License, Notification of Parents’ Right Poster, and Child Car Seat Law were observed to be posted. Operating days and hours are Monday-Friday 06:30 AM to 06:00 PM. Facility was observed to be in compliance with teacher to child ratio requirement during inspection. LPAs inspected the building inside and out. The Preschool operates in Rooms 2, 3, 5, 8, 9, and Fellowship Hall. The classrooms, restrooms, Fellowship Hall, Office, and food Preparation areas were inspected. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children to use were observed to be in operating conditions. Floors were clean. Disinfectants, cleaning solutions, poisons, sharps, and other items that are dangerous to children were stored inaccessible. Facility provides snacks to children who elect to eat facility snacks. Food storage area was inspected and trash can for solid waste had tight fitting covers on. Outdoor activity space is fenced. Areas around and under high climbing equipment were cushioned with material that absorbs falls. There were no bodies of water observed. Director stated that facility does not have weapons on the premises. Drinking water is arranged to be readily available to children. Shade is provided by trees, building overhang, etc. LPAs observed smoke and carbon monoxide detectors. Fire Extinguishers were last serviced on 04/2019. The Fire/disaster drills were last conducted on 08/02/19. Facility has a Fire Safety and Hazardous Materials Permit that expires on 12/21/19. LPA reviewed facility's sign in and out procedure. A sampling of children files was selected for review. Records reviewed includes Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment form, Medical Assessment, and immunization.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc Doan	TELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

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
	VISIT DATE: 08/29/2019

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This facility provides Incidental Medical Services – IMS. 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.

Exit Interview was conducted, where this report was reviewed with Director Tricia Trahan.

Facility was informed that the Annual Inspection will continue and be completed at a later date.

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 Knight	TELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc Doan	TELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:	DATE: 08/29/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/29/2019

LIC809 (FAS) - (06/04)

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