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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400477
Report Date: 08/26/2019
Date Signed: 08/26/2019 10:42:59 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:ALMADEN PRESCHOOLFACILITY NUMBER:
434400477
ADMINISTRATOR:STORIE, PATSYFACILITY TYPE:
850
ADDRESS:1295 DENTWOOD DRIVE, PS 1 & 2TELEPHONE:
(408) 535-6677
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY:47CENSUS: 21DATE:
08/26/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Debbie McCarsonTIME COMPLETED:
10:55 AM
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Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced Case Management - Annual Continuation inspection to the facility today. LPA met with Teacher Debbie McCarson and explained the nature of today's inspection to her. LPA toured the facility both inside and outside during today's inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), a monthly Menus and Activity Schedule. There are Three classrooms utilized for the preschool program. LPA observed 21 preschoolers with 4 teachers in classroom PS-2 and 16B. The school offers 2 half-day sections: from 8am to 11am and 12pm to 3pm.

Staff of Almaden Preschool Program are hired through the San Jose Unified School District and fingerprint clearances are done through the Department of Education.



LPA reviewed six children and four staff files. Each child's file reviewed contains the identification and Emergency Information form (LIC 700), a copy of the admission agreement, Notification of Parent's Rights, and Personal Rights, and Physician Report. Immunization records are maintained and up-to-date. The facility conducts audits by itself. LPA observed that all children were properly signed in and out by an authorized representative electronically and in paper. LPA advised teacher, Debbie to obtain child #1, and child #3 physician report within a month of school starts. All staff files reviewed contain the required transcripts/verification of experience. LPA observed all staff have current CPR and First Aid certifications on file. LPA observed that the teacher/child ratio was in compliance during today's visit. LPA observed the conditions, limitations, and capacity specifications of the Facility license are in compliance with the regulations, and children were visually supervised at all times.

LPA observed that all preschool rooms are clean and safe for all children and staff. Drinking water is readily available for the children in each room and outdoor via water dispenser. LPA observed solid waste containers with tight-fitting lids in each room. Staff and children's bathrooms are clean, sanitary, and operable. There were separate staff bathrooms in the office not utilized by the children which an isolated sick child can use if needed. Teachers stated that there are no weapons or firearms on the premises.


Facility Evaluation Report dated 08/26/2019 to be continued on next page:
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ALMADEN PRESCHOOL
FACILITY NUMBER: 434400477
VISIT DATE: 08/26/2019
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Facility Evaluation Report dated 08/26/2019 to be continued from previous page:
The facility provides snacks to the children. Food is prepared in the school central kitchen. All food is in kitchen are current, whole milk is provided. Children allergic food list are posted for staff awareness. Cleaning supplies are inaccessible to the children and stored in high cabinets inaccessible to children in each of the classroom. Any medications at the facility are also stored in high cabinets inaccessible to children in each of the classroom. LPA observed all furniture and equipment is in good condition and safe for the children. LPA observed one functioning carbon monoxide in each of the classroom. The playground areas utilized by the preschool children is surrounded by appropriate fencing. LPA observed that the outdoor equipment is age appropriate and in good condition. LPA observed that there is grass around and under the play structures in the preschool playgrounds, shade is provided by building overhangs and tents. LPA did not observe any bodies of water in the playground area.

LPA observed staffs have all the immunization records in file per SB 792 Immunization Requirements. Incidental Medical Services (IMS) were discussed. The facility provides Epinephrine Auto-Injector. IMS and IMS Service plan is on file. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records including: Written Authorization from the child’s physician and parent consent for administration of medical service, and administered logs/records. Medication, supplies and equipment of medication were in the original labeled container with the child’s name on it and were not expired. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

LPA discussed Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. LPA observed all the staff have completed their training and certifications are kept in each staff's file in the district office.

LPA observed Acknowledge of Receipt of Licensing Report were obtained from all of parents/guardians of children in care with signature and kept in each child's file for the office visit on 07/12/2019.



No deficiency was cited. LPA conducted an exit interview with Teacher, Debbie prior to the conclusion of today's inspection. A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2019
LIC809 (FAS) - (06/04)
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