434404888-7-14-2021-07-CC-PHEZ-C4WQ27-20210714114641

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434404888
Report Date: 07/14/2021
Date Signed: 07/14/2021 11:49:06 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:	CHALLENGER SCHOOL-STRAWBERRY PARK		FACILITY NUMBER:	434404888
ADMINISTRATOR:	MICHELLE SILVA		FACILITY TYPE:	850
ADDRESS:	730 CAMINA ESCUELA		TELEPHONE:	(408) 973-8787
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95129
CAPACITY:	288	CENSUS: 27	DATE:	07/14/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Candy Hiller		TIME COMPLETED:	12:15 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 7/14/2021 at 8:15am: Licensing Program Analyst (LPA) Pietro Hernandez conducted an unannounced Required Annual inspection of Challenger School-Strawberry Park. The program has two rooms currently being used: Room identified as A-3 and A-4 respectively. LPA met with Director, Candy Hiller, and explained the purpose of today's visit. Facility’s License, Emergency Disaster Plan, menus, Parents’ Rights Poster PUB393, Personal Rights, and Activity Schedules, were observed to be posted. Facility's operating days and hours are Monday through Friday 8:00am to 5:00pm.. The physical plant was inspected. LPA toured the building with the Director. Indoor space: The classrooms, restrooms and office area were inspected. LPAs observed 27 children with 4 staff between 2 separate rooms being used, The Director was present during inspection. Facility was in compliance with teacher to children ratio requirement. Children were engaged in various activities under the visual supervision of the teachers and assistants. LPAs did not observe disinfectants, cleaning solutions or chemicals that are dangerous to the health and safety of children. All other cabinets, drawers, and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Restrooms for children were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Foods and beverages were stored safely. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste did not have tight-fitting covers on in room A-3 or A-4. Director stated that facility does not possess nor store any weapons on the premises. LPA observed a 3A40BC Fire extinguisher, working Smoke and Carbon Monoxide Detectors, fire pull stations, and sprinkler system in each room. Log shows that the last Fire Drill was conducted on 6/17/2021. Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in parked vehicles.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

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: CHALLENGER SCHOOL-STRAWBERRY PARK	FACILITY NUMBER: 434404888
	VISIT DATE: 07/14/2021

NARRATIVE

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Outdoor Space: Outdoor playgrounds were inspected and observed to be safe. The play equipment was maintained in good condition and free of hazards. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities.

File Review: Children sign in and out procedures and logs were reviewed. A sampling of 5 Children's files and 4 Staff files were taken for review. All child files contained immunization's, Physician's and Parent's Health Report. Staff files contained appropriate educational units. There was at least 1 Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. Director Candy Hiller's CPR and First Aid will expire on 1/20/23. Children's Roster was reviewed and a copy was provided to the LPA.

Director stated that facility does handle medications and currently do not have children in care who require Incidental Medical Services. Facility has an approved IMS Plan on file with San Jose Regional Office. Isolation of sick child was discussed, and Director explained that a sick child is brought to the office area to be isolated from other children. Child is always under visual supervision while being cared for.

LPA 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 per day with a maximum of $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person per day with a maximum of $3000.00 per person. LPA also reviewed with Director the violations that would result in an immediate assessment of civil penalty in the amount of $500. Director is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online option to pay Annual License fee, Adoption of new Laws, etc.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

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: CHALLENGER SCHOOL-STRAWBERRY PARK	FACILITY NUMBER: 434404888
	VISIT DATE: 07/14/2021

NARRATIVE

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Website for provider resources:
http://www.cdss.ca.gov/inforesources/Community-Care/Self-Assessment-Guides-and-Key-Indicator-Tools/Quarterly-Updates

childcareadvocatesprogram@dss.ca.gov

A deficiency is being cited based on the LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22, see LIC809D. An exit interview was conducted, and Plan of Corrections were reviewed and developed with the licensee. A copy of this report and appeals rights were discussed and left with the Licensee, Candy Hiller, whose signature on this form confirm receipt of these documents.

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 Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: CHALLENGER SCHOOL-STRAWBERRY PARK	FACILITY NUMBER: 434404888
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/14/2021

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 08/10/2021 Section Cited	1 2 3 4 5 6 7	101239(f)(1) Fixtures, Furniture, Equipment and Supplies: Solid waste shall be stored, located and disposed of in a manner that will not transmit communicable diseases or odors, create a nuisance, or provide a breeding place or food source for insects or rodents. All containers used for storage of solid wastes, including moveable bins, shall have a tight fitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement has not been met as evidenced by:
	8 9 10 11 12 13 14	The LPA observed 5 trash cans that were missing tight fitting covers in rooms A-3 and A-4. These are used for disposing trash and uneaten food.	8 9 10 11 12 13 14
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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 Knight	TELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro Hernandez	TELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

LIC809 (FAS) - (06/04)

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