434404912-10-16-2019-07-CC-SCRL-BGZUZG-20191016160130

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434404912
Report Date: 10/16/2019
Date Signed: 10/16/2019 04:01:34 PM

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:	ROSEMARY PRESCHOOL		FACILITY NUMBER:	434404912
ADMINISTRATOR:	HEATHER ELSTON		FACILITY TYPE:	850
ADDRESS:	401 WEST HAMILTON AVENUE		TELEPHONE:	(408) 341-7127
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY:	189	CENSUS: 92	DATE:	10/16/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Mylene Ignacio		TIME COMPLETED:	04:15 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	Licensing Program Analysts (LPAs) Stephanie Rangel and Dung Mac conducted a joint case management inspection to the Facility today regarding the reconfiguring of the Front Playground and adding room A2 to the facility. The facility is currently licensed in rooms A1, D, I, J, E, F and Playground 1/Front Playground and Playground 2/Back Playground. The facility split room A1 into two separate rooms (A1 and A2) and the Front Playground construction occurred at the school to reconfigure the space. LPAs met with Preschool Assistant Director, Mylene Ignacio and explained the nature of today's inspection. Mylene states that the preschool center will be open Monday - Friday from 7:00 AM to 5:00 PM. The license is for ages 2 years old to 6 years old. LPAs toured the inside and outdoor areas of the Facility during today's inspection. The following indoor measurements were taken today by LPAs Rangel and Mac: A1: 34.333 x 29.917 minus 30.624 (encumbered space) = 996.516 square feet A2: 34.750 x 18.667 + 10.500 x 7.667 + 28.667 x 14.833 minus 18.696 (encumbered space) = 1,135.703 square feet D: 34.500 x 27 minus 20.066 (encumbered space) = 911.434 I: 24.583 x 39.583 minus 34.703 (encumbered space) = 938.365 J: 24.167 x 39.583 minus 34.391 (encumbered space) = 922.211 E: 30 x 22.583 minus 7.080 (encumbered space) = 670.410 F: 23.583 x 39.083 minus 100.73 (encumbered space) = 820.964 Total for Indoor Space: 6,395.603 square feet divided by 35 = 182.732 (preschool children). Report continues on the following page:

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C Rangel	TELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019

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: ROSEMARY PRESCHOOL	FACILITY NUMBER: 434404912
	VISIT DATE: 10/16/2019

NARRATIVE

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The report continued from the previous page:

The outdoor space measurements were taken today as follows:
Playground 1/Front Playground: total = 103.583 x 10.083 + 110.667 x 15.5667 + 6.500 x 23.667 + 54.750 x 74.750 + 45.333 x 40.833 minus 276.676 encumbered = 8,599.04

The following outdoor measurements were taken on 1/28/19 by LPA Rangel:
Playground 2/Back Playground: total = 125.750 x 102 + 9.333 x 10.667 + 30.250 x 9.750 + 16 x 6.583 + 4.417 x 5 + 14.5 x 9.167 + 28.667 x 29.167 = 14,317.426
Total outdoor infant space: 8,599.04 + 14,317.426 square feet divided by 75 = (305 preschool children).

Fire Marshall Clearance for 189 children was granted on October 2, 2019. Facility asked for a licensed capacity of 189 children. An updated fire clearance for 182 children will be submitted to the fire department. The playground #1 and #2 currently measures for 305 preschool children. As a result of this inspection, a license for 182 preschool children will be granted upon management's approval.

No deficiencies cited today. Notice of site visit issued and shall remain posted for 30 days.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C Rangel	TELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2019

LIC809 (FAS) - (06/04)

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