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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434404912
Report Date: 10/28/2022
Date Signed: 10/28/2022 04:10:49 PM

Document Has Been Signed on 10/28/2022 04:10 PM - It Cannot Be Edited

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 PRESCHOOLFACILITY NUMBER:
434404912
ADMINISTRATOR:HEATHER ELSTONFACILITY TYPE:
850
ADDRESS:401 WEST HAMILTON AVENUETELEPHONE:
(408) 341-7127
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY: 180TOTAL ENROLLED CHILDREN: 110CENSUS: 41DATE:
10/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Mylene IgnacioTIME COMPLETED:
04:20 PM
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Licensing Program Analyst (LPA), James Santos conducted an unannounced Required 1 Year inspection at the Facility today and met with Assistant Director, Mylene Ignacio.

LPA toured the Facility inside and outside with Assistant Director. 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) and Child Car Seat Law (PUB 269) were observed to be posted by the front office reception area.

All classrooms were observed to be clean and well maintained. Furniture and equipment were observed to be in good condition. There are age appropriate toys available for children. Fire extinguishers, fire alarm system, smoke and carbon monoxide detectors were observed in the classrooms. There are solid waste containers with tight-fitting lids in each classrooms. The children's bathrooms were observed to be clean and sanitary.
There are separate staff bathrooms not utilized by the children which an isolated child can use if needed. Chemicals and cleaning solutions are locked in a storage shed inaccessible to children. Per Assistant Director, there are no weapons or firearms on the premises.

Assistant Director stated that children can bring their own lunches or, opt in to the School District Meals Program. Snacks are also provided in the morning and in the afternoon. The children bring their own drinking water and are also provided with bottled water in school if needed.

The outside playground areas are surrounded by appropriate fencing and were observed to be safe and free of hazards. The outdoor play equipment are in good condition and the surface area has sufficient resilient materials. There are no bodies of water observed.

The annual inspection will be continued on a later date. Exit interview conducted and report was reviewed and a copy was provided to Assistant Director, Mylene Ignacio.


NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE: DATE: 10/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2022
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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