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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434407592
Report Date: 07/21/2023
Date Signed: 07/21/2023 03:27:34 PM


Document Has Been Signed on 07/21/2023 03:27 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:ALMADEN COUNTRY DAY SCHOOLFACILITY NUMBER:
434407592
ADMINISTRATOR:ELIZABETH LASHERFACILITY TYPE:
850
ADDRESS:6835 TRINIDAD DRIVETELEPHONE:
(408) 997-0424
CITY:SAN JOSESTATE: CAZIP CODE:
95120
CAPACITY:36CENSUS: 10DATE:
07/21/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Jane MurphyTIME COMPLETED:
04:00 PM
NARRATIVE
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Licensing Program Analyst (LPA), Janette Cruz, met with Jane Murphy, Head of Early Child Hood Education, for an unannounced case management inspection. During today's inspection LPA observed that room K2 is being renovated, furniture and some supplies from room K2 were stored inside the kitchen. Jane stated that K2 is being painted and floors are being worked on to be replaced. Jane also stated that K2 is currently not in use, only K1 is being used for daycare operation. LPA advised Jane that Licensing must be notified for any alterations made to licensed areas of the facility. Jane stated that when room K2's renovation gets done , room K1 will also be renovated.

A deficiency was cited and appeal rights also given. See (809-D). Exit interview was conducted and report reviewed with Jane Murphy, Head of Early Childhood Education .

A Notice of Site Visit was given to Jane Murphy, facility representative, and must remain posted on main door for 30 days.
SUPERVISOR'S NAME: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023
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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Document Has Been Signed on 07/21/2023 03:27 PM - It Cannot Be Edited

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 COUNTRY DAY SCHOOL
FACILITY NUMBER: 434407592

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/28/2023
Section Cited
CCR
101237(a)

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101237 Alterations to Existing Buildings or New Facilities
(a) Prior to construction or alterations, the licensee shall notify the Department of the proposed change(s).
This requirement was not met as evidenced by:
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Licensee will submit a plan of correction to ensure understanding of regulation requirement. Licensee will also submit a written statement of notification to Licensing of proposed alterations made on current licensed day care areas by POC due date.
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Based on observation and interview, Licensee did not comply with the section cited above. Licensee has made current alterations in K2 classrooms including painting and replacing floors without notifying the Department which poses a potential health, safety or personal rights risk to persons in care.
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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: Diana StephensonTELEPHONE: (408) 324-2128
LICENSING EVALUATOR NAME: Janette CruzTELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023
LIC809 (FAS) - (06/04)
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