434407992-5-8-2019-07-CC-MMAR-BBYVUA-20190508164424

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434407992
Report Date: 05/08/2019
Date Signed: 05/08/2019 04:44:33 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:	NEIGHBORHOOD CHRISTIAN CENTER		FACILITY NUMBER:	434407992
ADMINISTRATOR:	MARQUES-HAHN, G.		FACILITY TYPE:	850
ADDRESS:	887 POMEROY AVENUE		TELEPHONE:	(408) 984-3418
CITY:	SANTA CLARA	STATE: CA	ZIP CODE:	95051
CAPACITY:	155	CENSUS: 108	DATE:	05/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Graciela Marques-Hahn		TIME COMPLETED:	05:00 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 05/08/19 at 1:30 PM Licensing Program Analyst (LPA) Monica Mathur conducted an unannounced Annual inspection of Neighborhood Christian Center. LPA met with Executive Director Graciela Marques-Hahn and explained the purpose of today's inspection. Facility’s License, Parents’ Rights Poster, Personal Rights, Activity Schedules, and Menus were observed to be posted in the office and all classrooms. Facility's operating days and hours are Monday to Friday 6:30 AM to 6:00 PM in Buildings 1, 2, 3, 4,and 5. Facility uses an electronic system for sign in / sign out called Kinderlime. The physical plant was inspected. LPA toured the buildings, rooms and outdoor areas with the Director. Indoor space: The classrooms, restrooms, pantry, storage room, and office area were inspected. The classrooms ratios at time of inspection were as follows: Building 1: Caterpillars room [2 year olds] 3 teachers / 17 napping children Building 2: Rollie-Pollies [2.5 - 3.5 year olds] 7 teachers / 22 napping children Building 3: Fireflies [TK, K age] 5 teachers / 36 children playing outside Building 4: Butterflies [4-5 year olds] 5 teachers / 36 children playing outside Building 5: Dragon flies [3.5 - 4.5 year olds 5 teachers / 28 napping children Naptime is between 12:50 PM - 3:00 PM Facility was observed to be in compliance with teacher to children ratio requirement during LPAs' inspection.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019

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: NEIGHBORHOOD CHRISTIAN CENTER	FACILITY NUMBER: 434407992
	VISIT DATE: 05/08/2019

NARRATIVE

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Children outside were engaged in various activities under the visual supervision of the teachers. Disinfectants, cleaning solutions, and other items that are dangerous to the health and safety of children were stored in places inaccessible to them. 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. Center serves morning and afternoon snack and children bring their own lunch from home. Foods and beverages were stored in the office refrigerator safely. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers on and were in good repair. Director stated that facility does not possess nor store any weapons on the premises. LPA observed a 3A40BC Fire extinguisher, Smoke and Carbon Monoxide Detectors, fire pull stations, medical first aid kits in each classroom. Log shows that the last Fire Drill was conducted on 04/25/19. Facility does not provide transportation for children except on field trip day, but Exec. Director understands that children cannot be left alone, unattended in parked vehicles.

Outdoor Space: Outdoor playground was 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 such as wood chips, sand, grass and rubber material. There were no bodies of water observed. Drinking water is arranged to be readily available to children during indoor and outdoor activities with water fountains and children personal water bottles which were labeled. Center has an Integrated Sustainable Living program where they teach children and staff to use reusable materials. They have an edible yard for a play yard and they grow numerous foods and plants in the Center.

Director stated that facility does handle medications and currently have children in care who require Incidental Medical Services. Facility has an approved IMS Plan on file with San Jose Regional Office. LPA reviewed storage of medication and equipment / supplies. 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. An adult restroom is used if necessary. Child is always under visual supervision while being cared for.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019

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: NEIGHBORHOOD CHRISTIAN CENTER	FACILITY NUMBER: 434407992
	VISIT DATE: 05/08/2019

NARRATIVE

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For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.
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.

File Review: Children electronic sign in and out procedures and logs were reviewed. A sampling of 12 Children's files and 11 Staff files was taken for review. All child files had Admission Agreement, Physician's Health Report, Parents Consent for Medical Treatment, Personal Rights and Parents Rights. All staff files had Employee Rights, Health Report, Measles, Pertussis Influenza Immunizations, TB clearance, LIC508, LIC9108 and Mandated Reporter Training. There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. Children's Roster was reviewed, and a copy obtained. 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.

In the areas that were evaluated, no regulatory violations were observed. Exit Interview was conducted, where this report was reviewed and discussed with Director. Report was signed by the Director confirming receipt of documents.
A NOTICE OF SITE VISIT WAS ISSUED, AND MUST BE POSTED ON OR ADJACENT TO THE INTERIOR SIDE OF THE MAIN DOOR INTO THE FACILITY FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Monica Mathur	TELEPHONE: (408) 334-8312
LICENSING EVALUATOR SIGNATURE:	DATE: 05/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2019

LIC809 (FAS) - (06/04)

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