434407992-11-14-2019-07-CC-SRED-BHX37G-20191114165954

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434407992
Report Date: 11/14/2019
Date Signed: 11/14/2019 05:00:03 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: 148	DATE:	11/14/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	01:35 PM
MET WITH:	Graciela Marques-Hahn		TIME COMPLETED:	04:30 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 Analyst (LPA), Shannel Reed, conducted an unannounced annual/random visit to the Facility today. LPA met with Executive Director, Graciela Marques-Hahn and explained the nature of today's visit to her. LPA toured the Facility both inside and outside during today's visit. Facility is licensed to use Buildings 1, 2, 3, 4 and 5. LPA observed the facility in compliance with the required staffing ratios. There were 148 preschool aged children with 19 teachers present during today’s inspection. LPA observed 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), Activity Schedule and Menus. The children bring their lunch from home. AM and PM snacks are provided by the facility. LPA observed a 3A40BC Fire extinguishers in each building classroom. LPA observed operational Smoke and Carbon Monoxide Detectors. Log shows that the last Fire Drill was conducted on 10/17/19. The Executive Director understands the conditions, limitations, and capacity specifications of the Facility license. The Executive Director understands that children shall be visually supervised at all times. LPA reviewed five children's files. Each child's file reviewed contains the required information. LPA reviewed two staff files and found that all have completed the required Mandated Reporter Training (AB1207) and the required immunization against Pertussis, Measles, and Influenza (or opt out letter). There is at least one teaching staff member that has current CPR and First Aid certifications on file. The Site Supervisor understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). REPORT CONTINUED ON THE FOLLOWING PAGE (REPORT DATED 11/14/2019):

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Shannel Reed	TELEPHONE: (408) 489-9484
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019

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
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/14/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 12/13/2019 Section Cited	1 2 3 4 5 6 7	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.(1)All containers used for storage of solid wastes, including moveable bins,
	8 9 10 11 12 13 14	shall have a tightfitting cover that is kept on; shall be in good repair; and shall be leakproof and rodent-proof. This requirement is not met as evidenced by: LPA observed solid waste containers without tight-fitting lids in each classroom.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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) 324-2151
LICENSING EVALUATOR NAME: Shannel Reed	TELEPHONE: (408) 489-9484
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019

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: 11/14/2019

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CONTINUATION OF PREVIOUS PAGE (REPORT DATED 11/14/2019):
LPA observed that the classrooms are clean and safe for all children and staff. LPA observed all furniture and equipment is in good condition and safe for the children. The Executive Director states that a third party janitorial company clean the classrooms nightly. Drinking water is readily available for the children inside via water fountains and personal water bottles. The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. Cleaning supplies are inaccessible to the children and stored inaccessible to children. LPA observed solid waste containers without tight-fitting lids in each classroom. The Executive Director stated that there were issues with fingers getting pinched with the previous garbage cans. Children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed located in the Main Office. Medications at the Facility are stored in the main office in a locked cabinet inaccessible to the children in care. The Executive Director states that there are no weapons or firearms on the premises.

The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. The play equipment is age appropriate and maintained in good condition and free of hazards. Areas surrounding and under high climbing equipment and slides are cushioned with wood chips to absorb falls. There were no bodies of water observed. Drinking water is readily available for the children outside via water fountains and personal water bottles.

LPA provided the Community Care Licensing’s website www.ccld.ca.gov, so the licensee can obtain updated licensing information, new regulations and access forms. LPA advised the licensee of their responsibility to stay current in regard to new regulations. LPA also provided the e-mail address for the advocates in order to be added to the quarterly newsletter mailing list childcareadvocatesprogram@dss.ca.gov. LPA discussed Assembly Bill (AB) 2370 and gave Lead Safety information.

LPA obtained a Facility roster and conducted an exit review with the Executive Director.

A Type B Title 22 Deficiencies was cited during today’s inspection.

A NOTICE OF SITE VISIT WAS ISSUED, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Sandy Knight	TELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Shannel Reed	TELEPHONE: (408) 489-9484
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019

LIC809 (FAS) - (06/04)

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