<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408031
Report Date: 10/06/2022
Date Signed: 10/06/2022 12:44:26 PM

Document Has Been Signed on 10/06/2022 12:44 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:MORELAND CHILD DEVELOPMENT CENTERFACILITY NUMBER:
434408031
ADMINISTRATOR:MESSNER, ASHLEYFACILITY TYPE:
850
ADDRESS:3750 GLEASON AVENUETELEPHONE:
(408) 874-3745
CITY:SAN JOSESTATE: CAZIP CODE:
95130
CAPACITY: 72TOTAL ENROLLED CHILDREN: 44CENSUS: 26DATE:
10/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH:Ashley Messner & Jeanette EscobarTIME COMPLETED:
12:50 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) Marilou Monico conducted an unannounced Required - 1 Year Inspection. LPA met with Site Supervisor, Ashley Messner, and Director, Jeanette Escobar. Facility's License, Notification of Parents’ Right Poster, Child Car Seat Law, Personal Rights (LIC 613A), Emergency Disaster Plan, Menus, Activity Schedule, and Earthquake Preparedness Checklist were observed to be posted. The center's operating hours are Monday through Friday from 08:15 AM to 2:30 PM. The preschool program utilized Rooms 13 thru 16. The facility serves children ages 3 to 5 years old.

LPA toured the indoor and outdoor areas. LPA observed that the facility was operating in compliance with teacher to children ratio requirement. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Floors were clean. LPA observed that the preschool children's bathrooms are sanitary and operable. There are six toilets and nine sinks available for the children. There is a separate staff bathroom located in Room 16 which ill children can use if needed. Jeanette indicated that the school district custodians clean the facility before and after daycare hours.

Ashley stated that the center only provides morning snacks to children. Lunch is provided by parents or parents can purchase lunch from the Payne Elementary School cafeteria. LPA observed a kitchen in Room 16 for food preparation. Foods and beverages were kept protected against contamination and spoilage. Drinking water is available for the children indoor by individual water bottles. Trash cans for solid waste had tight-fitting covers on, and were in good repair. Fire extinguisher, working smoke and carbon monoxide detectors were observed.

Jeanette stated that there are no firearms in the facility. Drinking water is readily available for the children outdoor by individual water bottles. The playground is surrounded by appropriate fencing and the outdoor surfaces are safe. Shades are provided by canopy, trees, and building overhang. LPA observed synthetic grass as resilient material under and around the climbing structure. There were no bodies of water observed.

Continuation on next pages:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/06/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: MORELAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434408031
VISIT DATE: 10/06/2022
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
26
27
28
29
30
31
32
LPA reviewed 10 children's files. Children records reviewed include Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment form, receipt of Parent Rights Notice, Personal Rights Notice, Physician's Report, Medical Assessment, Immunization, and TB test. LPA obtained copy of children's roster.

Two (2) staff files were reviewed. Staff records reviewed include Criminal Record Statement (LIC 508), Personnel Record, Employee Rights, Statement Acknowledging Requirement to Report Child Abuse, Health Screening Report with TB Clearance, Immunizations (Measles, Pertussis, and Flu) and required Training. LPA reminded Director that the Mandated Reported Training (AB1207) shall be renewed by all staff every two years. At least one staff member present during the inspection has current certification in Pediatric CPR and First Aid.

This facility provides Incidental Medical Services – IMS. Jeanette stated that currently, there are no children using medication. 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

Fingerprint clearances for individuals working at the facility are issued by the State Department of Education and/or County Office of Education and do not come under the jurisdiction of Community Care Licensing Division.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.


Continuation on next page:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: MORELAND CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 434408031
VISIT DATE: 10/06/2022
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
26
27
28
29
30
31
32
The following item must be submitted to Licensing by November 6, 2022:
1) Operations/Record Keeping Orientation certificate for Site Supervisor, Ashley Messner.
2) Proof of completion in Health & Safety Training including Nutrition and Lead Poisoning Prevention of at least one staff member working at the facility.

As a result of this inspection, there were no deficiencies cited.

Exit interview conducted and report was reviewed with the Director, Jeanette Escobar.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3