434408796-9-24-2019-07-CC-SYIP-BGBL5P-20190924082728

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434408796
Report Date: 09/23/2019
Date Signed: 09/24/2019 08:27:32 AM

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:	KIDDIE ACADEMY OF MORGAN HILL		FACILITY NUMBER:	434408796
ADMINISTRATOR:	CONSTANCE NIKOLAOU		FACILITY TYPE:	840
ADDRESS:	15750 MONTEREY ROAD, SUITE 150		TELEPHONE:	(408) 776-6800
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	24	CENSUS: 0	DATE:	09/23/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:41 AM
MET WITH:	Nakia Centeno		TIME COMPLETED:	12:41 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) Samantha Yip conducted an unannounced annual random inspection. LPA met with Nakia Centeno, Director and explained the reason for the inspection. Upon arrival of inspection, there were no school-age children present. Facility has waiver to share outdoor space with preschool program in the afternoon. Facility uses electronic sign in/out. License, Notification of Parent's Rights, and Emergency Disaster Plan were observed to be posted. LPA toured in the inside and outside of the facility with Director. Disinfectants, cleaning solutions, and all other items that are dangerous to children were observed to be securely stored and inaccessible to children. The furniture and the equipment, such as tables and chair were age-appropriate and in good condition; free of sharp or loose, or pointed parts. The floors were clean and free of tripping hazard. LPA observed there is sufficient amount of age-appropriate toys for children in care. Restrooms for children’s use were observed to be in functioning condition. Storage containers for waste have tight fitted lids. Director stated that there are no weapons stored on the premise. LPA observed a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. The outdoor area is fenced. Play equipment was observed to in good condition. There is resilient material to absorb falls. Shade rest areas is provided through canopy and trees. There were no bodies of water observed during today's inspection. -------------------------continues on 809 dated 09/23/2019 page 2-------------------------

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019

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: KIDDIE ACADEMY OF MORGAN HILL	FACILITY NUMBER: 434408796
	VISIT DATE: 09/23/2019

NARRATIVE

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Facility provides snacks to the children in care. Menu was observed to be posted. Kitchen used to prepare snacks were observed to be clean and sanitary. Drinking water is provided through water pitchers and water fountain.

5 children's files were reviewed during today's inspection. The records reviewed include but not limited to admission agreement and parent's right.

Director stated that she currently does not have any children in care who requires Incidental Medical Services (IMS) services. 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.

Director is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online Licensing Forms, Adoption of new Laws, etc.

No deficiencies were cited as a result of today's inspection. An exit interview was conducted, where this report was discussed with Director.

A NOTICE OF SITE VISIT WAS ISSUE AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2019

LIC809 (FAS) - (06/04)

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