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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408883
Report Date: 02/10/2021
Date Signed: 02/11/2021 10:20:35 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:HEARTS AND HANDS CHRISTIAN CHILDCARE AND PRESCHOOLFACILITY NUMBER:
434408883
ADMINISTRATOR:GABRIELLA TORRESFACILITY TYPE:
850
ADDRESS:1353 WEST HEDDING STREETTELEPHONE:
(408) 244-0132
CITY:SAN JOSESTATE: CAZIP CODE:
95126
CAPACITY:63CENSUS: 36DATE:
02/10/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Gabby TorresTIME COMPLETED:
04:45 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 2/10/2021 at 9:00 am: LPA Pete Hernandez contacted Director Gabby Torres on her cell phone and initiated a FaceTime tele-inspection. Licensing Program Analyst (LPA), Pete Hernandez, made a case management inspection - incident in response to an unusual incident that was self-reported to Licensing by Director. LPA toured the facility and interviewed staff, and parents of children involved in the report. The incident involved Child 1 on 2/4/2021 and 2/5/2021 where the child sustained minor injuries; once on the playground and once in the classroom while playing with another child identified as Child 2. The LPA secured documentation, children's roster from the Director to help with the investigation.

LPA inspected the physical plant. LPA interviewed staff, and parents. LPA also reviewed incident report and documentation. There does not appear to be any evidence that would support any lack of good judgement or that these injuries could have been reasonably prevented. Since the staff had witnessed, and was within close proximity on both occasions there was no lack of supervision. This occurred within a span of two consecutive days. The staff keeps good documentation on the children. The LPA finds that no violations or deficiencies resulting from this investigation.

An exit interview was conducted with the Director. The inspection was done by using Video Conference, this report has been delivered and reviewed by e-mail and verified by "return receipt." in lieu of a physical delivery and signature.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro HernandezTELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:

DATE: 02/10/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/10/2021
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 1