434410620-5-8-2019-07-CC-MMOO-BBYNYZ-20190508105336

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434410620
Report Date: 05/08/2019
Date Signed: 05/08/2019 10:53:40 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:	LITTLE TREE PLAYSCHOOL, THE		FACILITY NUMBER:	434410620
ADMINISTRATOR:	TERESA GALLARDO		FACILITY TYPE:	850
ADDRESS:	7275 SANTA TERESA BLVD.		TELEPHONE:	(408) 972-9200
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95139
CAPACITY:	20	CENSUS: 11	DATE:	05/08/2019
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	08:31 AM
MET WITH:	Rachele Wright		TIME COMPLETED:	11:00 AM

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 Analysts (LPAs), Marilou Monico and Samantha Yip, met with Licensee Representative/Site Director, Rachele Wright, for a case management inspection in response to an increase in capacity from 20 to 30 children and adding toddler option program on the license. LPAs toured the facility both inside and out as well as measured the space available for the children. Indoor measurements are as follows: PRESCHOOL ROOM: 37.500 x 40.833 = 1531.237 minus 26.504 (encumbered space) = 1,504.733 *TOTAL PRESCHOOL INDOOR SPACE: 1,504.733 sq. ft. divided by 35 = 42 children* TODDLER OPTION ROOM: 21.833 x 17.667 = 385.723 minus 11.882 (encumbered space) = 373.840 *TOTAL PRESCHOOL INDOOR SPACE: 373.840 sq. ft. divided by 35 = 10 children.* There are 2 sinks (30) and 2 toilets (30) available for the children. There are 27 chairs, 7 tables, 26 mats and 20 cubbies for the preschool children. There are 10 chairs, 3 tables, 16 cubbies, and 13 cots for the toddler option program. Drinking water indoor is via pitchers and cups. Cold and hot water is available in the children's sinks. Hot water is measured today at 101 degrees Fahrenheit. There is staff bathroom next to the children's bathroom. The sick child will use the staff bathroom if needed and will be accompanied by a staff member. The sick child will be isolated in the School's Office and isolation equipment will be provided. Parents are responsible for bringing lunch for their children.. The center will provide snacks. Snacks will be prepared in the kitchen located next to the toddler room. The kitchen is equipped with refrigerator, oven, stove, microwave, and a sink with hot and cold running water. Sanitation is by hand washing. LPA observed trash can with tight-fitting lid for the disposal of solid waste. Cleaning products, sharp, objects, and other similar items are stored in the staff bathroom inaccessible to children. LPAs observed at least one functioning carbon monoxide detector at the facility. Site Director states there are no weapons at the facility. (REPORT CONTINUED ON THE FOLLOWING PAGES (PAGES #2 & #3 - REPORT DATED 05/08/19)]:

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
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: LITTLE TREE PLAYSCHOOL, THE	FACILITY NUMBER: 434410620
	VISIT DATE: 05/08/2019

NARRATIVE

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(CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 05/08/19):

Outdoor measurements were taken by LPA Walker on 02/22/09:
PRESCHOOL PLAYGROUND
92.498 X 50 = 4624.747 - 28.668 = 4596.232 SQ FT.
TOTAL OUTDOOR SPACE: 4596.232 sq. ft. divided by 75 = 61 children

The outdoor area is surrounded with appropriate fencing. Outdoor surfaces are safe. Shade is provided by canopies. There is a climbing structure with tanbarks as resilient material. LPAs observed no bodies of water. Drinking water outdoor is via individual water bottles.

A review of staff records during today's inspection indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

LPA discussed Senate Bill 792, Assembly Bill (AB) 1207 (Mandated Child Abuse Reporter Training) which is required training that began on January 1, 2018 and requires renewal every two years. AB 633 was discussed with Site Director. Licensing forms, Title 22 regulations, can be obtained through the internet at ww.ccld.ca.gov. Mandated Reporter Training can be accessed at www.mandatedreporterca.com. LPA discussed and provided Site Director with lead information sheets and advised her to provide copies to parents.

Fire clearance was granted on May 1, 2019.

The following items to be completed prior to licensure of 30 children (20 in the preschool and 10 in the toddler option program).
1) Diaper changing table within arms' reach of a sink in the toddler option program.
2) Waiver request for the toddler option children to share the bathroom with the preschool program at different times.
3) Since Site Director is designated as the licensee representative, proof that she completed Application Orientation to be submitted to Licensing.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Marilou Monico	TELEPHONE: (408) 334-8549
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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