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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410761
Report Date: 06/13/2019
Date Signed: 06/13/2019 11:23:22 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:GROWING TREE LEARNING CENTERFACILITY NUMBER:
434410761
ADMINISTRATOR:HUANG, HSINIFACILITY TYPE:
850
ADDRESS:12000 SARATOGA-SUNNYVALE ROADTELEPHONE:
(408) 873-2889
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:89CENSUS: 63DATE:
06/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Hsini HuangTIME COMPLETED:
11:30 AM
NARRATIVE
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Licensing Program Analyst (LPA) Stephanie Rangel met with director, Hsini Huang for an annual random inspection. LPA toured the Facility both inside and outside. LPA notes that there are four rooms 1, 2, 3, and 4 in the preschool program and room T is the toddler option room. LPA observed all the required posted materials including the facility license, Emergency Disaster Plan, Earthquake Preparedness Checklist, Notification of Parents' Rights, menu, Personal Rights and activity schedule.

LPA reviewed 10 random children's files and 5 staff files. Facility was in compliance with SB 792 (vaccinations needed for child care workers) and AB 1207 (mandated reporter training for child care workers.) At least one staff member present during the inspection has current CPR and First Aid certifications. LPA observed that the teacher/child ratio was in compliance during today's inspection. LPA reviewed the sign in and sign out sheets and children's roster.

The rooms are clean. Staff and children's bathrooms are sanitary and operable. Drinking water is readily available for the children indoor and outdoor via water pitchers and disposable water cups. The center provides lunch and snacks. Cleaning supplies are kept in the kitchen inaccessible to children. Janitorial service is provide weekdays in the evening.

The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe. Shade is provided by building overhang and trees. LPA observed that the outdoor equipment is age appropriate and in good condition. LPA observed wood chips as resilient material under the climbing structure. Director stated that there are no weapons on the premises.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 06/13/2019):
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
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 2
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: GROWING TREE LEARNING CENTER
FACILITY NUMBER: 434410761
VISIT DATE: 06/13/2019
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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 06/13/2019):

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 reminded director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violations within a 12 month period.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

IMS Plan to be submitted to CCL by 6/27/19.

As a result of this inspection, no deficiency cited.



Periodic information releases accessible by signing up at: www.myccl.ca.gov

NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Stephanie C RangelTELEPHONE: (408) 334-8556
LICENSING EVALUATOR SIGNATURE:

DATE: 06/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2019
LIC809 (FAS) - (06/04)
Page: 2 of 2