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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411409
Report Date: 11/03/2021
Date Signed: 11/03/2021 02:22:47 PM

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:WORLD OF DISCOVERY PRESCHOOLFACILITY NUMBER:
434411409
ADMINISTRATOR:FOGARTY, TERIFACILITY TYPE:
850
ADDRESS:13200 SHADOW MOUNTAIN DRIVETELEPHONE:
(408) 867-4683
CITY:SARATOGASTATE: CAZIP CODE:
95070
CAPACITY:60CENSUS: 20DATE:
11/03/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jennifer CortezTIME COMPLETED:
02:21 PM
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Licensing Program Analyst (LPA), Pete Hernandez, conducted an Required 1 Year inspection. LPA met with Lead Teacher, Jennifer Cortez, and explained the nature of today's inspection. The world of Discovery is located on the Argonaut Elementary School. LPA observed all the required posted materials including the facility license, Notification of Parents' Rights form, Emergency Disaster Plan (LIC 610), Personal Rights, Earthquake Preparedness Checklist (LIC 9148), and activity schedule. There were 20 preschoolers inspection and three staff at the time of the LPA's visit .

LPA toured the facility both inside and outside. The classrooms are clean. Staff and children's bathrooms are sanitary and operable. The teacher child ratio was in compliance during today's inspection. Site Director has a current CPR and First Aid certification that expires ion 5.20.2022. LPA observed functioning Fire extinguishers, 2A10BC, smoke and carbon monoxide detectors. LPA reviewed ten random children's files and four staff files. Cleaning products are stored in a locked cabinet in the Big Room. LPA observed trash cans with tight fitting lid for the disposal of solid waste. LPA reviewed the sign in/out sheets and children's roster. Site Director states there are no weapons on the premises.

The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe. LPA observed rubberized resilient material in the playground area. LPA did not observe any bodies of water.
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 advised Site 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 violation within a 12 month period.
REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 11/03/2021):
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro HernandezTELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
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 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: WORLD OF DISCOVERY PRESCHOOL
FACILITY NUMBER: 434411409
VISIT DATE: 11/03/2021
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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 11/03/2021):

LPA advised Site Director on the requirements of AB 633, new car seat law, immunizations needed before starting preschool, and healthy beverages in child care.

Fire Drills are conducted every 6 months. The last log entry was 10/21/21.

Water is available to the children indoors and outdoors at all times during operating hours.

Children bring their own lunches and snacks from home.

The facility cleaned and disinfected daily by a third party after school hours.

This facility provides Incidental Medical Services – IMS, but does not currently have children enrolled with IMS needs. . LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

LPA conducted an exit interview with the Site Director prior to the conclusion of today's inspection and advised the Site Director of the required "mandated reporter" training for AB 1207 requirement for Child Care Providers that all staff must complete within 90 days of commencing employment at the Facility. The website for the online training is: http://www.mandatedreporterca.com


SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 334-2151
LICENSING EVALUATOR NAME: Pietro HernandezTELEPHONE: (408) 598-9250
LICENSING EVALUATOR SIGNATURE:

DATE: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
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: WORLD OF DISCOVERY PRESCHOOL
FACILITY NUMBER: 434411409
VISIT DATE: 11/03/2021
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TYPE A language: Should there ever be issuance of Type A citations today, a copy of the Facility Evaluation Report LIC809 has to be posted on the wall and a copy to be given to all parents of currently and newly enrolled children for next 12 months. In addition, copy of LIC9224 Statement Acknowledging Receipt of Licensing Reports need to be signed and kept in child files.

A deficiency is NOT being cited based on the LPA observation, interviews conducted, and record review in accordance with the California Code of Regulations, Title 22. An exit interview was conducted and reviewed with the Licensee. A copy of this report and appeals rights were discussed and left with the Licensee, Jennifer Cortez, whose signature on this form confirm receipt of these documents.

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: 11/03/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/03/2021
LIC809 (FAS) - (06/04)
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