434411591-6-15-2021-52-CC-MESA-C3ZPU7-20210615113705

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434411591
Report Date: 06/15/2021
Date Signed: 06/15/2021 11:37:11 AM

Document Has Been Signed on 06/15/2021 11:37 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	HAPPY HEARTS ACADEMY		FACILITY NUMBER:	434411591
ADMINISTRATOR:	RUPA SETHNA		FACILITY TYPE:	850
ADDRESS:	550 NORTH ABEL STREET		TELEPHONE:	(510) 386-7041
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 0	CENSUS: 12	DATE:	06/15/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Rupa Sethna		TIME COMPLETED:	11:45 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	On Tuesday, June 15, 2021 at 9:52 AM, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required 1 Year Visit. LPA met with the Director Rupa Sethna. Present on this visit were 12 preschool children and 3 staff (teacher and aide). Facility operates from Monday to Friday 8:30 am to 5pm. LPA toured the facility and play yard for a health and safety inspection. Personnel files were reviewed today. The teacher/child ratio is being met. A percentage of children's files were reviewed at 10:30 am. The classroom(s) and play yard were age appropriate and in good repair. Bathrooms were clean and in working order. There is a separate staff bathroom. Snacks are provided and prepared on site. The kitchen area was maintained in a clean manner and was inaccessible to children in care. Menus were posted. There is adequate variety and quantity of foods to meet the children's needs and are clearly labeled. Waste containers have tight fitting lids. The storage of napping equipment was observed. The sign in and out logs were reviewed. Firearms and other weapons are not being stored on the premises. All posting requirements are being met. Outdoor play area was free of hazards and provided a shaded area for the children and access to drinking water. Play ground equipment is cushioned with material that absorbs a fall. There are no bodies of water. The facility has a carbon monoxide detector, charged fire extinguishers and first aid kits. Fire and disaster drills are being conducted monthly. There is a working telephone at the facility. All the teacher are trained in CPR and Pediatric First Aid and valid except for the Aide. California Law requires the licensee to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. Roster of the children and staff is maintained and LPA obtained copies. See 809-C

Jason Jang
Manel Estoesta
	DATE: 06/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: HAPPY HEARTS ACADEMY	FACILITY NUMBER: 434411591
	VISIT DATE: 06/15/2021

NARRATIVE

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Director is reminded that ALL assistants, volunteers, and staff, that are 18 years of age or older must be fingerprint cleared and associated to this facility prior to being in the presence of children in care or an immediate civil penalty will be assessed from $100 to $3000 per person, per incident. Director was reminded of the responsibility as a mandated reporter. All forms can be downloaded at www.ccld.ca.gov

Incidental Medical Services (IMS) policy was discussed. Per licensee, no IMS is being provided at this time. The licensee was reminded that when any changes to the IMS plan is made, an updated Plan for Providing 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.” Licensee was reminded to visit our website at www.ccld.ca.gov to get quarterly updates on new laws and regulations.

LPA provided the following information:

1. LIC 311 A
2. Renewal Fee
3. PIN 20-01-CCP REQUIRED LEAD TESTING FOR DRINKING WATER IN LICENSED
CHILD CARE CENTERS AND THE PROVISION OF LEAD EXPOSURE
INFORMATION TO PARENTS AND GUARDIANS BY ALL LICENSED
CHILD CARE FACILITIES
4. https://ccld.childcarevideos.org/child-care-center-operators/
5. https://cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian-faqs

No deficiency cited during today’s visit. An exit interview was conducted with the director. A Notice of Site visit was posted at the time of inspection and must remain posted for 30 days.

SUPERVISOR'S NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:	DATE: 06/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2021

LIC809 (FAS) - (06/04)

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