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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434411992
Report Date: 08/05/2022
Date Signed: 08/09/2022 03:33:25 PM


Document Has Been Signed on 08/09/2022 03:33 PM - 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:ACHIEVING STARS ACADEMYFACILITY NUMBER:
434411992
ADMINISTRATOR:MICHELLE OHYEFACILITY TYPE:
850
ADDRESS:301 SOUTH ABBOTT AVENUETELEPHONE:
(408) 263-8802
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:96CENSUS: 16DATE:
08/05/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Leilani CamaraTIME COMPLETED:
03:45 PM
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On Tuesday, August 9, 2022 at 12:20 PM, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required 1 Year Visit. LPA met with the Administrators Leilani Camara and Isabel Sousa and explained the purpose of today's visit. Present on this visit were 3 staff and 16 preschool children in care. Facility operates from Monday to Friday 8:15 AM to 5 PM.

LPA toured the facility to conduct a Health and Safety inspection with the Administrators. LPA observed Facility’s License, Parents’ Rights Poster, Personal Rights, Waiver and Activity Schedules were observed to be posted. Facility was observed to follow teacher to children ratio requirement. Children were engaged in activities under the visual supervision of the teachers. The preschool classrooms, restrooms, kitchen, and storage room were inspected. Director stated that facility does not possess nor store any weapons on the premises. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Furniture and equipment such as mats, cots, tables, and chairs were age appropriate and were in good condition. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Outdoor activity space is fenced and play equipment were maintained in a safe condition and free of hazards. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children. Drinking water are arranged to be readily available to children during indoor and outdoor activities. The facility provides Morning and Afternoon Snacks. Children's Lunches are brought from home. Kitchen and food storage area were clean, free of litter, rubbish, and rodents/vermin. Trash cans for solid waste had tight-fitting covers.
The facility is utilizing a Software Application, Bright Wheel, for the Facility's operation management including but not limited Children's Sign in and Out and Parent Communication. LPA reviewed Children sign in and out procedures, logs and LPA obtained copies.

SEE 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 08/05/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/05/2022
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: ACHIEVING STARS ACADEMY
FACILITY NUMBER: 434411992
VISIT DATE: 08/05/2022
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Continuation.

A random sample of Children's files was selected for review. Records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment, and Immunization. There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. LPA reviewed a Staff File. The record reviewed include: Criminal Record and Child Abuse Index Clearance, Health Screening Report with TB Clearance, Education Qualification, records of immunization (Measles and Pertussis), and Training. Staff have their AB 1207 Mandated Reporter Training Certifications in their file. LPA reminded Director that the training needs to be renewed every two years. LPA reminded facility representative that only the Influenza vaccination can be decline with a written declination.

Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles. LPA observed First Aid Kit, Fire extinguisher, Fire Alarm and sprinkler system, Carbon Monoxide and Smoke Detectors. LPA reviewed the Facility's Fire Department Fire Inspection Permit that expires on 12/31/2022. Fire and Earthquake Drill was last conducted in March of 2022.

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

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

SEE 809 C.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022
LIC809 (FAS) - (06/04)
Page: 2 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: ACHIEVING STARS ACADEMY
FACILITY NUMBER: 434411992
VISIT DATE: 08/05/2022
NARRATIVE
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Continuation.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

LPA discussed the PIN 20-12 CCP, Guardian New User Information and PIN 22-10-CCP UPDATED GUIDANCE FOR CHILD CARE PROVIDERS REGARDING CORONAVIRUS DISEASE (COVID-19).

There are no deficiencies cited on this visit

A notice of site visit was given and must remain posted for 30 days.



Exit interview conducted and report was reviewed with the Administrator Leilani Camara.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 08/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3