434411992-7-19-2023-52-CC-MESA-CTVQD9-20230719120422

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434411992
Report Date: 07/19/2023
Date Signed: 07/19/2023 12:04:28 PM

Document Has Been Signed on 07/19/2023 12:04 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 ACADEMY		FACILITY NUMBER:	434411992
ADMINISTRATOR:	MICHELLE OHYE		FACILITY TYPE:	850
ADDRESS:	301 SOUTH ABBOTT AVENUE		TELEPHONE:	(408) 263-8802
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	96	CENSUS: 21	DATE:	07/19/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Leilani Camara		TIME COMPLETED:	12:15 PM

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 Wednesday, July 19, 2023 at 9:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted an unannounced Required 1 Year Visit. LPA met with the Facility Administrator Leilani Camara and explained the purpose of today's visit. Present on this visit were 4 staff and 21 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 Administrator. LPA observed Facility’s License, Parents’ Rights Poster, Personal Rights, a Waiver and Activity Schedules were observed to be posted. At 10 am, LPA observed teacher to children ratio complied and children were engaged in various activities under the visual supervision of the teachers. The preschool classrooms, restrooms, kitchen, pantry, storage, and office area were inspected. The floors of all rooms appear to be safe and clean. 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, free of sharp, loose, or pointed parts. All kitchen, food-preparation and storage areas were all kept clean and free of litter and rubbish. Food and beverages were kept protected against contamination and spoilage. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. LPA reminded the Director that firearms and other weapons is not be allowed on or stored on the facility premises. 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. Trash cans use for solid waste had tight-fitting covers on and were in good repair. SEE LIC 809 C.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

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: 07/19/2023

NARRATIVE

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The facility is utilizing a Software Application - Bright Wheel, for the Facility's operation including but not limited to Children's Sign in and Out and Parent Communication. LPA reviewed Children sign in and out log for the day and LPA obtained a copy.

Facility files were reviewed. LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations, fire extinguishers and sprinkler system. Fire and Disaster Drills were conducted and documented every 6 months, the last drills were conducted on 06/12/2023. Facility does not provide transportation for children, but Director understands that children cannot be left alone, unattended in park vehicles.

Children's files were reviewed. The records reviewed include Admission Agreement, Identification and Emergency Information, Medical Assessment and Immunization. Staff file was reviewed. There was at least one Teacher with current certification in Pediatric CPR and First Aid present at the facility during inspection. LPA reminded the Administrator that Child Care Providers Mandated Reporter training requires 2 year requirement. LPA reminded that only the Influenza vaccination can be decline with a written declination.

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 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 LIC 809 C.

SUPERVISOR'S NAME: Jason Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

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: 07/19/2023

NARRATIVE

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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 to the Director that CDSS has revised the ARPA survey to meet federal requirements. As a result, all child care providers must complete anew American Rescue Plan Act (ARPA) survey by August 15, 2023.

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 Jang	TELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel Estoesta	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

LIC809 (FAS) - (06/04)

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