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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412166
Report Date: 12/13/2019
Date Signed: 12/13/2019 11:59:36 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:WONDERLAND CHINESE SCHOOLFACILITY NUMBER:
434412166
ADMINISTRATOR:DAVID WONGFACILITY TYPE:
850
ADDRESS:10931 MAXINE AVENUETELEPHONE:
(408) 245-3288
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:55CENSUS: 37DATE:
12/13/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:55 AM
MET WITH:Ying KangTIME COMPLETED:
12:15 PM
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Licensing Program Analyst (LPA), Oscar Huang, conducted an unannounced annual/random inspection to the facility today. LPA met with Assistant Director, Ying Kang, and explained the nature of today's inspection to them. LPA toured the facility both inside and outside during today's inspection. PA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus (includes current and following weeks) and Activity Schedule. LPA observed 37 children and 7 staff in classroom 1, 2, & 3.

Walk Through Indoor: LPA observed no bodies of water indoor. Director states there are no weapons at the center. All children are under supervision, including visual supervision during the visit; and the facility is operating within ratio. Temperature was measured between 68 and 69 degrees F by thermostats on the walls. Disinfectants, cleaning solutions, poisons and other items that are dangerous to children are stored inaccessible to children. Storage areas for poisons are locked. All materials and surfaces accessible to children are toxic free. Medication is stored in a lockbox in the office inaccessible to children. Children’s toilets and hand washing appears in safe and sanitary operating conditions. There were two separate staff bathrooms one for men and one for women, that were not utilized by the children which an isolated child can use if needed. Floors appear clean and safe. Assistant Director stated that teachers clean the classrooms at the end of the day. They also have commercial cleaning on Wednesday and Saturday. Furniture and equipment is age appropriate and in good condition free of sharp, loose, or pointed parts at the time of the inspection. Kitchen, food preparation, and storage areas appeared clean, free of litter, rubbish, and rodents/vermin. Assistant Director stated lunch was catering from a licensed restaurant that has health permit from Santa Clara County. LPA observed food is protected from contamination, and Director states that contaminated food is discarded immediately. Trash cans for solid waste have tight-fitting covers on, and are in good repairs in each of the classroom. Drinking water is readily available for the children in each room via their own water bottles and can be refilled by pitcher and in the outdoor playground area via water bottles in basket brought by the teachers. Foods or beverages that are perishable are stored in covered containers at 45 (F) or less. Facility has 1 functioning carbon monoxide detector that meets statutory requirements.


Facility Evaluation Report dated 12/13/2019 to be continued on next page:
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: WONDERLAND CHINESE SCHOOL
FACILITY NUMBER: 434412166
VISIT DATE: 12/13/2019
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Facility Evaluation Report dated 12/13/2019 to be continued from previous page:

Walk Through Outdoor: LPA observed no bodies of water outdoor. Playground equipment appears to be in good condition, free of sharp, loose, or pointed parts. Outdoor activity space appears to be in a safe condition and free of hazards. Playground has poured sufficient wood chips for cushioning material under the climbing structures and slides.

Administration/Staff Records: Facility is operating within the conditions, limitations, and capacity specified on the license. Assistant Director understands that when CCL notify a licensee to immediately terminate the employment of, or to remove/bar any person with specified convictions or for other reasons, the licensee or Director shall comply with the notice. A review of staff records on today 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 Assistant 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. Assistant Director understands upon notice of the Department to remove or to exclude an individual from the facility, Director shall immediately remove the individual and prevent them from returning to the facility or having contact with children in care.

LPA reviewed three staff records. Staff records contain appropriate documentation of education credits, Evaluation of Teacher Qualification, Health Screening Report, Personnel Record, Notice of Employee Rights, Criminal Record Statement, and Statement of Acknowledging Requirement to report Suspected Child Abuse. LPA observed at least staff have current CPR & First Aid certification. The facility conducted First Aid and CPR training on site every two years for all staff, the last time was on December, 2017. LPA discussed SB 792 Immunization Requirement for staff with Director. LPA observed appropriate records for immunization against measles, pertussis, and influenza for Director and staff in file.

Child Records: LPA reviewed eight children records. LPA observed child care facility roster, the sign in/out record reflects that all children are properly signed in/out by the person responsible for the child, Identification & Emergency Information, Admission Agreement, Physician’s Report, Consent for Medical Treatment are in each children file, Immunization records are maintained and up-to-date, Personal Rights and Notification of Parents’ Rights are in each child’s file.


Facility Evaluation Report dated 12/13/2019 to be continued on next page:
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: WONDERLAND CHINESE SCHOOL
FACILITY NUMBER: 434412166
VISIT DATE: 12/13/2019
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Facility Evaluation Report dated 12/13/2019 to be continued from previous page:

Incidental Medical Services (IMS) were discussed with Assistant Director. This facility is currently not providing IMS services, but Plan of Operation has IMS included on file. 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.

Advisory: LPA discussed AB 2231: Civil Penalty Updates effective July 1, 2017 with Assistant Director. A $500 immediate civil penalty and $100 per day violation until corrected is assessed for serious violations such as absence of supervision, accessible bodies of water, accessible firearms, refused entry of licensing staff, presence of an excluded person, and violations that result in illness or injury. A $100 per day for each violation for Failure to Correct, and $250 immediately and $100 per day per violation until corrected for Repeat Violations. Licensing Forms, Title 22 Regulations, Resources & Information, Quarterly Updates, Videos can be obtained through the internet at http://www.ccld.ca.gov.

LPA discussed Beginning January 1, 2018, Health and Safety Code 1596.8662 requires all licensed providers, applicants, directors and employees to complete training as specified on their mandated reporter duties and to renew their training every two years. The training web site is available at: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing/Resources-for-Providers. LPA observed that all the staff had completed their training and certifications are kept in their file.

No Deficiency was cited. Exit interview conducted with Assistant Director.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE HOME, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Yangcheng HuangTELEPHONE: 408-334-8321
LICENSING EVALUATOR SIGNATURE:

DATE: 12/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3