434414780-10-8-2019-07-CC-SYIP-BGRN2T-20191008100515

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434414780
Report Date: 10/08/2019
Date Signed: 10/08/2019 10:05:21 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:	STATE PRESCHOOL AT GLEN VIEW		FACILITY NUMBER:	434414780
ADMINISTRATOR:	SHEILA FANNING		FACILITY TYPE:	850
ADDRESS:	475 W 9TH STREET		TELEPHONE:	(408) 847-7835
CITY:	GILROY	STATE: CA	ZIP CODE:	95020
CAPACITY:	48	CENSUS: 41	DATE:	10/08/2019
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Olga Barba and Lupe Vela		TIME COMPLETED:	10:15 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	Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Required 3 Year inspection. LPA met with Site Supervisor Olga Barba and explained the reason for the inspection. Lupe Vela, Preschool Coordinator, arrived shortly after. Present during the inspection were 42 preschool children and 7 staff. The teacher child ratio was observed to be in compliance during today's inspection. The hours of operation are Monday through Friday 8:30AM to 11:30AM and 12PM to 3PM. Facility is located on Glen View Elementary School campus. LPA reviewed in the sign in/sign out sheet, which contains full legal signature. License, Emergency Disaster Plan, and Notification of Parents Rights were observed to be posted. LPA toured the inside and outside of the facility. Facility was observed to be clean and sanitary. Disinfectants, cleaning solutions, and all other items that are dangerous to children were observed to be securely stored and inaccessible to children. LPA reminded Preschool Coordinator that all cleaning supplies, such as Clorax wipes need to placed inaccessible to children in care. The furniture and the equipment, such as tables and chair were age-appropriate and in good condition. The floors were clean and free of tripping hazard. LPA observed there is sufficient amount of age-appropriate toys for children in care. Restrooms for children’s use were observed to be sanitary. Storage containers for waste have tight fitted lids. Ms. Lupe stated that there are no weapons stored on the premise. There is fully charged fire extinguisher and smoke detector. The last fire/disaster drill was conducted on 09/10/2019. The outdoor area is fenced. Play structure and play equipment were observed to be in good condition. Areas around play structure have resilient material to absorb falls. There were no bodies of water observed during today's inspection. ------------------continues on 809 dated 10/08/2019 page 2-----------------------------------------

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

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: STATE PRESCHOOL AT GLEN VIEW	FACILITY NUMBER: 434414780
	VISIT DATE: 10/08/2019

NARRATIVE

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Facility does provide snacks to children. Menu was observed to be posted. All snacks are prepared and brought from the Gilroy School District. Kitchen used to store snacks was observed to be clean and sanitary. Drinking water is provided through water fountains.

10 children’s files were reviewed during today’s inspection. The records reviewed include not limited to Physician's Report.

5 staff files were also reviewed. The records reviewed include but not limited to immunization (Measles, Pertussis, and Influenza), education credit, and Mandated Reporter Training (AB 1207). There is currently at least one staff on site with a valid CPR/1st Aid, which expires on 10/12/2020.

All staff are fingerprinted through Gilroy School District. Criminal background clearance and child abuse index clearance are monitored through Gilroy School District. Ms. Lupe confirmed that all staff present are fingerprinted cleared.

Preschool Coordinator stated that she currently does not have any children in care who requires Incidental Medical Services (IMS) services. IMS policy was discussed. 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.

Preschool Coordinator is encouraged to visit the Department’s website at www.cdss.ca.gov to access resources for Providers, Title 22 Regulations, Online Licensing Forms, Adoption of new Laws, etc.

No deficiencies were cited as a result of today's inspection. An exit interview was conducted, where this report was discussed and provided to Lupe Vela, Preschool Coordinator. A NOTICE OF SITE VISIT WAS ISSUE AND MUST BE POSTED FOR 30 CONSECUTIVE DAYS.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha Yip	TELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

LIC809 (FAS) - (06/04)

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