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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415084
Report Date: 07/21/2023
Date Signed: 07/21/2023 03:32:44 PM


Document Has Been Signed on 07/21/2023 03:32 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:EDISON LEARNING CORP.FACILITY NUMBER:
434415084
ADMINISTRATOR:RAMIN MIRFACILITY TYPE:
850
ADDRESS:1260 ERIN WAYTELEPHONE:
(408) 559-1566
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY:74CENSUS: 16DATE:
07/21/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Ann DeleoTIME COMPLETED:
03:50 PM
NARRATIVE
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Licensing Program Analyst (LPA) Ashley Lopez and Licensing Program Manager (LPM) Joel Segura, met with Lead Teacher Ann Deleo, for an unannounced Required - 1 Year Inspection. Facility's License, Notification of Parents’ Right Poster, Child Car Seat Law, Emergency Disaster Plan, and Earthquake Preparedness Checklist were observed to be posted. The center's operating hours are Monday through Friday from 7:00AM to 6:00PM. The facility is licensed to serve children ages 2 years to first grade.

LPAs toured the indoor and outdoor areas. The lead teacher stated the last fire drill was conducted on 7/11/23, but does not have a current fire drill log. The facility has current children's roster and copy was provided to the LPA during the inspection. LPA observed a current snack menu that was posted on the refrigerator. Cleaning products, disinfectants, sharp objects were stored on high shelved and locked cabinets which are inaccessible to children. The facility is clean, furniture and equipment were observed to be age appropriate and in good condition. The bathrooms for children are clean, sanitary, and operable.

The children bring their lunches from home, the facility provides AM and PM snack. The kitchen is equipped with refrigerators and microwaves and a sink. Drinking water is available for the children indoor via filtered water. LPA and LPM observed trash cans with tight fitting covers for the disposable of solid wastes. The facility has 3A40BC fire extinguishers in the facility and a working smoke and carbon monoxide detectors.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023
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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Document Has Been Signed on 07/21/2023 03:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: EDISON LEARNING CORP.
FACILITY NUMBER: 434415084

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)(2)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee does not have a current Fire Drill Log which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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Lead Teacher states she will submit proof of a Fire Drill Log to licensing by the due date 7/28/23.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the lead teacher has not completed the Mandated Reporter Training for Child Care Providers which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/28/2023
Plan of Correction
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Lead teacher states she will submit proof of the Mandated Reporter Training completion to licensing by due date 7/28/23.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023
LIC809 (FAS) - (06/04)
Page: 2 of 5


Document Has Been Signed on 07/21/2023 03:32 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: EDISON LEARNING CORP.
FACILITY NUMBER: 434415084

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the facility does not have an completed LIC 701 (Physicians Report) for 2 children which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/04/2023
Plan of Correction
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Lead teacher states she will submit the completed LIC 701 and LIC 613A to licensing by the due date 8/4/23.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:
DATE: 07/21/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: EDISON LEARNING CORP.
FACILITY NUMBER: 434415084
VISIT DATE: 07/21/2023
NARRATIVE
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The playgrounds are surrounded with appropriate fencing and the outdoor surfaces are safe. Shade is provided by trees. There is enough resilient material in the playground. LPA and LPM did not observe any bodies of water. The lead teacher stated that there are no weapons or firearms on the premises.

LPAs reviewed 5 random children's files. Children records reviewed include Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment, Physician's Report, TB test, Parent Right's Receipt, Personal Rights, and Health History. There were LIC 701 and LIC 613A documents missing from the children's files.

LPAs reviewed 3 staff files. Staff records reviewed include Employee Rights, Statement Acknowledging Requirement to Report Child Abuse, Health Screening Report with TB Clearance, Immunizations (TB, Measles, Pertussis, and Influenza) and required training. While reviewing the staff files, LPAs observed teacher files missing Mandated Reporter training. LPAs reminded Site Director that the Mandated Reporter Training shall be renewed by all staff every two years. LPAs observed that all 3 staff member present during the inspection has current Pediatric CPR/First Aid certifications.

This facility does not provide Incidental Medical Services (IMS). The lead teacher states that presently there are no children in the daycare that require medication. 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.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023
LIC809 (FAS) - (06/04)
Page: 4 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: EDISON LEARNING CORP.
FACILITY NUMBER: 434415084
VISIT DATE: 07/21/2023
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The lead teacher was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

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/process


As a result of this inspection, deficiencies are cited on the following page LIC 809D.

Exit interview conducted and report was reviewed with Lead Teacher, Ann Deleo.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Ashley LopezTELEPHONE: (916) 798-3658
LICENSING EVALUATOR SIGNATURE:

DATE: 07/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/21/2023
LIC809 (FAS) - (06/04)
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