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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415382
Report Date: 02/27/2020
Date Signed: 02/28/2020 11:58:00 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:TINY TOTS PRESCHOOL AND CHILDCARE CENTERFACILITY NUMBER:
434415382
ADMINISTRATOR:HOIBERG, ELIZABETHFACILITY TYPE:
840
ADDRESS:8985 MONTEREY ROADTELEPHONE:
(408) 710-3338
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY:14CENSUS: 0DATE:
02/27/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:41 PM
MET WITH:Elizabeth HoibergTIME COMPLETED:
10:40 PM
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Required 1 Year inspection. LPA met with Director Elizabeth Hoiberg and explained the reason for the inspection. There were no children present during today's inspection.

License, Notification of Parent's Rights, and Emergency Disaster Plan was posted.

LPA toured in the inside and outside of the facility. Disinfectant, cleaning supplies, and other items that are dangerous to children was stored inaccessible to children. LPA reminded Director to close and lock door leading to the laundry room before children come. Furniture and equipment, such as tables and chairs, were age appropriate. There is sufficient amount of toys for children. Restroom for children were in functioning condition. LPA observed a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. Director stated that there are no weapons, such as firearms, stored on the premise.

Facility has a waiver to share outdoor space with the preschool program. Outdoor area is fenced. Areas around play structure have resilient material to absorb falls. LPA reminded Director to even out resilient material before children's use.

Facility does provide snacks to the children in care. Menu was observed to posted on the kitchen door. Kitchen used to prepare snacks was observed to be sanitary. Drinking water is provided through water fountains.

--------------------------continues on 809 dated 02/27/2020 page 2---------------------------------
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
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: TINY TOTS PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 434415382
VISIT DATE: 02/27/2020
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--------------------continuation of 809 dated 02/27/2020 page 1------------------------------------

5 children's files were reviewed during today's inspection. The records reviewed include but not limited to admission agreement and parent's rights.

2 staff files were reviewed during today's inspection. The records reviewed include but not limited to education credit. There is currently at least one staff on site with a valid CPR/1st Aid, which expires on 05/2020.

As a result of this inspection, no deficiencies have been cited. An exit interview was conducted where this report was discussed and provided to Director Elizabeth Hoiberg. A notice of site visit has been issued and must be posted for 30 consecutive days.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2020
LIC809 (FAS) - (06/04)
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