434415459-8-14-2019-52-CC-MMEA-BF2QGX-20190814121017

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415459
Report Date: 08/14/2019
Date Signed: 08/14/2019 12:10:30 PM

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:	NEWTON @ STEVENSON (MVWSD)		FACILITY NUMBER:	434415459
ADMINISTRATOR:	ISAAC SONCINO		FACILITY TYPE:	840
ADDRESS:	750B SAN PIERRE WAY		TELEPHONE:	(650) 345-4043
CITY:	MOUNTAIN VIEW	STATE: CA	ZIP CODE:	94043
CAPACITY:	56	CENSUS: 0	DATE:	08/14/2019
TYPE OF VISIT:	Case Management - Other	ANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Tal Tamir		TIME COMPLETED:	12:20 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	A Case Management Visit was conducted on this date by 8/14/19 Licensing Program Analyst (LPA), Mayla Mendoza. LPA met with Director of Operations, Tal Tamir. The center has submitted an application for an increase in capacity from 56 to 60 children. The school age program is located in rooms 19 and 20 on Stevenson Elementary School. Hours of operation are from 1:45pm-6:00pm, Monday through Friday. No children were present today. A health and safety inspection was conducted inside and outside. INDOORS: EXEMPT OUTDOORS: EXEMPT Playground equipment is in good condition. Drinking water is available inside and outside by way of water fountains. Snacks are delivered from the Main Office in San Mateo. Menus are posted. A sample of the sign in and out logs were reviewed. Facility has a functioning carbon monoxide detector. This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A 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. The center has obtained an approved fire safety inspection from the City of Mountain View Fire Department on 8/13/19. All licensing required documents are posted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NEWTON @ STEVENSON (MVWSD)	FACILITY NUMBER: 434415459
	VISIT DATE: 08/14/2019

NARRATIVE

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Mandated reporter and appeal rights, civil penalties, unusual incident reporting and fingerprint requirements were discussed today. Licensee is also being informed of the web address (www.ccld.ca.gov) for downloading child care forms, and the director is encouraged to email ChildCareAdvocatesprogram@dss.ca.gov to be included in the Child Care Quarterly Updates distribution list. The director is also reminded that mandated reporter training is required for all staff and is to be renewed every 2 years at www.mandatedreporterca.com.

Zero Tolerance policies were explained. Notice of Site Visit form was provided and posted.
The center was found to be clean, safe, sanitary and in good repair.

There are no deficiencies cited during this visit. A license for 60 schoolaged children will be issued effective today 8/19/19.

An exit interview was conducted.

SUPERVISOR'S NAME: Wynn Norona	TELEPHONE: (510) 622-2593
LICENSING EVALUATOR NAME: Mayla Mendoza	TELEPHONE: (510) 292-9724
LICENSING EVALUATOR SIGNATURE:	DATE: 08/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2019

LIC809 (FAS) - (06/04)

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