434415496-12-7-2023-07-CC-FRAA-CYAMFG-20231207083415

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415496
Report Date: 12/06/2023
Date Signed: 12/07/2023 08:34:24 AM

Document Has Been Signed on 12/07/2023 08:34 AM - 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:	SJB-KENNEDY CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	434415496
ADMINISTRATOR:	JESSICA MEJIA		FACILITY TYPE:	850
ADDRESS:	1602 LUCRETIA AVENUE		TELEPHONE:	(408) 320-1785
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95122
CAPACITY:	60	CENSUS: 34	DATE:	12/06/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Rosa Garcia and Maria Velazquez		TIME COMPLETED:	01:20 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	On 12/06/2023 at 9:05am, Licensing Program Analyst (LPA), Farida Raja, met with Director, Rosa Garcia, for an unannounced Required- 3 year inspection in the preschool with toddler component program and explained the nature of today's visit. The facility is licensed to serve children ages 18 months to 5 years in rooms 1, 2 and 3. LPA observed the required posted materials including the daily activity schedule in each classroom. LPA observed the menu with portion sizes posted on the kitchen refrigerator. Days and hours of operation are Monday through Friday, 7:00 am to 6:00 pm. LPA and Director toured the indoor and outdoor areas of the facility during today's inspection and observed the following ratios: Room 1(1A and 1B): 4 children and 2 teachers Room 2: 17 children and 3 teachers Room 3: 13 children and 3 teachers Facility was in compliance with teacher to children ratio requirement. The classrooms, children's restrooms, staff restrooms and kitchen were inspected. During today's inspection, LPA observed children engaged in circle time and free play under the visual supervision of teachers. Facility has central heating/cooling for comfort of children. Director states that there are no weapons or firearms on the premises. There is a working telephone at the facility (408-320-1785). Disinfectants, cleaning products and medicines were stored in high cabinets/ child locked cabinets inaccessible to the children in care. All cabinets and rooms used for storage were locked. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Floors were clean and free from tripping hazards. LPA observed appropriate changing tables that have raised sides and have vinyl changing pads that are at least 1 inch thick in Room 1. Napping mats were appropriate and labelled with each child's name. LPA observed a trash can with tight fitting cover for the disposal of diapers. Continued on Page 2

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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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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: SJB-KENNEDY CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 434415496
	VISIT DATE: 12/06/2023

NARRATIVE

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LPA observed emergency bags with first aid supplies in each room. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. LPA observed solid waste containers with tight-fitting lids in all rooms. Staff has one separate bathroom in Room 3 and in the office that can be utilized by sick children if needed.

LPA observed fire extinguishers, working smoke and carbon monoxide detectors, and fire pull stations. Log shows that the last Fire Drill was conducted on 11/30/2023 which is compliant with the six-month requirement for facilities.

Drinking water is readily available for children in each room and in the outdoor playground area via water pitchers and disposable cups. Water lead testing was completed for the facility on 09/13/2023 and no Action Level Exceedances were reported. Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Director provided LPA with the water lead testing report, LIC 9275, LIC 9276 and facility sketch including the outlets tested during today's inspection. LPA observed two drinking fountains in the outdoor play area were not tested as per the report submitted. Director stated that she will have the two water fountains tested and will submit the report to licensing. Director placed the two water fountains out of use during today's inspection and placed a water pitcher and disposable cups outdoor for children.

Foods and beverages were stored safely to prevent contamination and spoilage. Food storage and preparation areas were observed to be sanitary. All food and beverages that require refrigeration were stored appropriately. Director stated that facility provides breakfast, lunch and snacks and the food is prepared at their San Juan facility and delivered daily. The menu is in writing and posted in each classroom and on the Learning Genie app., accessible to authorized representatives.

Outdoor playgrounds and play equipment was inspected and observed to be fenced in and free of hazards. LPA observed play equipment was in good condition and age-appropriate.

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SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SJB-KENNEDY CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 434415496
	VISIT DATE: 12/06/2023

NARRATIVE

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Areas around and under high climbing equipment and slides were cushioned with resilient material (rubber flooring and artificial grass) that absorbs falls. Shaded rest area is provided by canopies and wooden pergola. Outdoor storage areas were observed to be locked. There were no bodies of water observed.

Children sign in and out procedures and logs were reviewed. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed eight (8) children's files during today's inspection. Each child's file reviewed contained the required forms. The facility was in compliance with the Safe Sleep regulations/requirements, and LPA observed 15 minute nap checks conducted for three infants enrolled.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

LPA reviewed five (5) staff files during today's inspection. All staff files reviewed contain the required transcripts/verification of experience. All staff on site have current CPR and First Aid certification on file. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). All staff have the required immunization's against pertussis, measles and influenza or statement declining the influenza vaccine. LPA also observed the required Mandated Reporter Training on file for all staff. Director provided LPA with the director packet for director, Rosa Garcia during today's inspection.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

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SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SJB-KENNEDY CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 434415496
	VISIT DATE: 12/06/2023

NARRATIVE

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Director stated that facility does handle medications and currently has children in care who require Incidental Medical Services. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. LPA observed medication is properly stored in each classroom, out of reach of children, in high cabinets with the proper documentation. Any medications that requires refrigeration is stored in a lock box in the kitchen refrigerator. Facility has an approved IMS Plan on file with San Jose Regional Office. For IMS information see PIN 22-02-CCP. Isolation of sick child was discussed. Children will be isolated in the director's office and isolation equipment will be provided. A staff restroom which is off limits to other children will be used if necessary. Child is always under visual supervision while in care of the facility.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility does not provide transportation to children, but Director understands that children cannot be left alone, unattended in parked vehicles.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California. To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process

As a result of today's inspection, there were no deficiencies cited. Exit interview conducted and report was reviewed with Director, Rosa Garcia and Regional Manager, Maria Velazquez.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 12/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2023

LIC809 (FAS) - (06/04)

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