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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415815
Report Date: 09/27/2019
Date Signed: 09/30/2019 08:57:36 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:MVP PRESCHOOL/CHILD CAREFACILITY NUMBER:
434415815
ADMINISTRATOR:MELISSA MANCERAFACILITY TYPE:
850
ADDRESS:25 WRIGHT AVENUETELEPHONE:
(408) 778-2529
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:40CENSUS: 15DATE:
09/27/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
03:19 PM
MET WITH:Melissa ManceraTIME COMPLETED:
05:00 PM
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced annual random inspection. LPA met with Mitzi Vasquez, Teacher, and explained the reason for the inspection. Director Melissa Mancera arrived shortly after. Present during the inspection were 15 children and 2 staff. The teacher child ratio was observed to be in compliance during today's inspection.

LPA reviewed in the sign in/sign out sheet, which contains full legal signature. License, Emergency Disaster Plan, and Notification of Parent's Rights were observed to be posted.

LPA toured in the inside and the outside of the facility. Disinfectants, cleaning solutions, and all other items that are dangerous to children were observed to be securely stored and inaccessible to children. The furniture and the equipment, such as tables, chair, and napping mats, 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 were observed to be safe, sanitary, and in functioning condition. Storage containers for waste have tight fitted lids. Director stated that there are no weapons stored on the premise. There is fully charged fire extinguisher, smoke detector, and carbon monoxide detector.

The outdoor activity area is fenced. The playground equipment outside were maintained in safe condition, free of sharp, loose or pointed parts. Areas around play structures were cushioned with resilient materials to absorbs falls. LPA discussed with Director about sweeping to playground to ensure there is sufficient amount of resilient material. Shaded rest areas are provided through trees and building overhang. LPA did not observe any bodies of water.

---------------------------continues on 809 dated 09/27/2019 page 2--------------------------
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2148
LICENSING EVALUATOR NAME: Samantha YipTELEPHONE: (408) 529-8128
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
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: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815
VISIT DATE: 09/27/2019
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All meals are prepare and brought from home. Facility does provide snacks to the children. Menu was observed to be posted. The kitchen used to prepare snack was observed to be clean. Drinking water is provided through water pitcher and individual water bottles.

10 children’s files were reviewed during today’s inspection. The records reviewed include not limited to admission agreement and immunization records.

3 staff files were also taken for review. The records reviewed include but not limited to education credit, immunization (Measles, Pertussis, and Influenza), and Mandated Reporter Training (AB 1207). LPA reminded Director to have a copy of immunization records and Mandated Reporter Training certificate in file. LPA also reminded Director that Mandated Reporter Training is required renewal every two years. There is currently at least one staff on site with a valid CPR/1st Aid, which expires on 08/2020.

Staff present during the inspection have cleared criminal record and child abuse index clearance or exemption. LPA also reminded Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

Director stated that she currently does not have any children in care who requires Incidental Medical Services (IMS) services. 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.

Director 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 Director.

A NOTICE OF SITE VISIT WAS ISSUE 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: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
LIC809 (FAS) - (06/04)
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