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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415815
Report Date: 06/02/2023
Date Signed: 06/02/2023 08:07:43 PM

Document Has Been Signed on 06/02/2023 08:07 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
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: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 38DATE:
06/02/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:06 AM
MET WITH:Melissa ManceraTIME COMPLETED:
04:40 PM
NARRATIVE
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Licensing Program Analysts (LPAs) Samantha Yip and Farida Raja conducted an unannounced Required 1- Year inspection. LPAs met with Licensee/Director Melissa Mancera and explained the reason for the inspection. Present during today's inspection were 38 children and at least four staff. Licensee and one other staff are fully qualified teacher. There was only one staff who completed 6 units. At 9:25AM, LPAs observed that a child walked into the Pre-K Room from outside, then closed the door. There was no staff that walked in with the child. Licensee walked to the door of the Pre-K Room that is in between the sitting room. LPAs also observed at 9:30AM that a child walked inside the Pre-K room. The door was still open. At 1:31PM, LPA observed that a child walked out from the bathroom in the 2's Years Old room. There was no staff present in the room at the time. LPA also observed that children were walking from the restroom in the front building to the sitting room or the Pre-K room. There were no staff present in the siting room. LPA also observed that staff closed the restroom door and walked away. LPAs discussed with Licensee that children need to be supervised at all time.

There are areas to post required postings, such as license, notification of parent's rights, and car seat law. The hours of operation are Monday through Friday 7AM to 6PM. There is working phone at the center.



--------------------continuation of 809 dated 06/02/2023 page 2-------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/02/2023
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815
VISIT DATE: 06/02/2023
NARRATIVE
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------------------continuation of 809 dated 06/02/2023 page 1----------------------

LPA observed that office and the 3 years old classroom/All Stars room based on the LIC 999 dated 08/23/2018 has switched. An updated LIC 999 was obtained during today's inspection. LPAs measured the All Stars Room. The measurements are as followed:
All Stars Room: 10.083 x 18.667 = 188.219
16.583 x 3.500= 58.040
= 246.259

The measurements for the Pre-K room, Siting Rooms, 2's Room was measured on 11/07/2018. The measurements are as followed:
PRE-K ROOM: 20.250 x 22.583 = 457.305 minus 12.943 (encumbered space) = 444.362
SITTING AREA ROOM: 13.417 x 16.833 = 225.848
16.083 x 11.417 = 183.619
SITTING AREA ROOM TOTAL = 409.4
Back Building
2's ROOM: 15.333 x 13.167 = 201.889
14.750 x 12.250 = 180.687
2's ROOM TOTAL = 382.576 minus 17.206 (encumbered space) = 365.37

TOTAL INDOOR SPACE: 1465.458 divided by 35 = 41 children

LPA discussed with Licensee that an updated fire clearance to reflect the changes to the rooms. Once a fire clearance is obtained, a updated license will be issued to reflect the changes to the room layout.

------------------continuation of 809 dated 06/02/2023 page 3-----------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815
VISIT DATE: 06/02/2023
NARRATIVE
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-------------continuation of 809 dated 06/02/2023 page 2---------------------

LPAs toured the inside and outside of the center. LPA discussed with Licensee that all disinfectant sprays and wipes need to be inaccessible to children. There are wall heaters. LPAs observed that the barricade are not secure, which allows children to have access to the wall heaters. LPA did not observed that the wall heaters were not in use during today's inspection. There is a fireplace, which is barricaded. There a fire extinguisher, smoke detector, and carbon monoxide detector. LPA reminded Licensee that the fire extinguishers need to be either serviced every year or a new fire extinguisher needs to be purchased. There are toys for children.

The outdoor area is fenced. There are equipment for children. Areas around play equipment have resilient material, but LPA observed that it is low. Shaded rest area is provided through canopy and building overhang. There were no bodies of water observed during today's inspection. LPA observed that one of the plastic tables with benches has a crack on it.

Snacks are only provided at the center. Snack menu was observed to be posted. All meals are prepared and brought from home. Drinking water is provided through water cooler and cups or individual water bottles. Kitchen used to prepare snacks has hot and cold running water.

Licensee stated that she currently does not have any children who require Incidental Medical Services (IMS). For IMS information, see PIN 22-02-CCP. 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.

--------------------continuation of 809 dated 06/02/2023 page 4--------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
LIC809 (FAS) - (06/04)
Page: 3 of 11
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: 06/02/2023
NARRATIVE
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---------------continuation of 809 dated 06/02/2023 page 3----------------------

LPA discussed with Licensee what is required to be on the facility roster, such as date enrolled and that the facility roster needs to be complete. 11 children's files were reviewed during today's inspection. The records reviewed include but not limited to immunization records and admission agreement. LPAs observed that three out of 11 children's files were missing the personal rights. Two children were missing the physician's report with screening for risk factor for TB. One children were missing immunization records.

Five staff files were reviewed during today's inspection. The records reviewed include but not limited to transcript and Mandated Reporter training. Two out five staff were missing immunization records for measles, pertussis, and influenza. One staff was missing immunization records for measles. Two staff did not complete the Mandated Reporter training. Staff completed CPR/1st Aid training on 10/18/2022 through HSI and American Safety Health Institute, but there is no EMSA sticker or proof that it is EMSA approved.

All staff present have cleared fingerprints. Director was reminded that all adults 18 and over, 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.

--------------------continuation of 809 dated 06/02/2023 page 5--------------------
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
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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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815
VISIT DATE: 06/02/2023
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----------------continuation of 809 dated 06/02/2023 page 4---------------------

As a result of this inspection, two type A citations and type B citations were cited. A civil penalty of $500 was assessed for immediate $500. Exit interview conducted and report was reviewed with Licensee Melissa Mancera. A notice of site visit has been issued and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

LPA Samantha Yip informed Licensee Melissa Mancera that this report dated 06/02/2023 documents two Type A citation which shall be posted for 30 consecutive days as there is immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Samantha informed the Licensee, Melissa, to provide a copy of this licensing report dated 06/02/2023 that documents any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:

DATE: 06/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/02/2023
LIC809 (FAS) - (06/04)
Page: 5 of 11
Document Has Been Signed on 06/02/2023 08:07 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/02/2023 at 03:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type A
Section Cited
CCR
101229(a)(1)
Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. LPAs observed that children entered the building without any staff present and children went the restroom. LPAs also observed children walking from the restroom in the front building to the Pre-K without any staff present. Staff walked away from the bathroom.
POC Due Date: 06/05/2023
Plan of Correction
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By POC 06/05/2023, Licensee will submit written plan outlining how she will ensure that children are supervised at all times. Licensee will also conduct training with staff and send meeting notes and staff who attended training.
Type A
Section Cited
CCR
101216.3(b)
Teacher-Child Ratio
(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance.

This requirement is not met as evidenced by:
Deficient Practice Statement
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4
Based on record review, the licensee did not comply with the section cited above, which poses an immediate health, safety or personal rights risk to persons in care. There were 38 children present today. Two out of the five staff in the morning were fully qualified and only one staff had completed 6 units.
POC Due Date: 06/05/2023
Plan of Correction
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4
By POC 06/05/2023, Licensee will submit written plan on how she will ensure that the center is within ratio at all times.
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 Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2023


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Document Has Been Signed on 06/02/2023 08:07 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/02/2023 at 03:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that the screen barricading the wall heater in the 2 years old room was broken; therefore, making the wall heater accessible to children. LPA also observed that the plastic picnic table was cracked.
POC Due Date: 06/09/2023
Plan of Correction
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By POC 06/09/2023, Licensee will submit written plan items will be fixed and send proof to Licensing once it is completed.
Type B
Section Cited
CCR
101238.2(e)
Outdoor Activity Space
(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
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4
Based on observation, the licensee did not comply with the section cited above, which poses a potential health, safety or personal rights risk to persons in care. LPA observed that there is tan bark around the play equipment, but there is not enough to absorb falls.
POC Due Date: 06/09/2023
Plan of Correction
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By POC 06/09/2023, Licensee will submit invoice that additional tan bark is being obtained and send proof to Licensing once it is installed.
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 Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2023


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Created By: Samantha Yip On 06/02/2023 at 03:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on record review, the licensee did not comply with the section cited above in three out of five persons, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/09/2023
Plan of Correction
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2
3
4
By POC 06/09/2023, Licensee will submit proof that immunization records are being obtained and send proof once obtained.
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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3
4
Based on record review, the licenee did not comply with the section cited above in two out of five persons, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/17/2023
Plan of Correction
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2
3
4
By 07/17/2023, Licensee will have staff complete training and send certificate to Licensing.
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 Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2023


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Document Has Been Signed on 06/02/2023 08:07 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/02/2023 at 03:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and record review, the licensee did not comply with the section cited above in one out of five persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/09/2023
Plan of Correction
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2
3
4
Licensee will have staff complete health screening and submit proof of completed screening by POC date of 06/09/2023.
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
1
2
3
4
Based on observation and record review, the licensee did not comply with the section cited above in 2 out of 11 persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/09/2023
Plan of Correction
1
2
3
4
Licensee will submit proof of completed Physicians Report to LPA by POC date of 06/09/2023.
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 Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2023


LIC809 (FAS) - (06/04)
Page: 9 of 11
Document Has Been Signed on 06/02/2023 08:07 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/02/2023 at 03:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

FACILITY NAME: MVP PRESCHOOL/CHILD CARE
FACILITY NUMBER: 434415815

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/02/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101223(b)(1)
Personal Rights
(1) The center shall give each authorized representative a copy of the Personal Rights form (LIC 613A [9/96]).

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on observation and record review, the licensee did not comply with the section cited above in three out of eleven persons which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 06/09/2023
Plan of Correction
1
2
3
4
Licensee will submit proof of signed Personnel Rights form to LPA by POC date of 06/09/2023.
Section Cited
Deficient Practice Statement
1
2
3
4
POC Due Date:
Plan of Correction
1
2
3
4
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 Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/02/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/02/2023


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