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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416173
Report Date: 10/10/2019
Date Signed: 10/10/2019 05:03:19 PM

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:ENLIGHTEN PRESCHOOL GREEN VALLEYFACILITY NUMBER:
434416173
ADMINISTRATOR:LOC KERWINFACILITY TYPE:
850
ADDRESS:525 GIUFFRIDA AVENUETELEPHONE:
(408) 507-0032
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY:125CENSUS: 0DATE:
10/10/2019
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Weidong Li and Loc Kerwin TIME COMPLETED:
05:10 PM
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Licensing Program Analysts (LPAs) Tuoc Doan and Stephanie Collins conducted a scheduled Pre-Licensing inspection of the facility. LPAs met with the Corporation's Vice President, Weidong Li, and Director Loc Kerwin. Applicant Enlighten Education, Inc. is applying for a License to operate a Preschool Center with a maximum capacity of 125 in Classrooms: 1, 2, 3, 4, and 5. Classrooms 1, 2, and 3 are in Building 1, and Classrooms 4 and 5 are in Building 2.

The Preschool's operating days and hours will be Monday through Friday 07:00 AM to 06:00 PM, serving children ages 2 until entry into First Grade. Facility's phone # (669) 262-8900.

The two buildings were inspected inside and out.
Indoor space for the Preschool Center was measured to ensure that there is 35 square feet of indoor activity space per child based on the total licensed capacity.

Classroom Room 1
= (Total sq. ft.) – (Encumbered Space) = (812.260 sq. ft.) – (23.105 sq. ft.)
= 789.155 sq. ft.

Classroom Room 2
= (Total sq. ft.) – (Encumbered Space) = (889.020 sq. ft.) - (29.506 sq. ft.)
= 859.514 sq. ft.

Classroom Room 3
= (Total sq. ft.) – (Encumbered Space) = (817.810 sq. ft.) - (13.928 sq. ft.)
= 803.882 sq. ft.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
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 4
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: ENLIGHTEN PRESCHOOL GREEN VALLEY
FACILITY NUMBER: 434416173
VISIT DATE: 10/10/2019
NARRATIVE
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Classroom Room 4
= (Total sq. ft.) – (Encumbered Space) = (820.760 sq. ft.) - (18.983 sq. ft.)
= 801.777 sq. ft.

Classroom Room 5
= (Total sq. ft.) – (Encumbered Space) = (822.020 sq. ft.) - (16.219 sq. ft.)
= 805.801 sq. ft.

Total Indoor Activity Space = (4,060.129 sq. ft.) divided by (35 sq. ft. / child) = 116 Children

Outdoor space was measured to ensure that there is at least 75 square feet of outdoor activity space per child based on the total licensed capacity.

Outdoor Activity Space Measurements are as follows:
Yard 1
= (Total sq. ft.) – (Encumbered Space) = (1,152.104 sq. ft.) – (0 sq. ft.)
= 1,152.104 sq. ft.

Yard 2
= (Total sq. ft.) – (Encumbered Space) = (784.957 sq. ft.) – (0 sq. ft.)
= 784.957 sq. ft.

Yard 3
= (Total sq. ft.) – (Encumbered Space) = (8,456.797 sq. ft.) – (145.888 sq. ft.)
= 8,310.909 sq. ft.

Total Outdoor Activity Space = (10,247.970 sq. ft.) divided by (75 sq. ft. / child) = 136 Children

The Preschool outdoor activity space is enclosed with fencing. The space is equipped with a variety of age-appropriate toys and equipment such as play structures, bikes, etc. Areas under and around high climbing play structures have resilient material to absorb falls.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: ENLIGHTEN PRESCHOOL GREEN VALLEY
FACILITY NUMBER: 434416173
VISIT DATE: 10/10/2019
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This facility plans to provide Incidental Medical Services – IMS. A Plan of Operation that includes IMS has been 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.

Facility is encouraged to visit the Department’s website at www.cdss.ca.gov [Shortcut: www.ccld.ca.gov] to access resources for Providers, Regulations, Annual License fee, Adoption of new Laws, etc.

Exit interview was conducted, where this report was reviewed and discussed with Corporation's Vice President Weidong Li and Director Loc Kerwin.

Applicant was informed that after measurement taken today, the Department has determined that the facility only has enough activity space for a maximum capacity of 116 children. Therefore, an updated form LIC200A was obtained to reflect maximum capacity of 116.

Applicant Enlighten Education, Inc. was informed that once Licensing Office receives verification that the non-slip material on the play structure has been fixed, Applicant's file will be submitted to Licensing Management for final review.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: ENLIGHTEN PRESCHOOL GREEN VALLEY
FACILITY NUMBER: 434416173
VISIT DATE: 10/10/2019
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Shade is provided by building overhang , canopy, and trees. Drinking water is arranged to be readily available to children. LPAs observed two drinking water fountains in Yard 3. Vice President and Director stated that the facility will not be providing transportation.

There are a total of 10 toilets and 15 sinks available to children to use. LPAs observed soap dispensers and disposable towels in the restrooms. Facility has two staff restrooms that are designated for staff and children who become ill to use. The reception area will serve as an isolation area for children who becomes ill and facility has equipment (cots, chairs etc.) for an ill child to rest. LPAs observed that Facility has toys, furniture, and equipment for the children to use. The rooms are furnished with sufficient tables, chairs, cubbies, shelves, etc. The facility has cots for children to use for napping.

Facility will provide Lunch, and Morning and Afternoon Snacks. Meals and Snacks will be stored and prepared at the Food Preparation Room adjacent to the Office. LPAs observed the food preparation area was equipped with refrigerator and freezer, dishwasher, and stoves to store, heat, and/or cool food as needed. There is a sink with running hot and cold water. Menu was posted. Containers used for storage of solid wastes have tight-fitting cover on. Detergents, cleaning compounds, sharps, medicines, and other items which could pose a danger if readily available to children are stored where they are inaccessible to children. Storage/Maintenance rooms/areas were secured such that they are inaccessible to preschool age children. Facility has janitorial service at the end of each day.

Director Loc Kerwin meets Director's Educational Qualification requirement. Director has current certification for preventive health practices training, which included current pediatric cardiopulmonary resuscitation and pediatric first aid certification. Director maintains documentation of immunity against Measles and Pertussis and required training such as the Mandated Reporter Training Certification.

Director and Vice President have obtained a Criminal Record Background Check and Child Abuse Index Clearance and their clearance are associated to this facility.
LPAs reminded Director and Vice President 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. For an initial violation, civil penalty amounts to $100.00 per person up to $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person up to $3000.00 per person.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408)324-2151
LICENSING EVALUATOR NAME: Tuoc DoanTELEPHONE: (408) 497-7322
LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2019
LIC809 (FAS) - (06/04)
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