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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416277
Report Date: 06/16/2021
Date Signed: 06/17/2021 12:33:59 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:TULIP KIDSFACILITY NUMBER:
434416277
ADMINISTRATOR:NIKKI HUFANAFACILITY TYPE:
830
ADDRESS:10181 FINCH AVENUETELEPHONE:
6693775774
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY:12CENSUS: 0DATE:
06/16/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
04:45 PM
MET WITH:Nikki Hufana TIME COMPLETED:
05:50 PM
NARRATIVE
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Licensing Program Analyst (LPA), Stephanie Collins met with Site Director, Nikki Hufana and inform her of the nature of the inspection. Licensee is requesting a change of capacity. The preschool is applying for an increase in the infant program capacity from 12 infant to 24. The preschool program will be adding Room # 11 (Monkey room) to Infant Room # 4’s total square footage. Operating hours are from 8:00 AM to 6:00 PM Monday through Friday. LPA toured the facility both indoors and outdoors.

(Indoor measurements taken during evaluation report dated 01/12/2021)
Infant Room #4
(Total Square footage) – (Encumbered Space)
27.416 x 24.250) - (6.000 x 1.000 + 12.916 x 8.083 + 3.833 x 1.75 encumbered space) = 664.838 - 117.107
= 547.731 sq. ft.
(Indoor measurements taken during evaluation report dated 01/27/2020)
Infant Room # 11(Monkey)
(Total Square footage) – (Encumbered Space)
(20.581 x 13.415)=276.094) + (9.664. x 14.249)=137.702 +(5.332 x 2.000) =10.664 +2.83 x 3.83 = 10.838
=435.298 – 7.485
=427.813
INFANT INDOOR SPACE TOTAL = 547.731 sq. ft. + 427.813 sq. ft. = 975.544 sq. ft. divided 35 sq. ft.
= 27 children



SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
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: TULIP KIDS
FACILITY NUMBER: 434416277
VISIT DATE: 06/16/2021
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OUTDOOR SPACE TOTAL = 607.388 divided by 75 sq. ft. = 8 children

Infant playground has space for 8 Infants. There is not enough space for the requested Infant capacity of 24. An updated waiver for playground space was submitted during inspection.

Infant yard is located inside Preschool yard. LPA observed infant yard is surrounded and separated from preschool yard by at least 4' high fence. Shade is provided by canopies. Tanbark is utilized for resilient material around and under the play structure in the Infant playground. LPA observed the outdoor activity space is equipped with a variety of age-appropriate toys and equipment. LPA observed no bodies of water.

There is one sink available for the children and there are potty chairs. Sink has cold water only. LPA observed a changing table and sink in the infant room. LPA observed a trash can with a tight-fitting lid for diapers disposal and a container with tight-fitting lid for the disposal of solid waste. .

There are separate staff bathrooms. Children who become ill will be isolated in Director's office with isolation equipment. Classroom is furnished with age appropriate toys. First aid supplies, medication, and cleaning . LPA observed functioning smoke/carbon monoxide detectors in classroom. Drinking water is available indoors/outdoors via bottles. No transportation is provided.

Nikki Hufana, Site Director, have obtained a Criminal Records Clearance and Child Abuse Index Checks.

This report was reviewed with Director, notice of Site will be posited for 30 days No violation observed.

The request for Increase incapacity is approved per Management's review and approval.



SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
LIC809 (FAS) - (06/04)
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