434417027-2-18-2022-07-CC-DMAC-CBRSVD-20220218131235

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417027
Report Date: 02/17/2022
Date Signed: 02/18/2022 01:12:42 PM

Document Has Been Signed on 02/18/2022 01:12 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:	TODDLER TOWN LLC		FACILITY NUMBER:	434417027
ADMINISTRATOR:	SARAH VAZQUEZ		FACILITY TYPE:	850
ADDRESS:	6920 ALMADEN EXPRESSWAY		TELEPHONE:	4083733169
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95120
CAPACITY:	38	CENSUS: 0	DATE:	02/17/2022
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Sarah Vazquez and Ritipal Juneja		TIME COMPLETED:	06:35 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	Licensing Program Analysts (LPAs) Dung Mac and Stephanie Collins met with Sarah Vazquez, Applicant Representative/Site Director, and Ritipal Juneja, Administrator, for an announced pre-licensing inspection. The Applicant has applied for a preschool license with a Toddler Option component. The Preschool Program will operate Monday through Friday from 7:00 AM to 6:00 PM, serving Preschool children ages 2-6 years (capacity: 30). The Preschool Toddler Option component will serve children ages 18 months to 36 months (capacity: 8). The preschool children will be utilizing 1 & 3 and the Toddler children will be using Room 2. LPA's toured and measured the indoor and outdoor areas of the Facility during today's inspection. INDOOR MEASUREMENTS FOR PRESCHOOL ARE AS FOLLOWS: Room 1 = 64.920 x 18.670 minus 66.050 (encumbered) = 1,146.010 Room 3 = 15.000 x 39.900 minus 98.48 (encumbered) = 500.020 *TOTAL INDOOR SPACE: 1,646.030 sq. ft. divided by 35 = 47 Preschool children* INDOOR MEASUREMENTS FOR TODDLER ARE AS FOLLOWS: Room 2 = 15.000 x 30.000 minus 38.880 = 411.12 *TOTAL INDOOR SPACE = 411.12 sq. ft. divided by 35 = 11 Toddler children* There are 4 toilets (60), 1 urinal (15), and 4 sinks (60) available for children to use. Hot water is available in the children's sinks and is less than 120 degrees F. There is a separate staff bathroom across from kitchen area. LPAs observed dispenser soap and disposable towels in the children's bathrooms. Sick children will be isolated in the director's office and isolation equipment is provided. Report To Be Continued on Page #2

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022

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 3

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: TODDLER TOWN LLC	FACILITY NUMBER: 434417027
	VISIT DATE: 02/17/2022

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
26
27
28
29
30
31
32

LPAs did not observe any fireplaces or wall heaters at the Facility. All classrooms have appropriate lighting and ventilation (heating and air conditioning) and are furnished with age appropriate supplies and toys. First aid supplies are stored in the office inaccessible to children. Medications if administered at the facility will be stored in a lock cabinet in the office. Potty training will be provided by the facility.

There are 48 chairs, 9 tables, 50 mats, and 43 cubbies. Room 2 has a container for disposal of diapers and a changing table that has raised sides (3 inches in height) and is within an arm's reach of a sink. LPAs observed a solid waste container with a tight-fitting lid, microwave, and refrigerator in each classroom. Drinking water will be provided indoors via pitchers/cups.

The facility has a food preparation area that has hot and cold running water, sink, refrigerator, and ample storage space for food. The facility will provide AM/PM snacks. Children will bring own lunch. Disposable utensils and plates will be utilized by the facility. Cleaning supplies will be stored in a locked cabinet in the food preparation area.

LPAs observed that the two playgrounds are surrounded by appropriate fencing. There are adequate equipment, supplies, and toys for children outdoors. There is no play structure. Shade is provided by canopy and building overhangs. There is a sandbox. Sarah understands that sandbox shall be inspected daily and kept free of hazardous foreign materials. Drinking water outdoors will be provided via pitchers and disposable cups. LPAs did not observe any bodies of water during today's visit. Transportation will not be provided by the facility.

OUTDOOR MEASUREMENTS ARE AS FOLLOWS:

Front Yard = (23.300 x 22.7) minus 10.15 (encumbered) = 518.76

Back Yard = (67.400 x 8.200) minus 3.380 (encumbered)
+ (44.100 x 10.100) minus 43.70 (encumbered) = 549.30 + 401.71 = 951.01

TOTAL OUTDOOR SPACE: 1,469.02 sq. ft. divided by 75 = 19 children

Report To Be Continued on Page #3

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3

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: TODDLER TOWN LLC	FACILITY NUMBER: 434417027
	VISIT DATE: 02/17/2022

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
26
27
28
29
30
31
32

Playground has space for 19 children. There is not enough space for the requested capacity of 38. As a result, a waiver for playground space will be requested by the Applicant. Sarah states that Preschool and Toddler children will share both playgrounds but at different times.

Sarah Vazquez, Applicant Representative/Director, has obtained a Criminal Records Clearance and Child Abuse Index Checks. Director has met the education and experience qualification requirements and her Pediatric First Aid/CPR Certifications expire 12/19/2023. Director has proof of completion of Preventative Health Practices and proof of immunity against Measles and Pertussis, Influenza on file.
LPAs reminded Applicant of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the facility, 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 per day 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.

Incidental Medical Services (IMS) policy was discussed. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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.

LPAs conducted an exit Interview and advised Sarah that a license for 30 Preschool and 8 Toddler children will be submitted to Licensing Management for the final stage of approval upon the receipt of the following:
1) A Waiver request along with staggered schedules for the playground space.
2) A Waiver request along with staggered schedules for shared playground.

SUPERVISOR'S NAME: Mary Segura	TELEPHONE: (408) 324-2152
LICENSING EVALUATOR NAME: Dung Mac	TELEPHONE: (408) 334-8546
LICENSING EVALUATOR SIGNATURE:	DATE: 02/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3