440702577-4-3-2023-07-CC-CNEN-CQJV5N-20230403160813

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 440702577
Report Date: 04/03/2023
Date Signed: 04/03/2023 04:08:22 PM

Document Has Been Signed on 04/03/2023 04:08 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:	YWCA STATE PRESCHOOL CENTER		FACILITY NUMBER:	440702577
ADMINISTRATOR:	ANGELINA GOMEZ		FACILITY TYPE:	850
ADDRESS:	118 SECOND STEET		TELEPHONE:	(831) 768-0900
CITY:	WATSONVILLE	STATE: CA	ZIP CODE:	95076
CAPACITY:	48	CENSUS: 16	DATE:	04/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:22 PM
MET WITH:	Angie Gomez		TIME COMPLETED:	04:14 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), Cortney Nelson and Farida Raja, met with Site Director, Angie Gomez, for an unannounced Required- 1 Year Inspection. The LPAs were granted access to the facility by the Site Director and toured both indoors and outdoors during the inspection. Upon arrival, there were sixteen (16) children (Classroom A- 7 children, Classroom B- 9 children) four (4) teachers, and the Site Director present, which is compliant with the facility license capacity and ratio requirements. LPAs observed all required postings near the entrance to the facility and the hours of operation are Monday – Friday, 8:00AM-4:30PM. The facility offers half day preschool programs (Classroom A-8:30AM-12:00PM & 12:30-4:00PM Classroom B-9:00AM-12:30PM & 1:00-4:30PM) LPA reviewed sign-in/out sheets, facility roster (LIC9040), and fire/disaster drill log and observed last drill was conducted on 3/8/2023, which is compliant with the six-month requirement for facilities. LPA observed three (3) fully charged 3A40BC fire extinguishers, functioning carbon monoxide detector. The facility has a built in smoke detector/ fire system. There are children in care who require Incidental Medical Services (Inhalers) and LPA's observed the medication is properly stored out of reach of children with the proper documentation. LPAs advised that IMS medication does not need to be locked, it can be stored inaccessible to children for quick accessibility in case of emergency. There are no weapons or firearms on the premises. This facility provides Incidental Medical Services- IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers, Section 101173 and 101226. The following information regarding ADA was provided: US Department of Justice 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

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

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: YWCA STATE PRESCHOOL CENTER	FACILITY NUMBER: 440702577
	VISIT DATE: 04/03/2023

NARRATIVE

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Indoor areas of the facility were inspected by the LPAs today and observed to be clean, orderly, and safe for the day care children. LPA observed sufficient age-appropriate materials, toys, and play equipment. The facility has two classrooms (A & B) and a kitchen. During today's inspection, LPAs observed children engaged in circle time and small projects with staff present. Drinking water is readily available for children via water dispensers and disposable cups. Staff and children’s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children, which an isolated child can use if necessary. There is a working telephone in the facility. Water lead testing was completed for the facility on 8/12/2022 and no Action Level Exceedances were reported.

The outdoor area of the facility was inspected and observed to be fenced in. LPAs observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (tankbark) to absorb falls. There is a tire swing, playground, and properly maintained sandbox available for children's use. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by canopy and building overhang.

Food is provided through the Child & Adult Care Food Program and is stored, prepared, and served in a safe and healthful manner to the children. The facility offers a half day program and provides AM/PM snack to children. The menu is in writing and posted at least one week in advance, accessible to authorized representatives. LPA's advised that snack menu should have portion sizes for food served. The kitchen and storage area is clean and free of litter and rubbish.

Five (5) children’s files and six (6) staff files were reviewed and all required documents were present. The Site Director has current CPR/First-Aid that expires 10/1/2024 and Mandated Reporter Training that expires on 3/23/2025. LPA's reminded both trainings must be renewed every 2 years.

The Licensee 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.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

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: YWCA STATE PRESCHOOL CENTER	FACILITY NUMBER: 440702577
	VISIT DATE: 04/03/2023

NARRATIVE

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Exit interview conducted and report was reviewed with the Site Director, Angie Gomez.

As a result of today’s inspection, no deficiencies were cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 04/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2023

LIC809 (FAS) - (06/04)

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