444400156-11-14-2019-07-CC-ZHAM-BHX2ED-20191114161945

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444400156
Report Date: 11/14/2019
Date Signed: 11/14/2019 04:20:54 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:	CABRILLO COLLEGE CHILDRENS/INFANT CENTER		FACILITY NUMBER:	444400156
ADMINISTRATOR:	TRICIA PASTOR CROSS		FACILITY TYPE:	830
ADDRESS:	6500 SOQUEL DRIVE		TELEPHONE:	(831) 479-6352
CITY:	APTOS	STATE: CA	ZIP CODE:	95003
CAPACITY:	20	CENSUS: 19	DATE:	11/14/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Tricia Pastor Cross		TIME COMPLETED:	01:30 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 (LPA) Zaid Hakim and Nancy Rodriguez conducted an Unannounced Annual / Random Inspection at the facility today. Upon arrival, LPA observed seven (7) infants, twelve (12) toddlers, and at least seven (7) staff engaging in daily activities and met with Ms. Tricia Pastor Cross, Director. LPA toured the facility inside and out and observed required postings including but not limited to; the License to Operate, Emergency disaster plan (LIC 610) and Notification of Parents Rights (PUB 393). Days and hours of operation are Monday through Friday 6:30am to 6:30pm. The facility is licensed to serve a maximum of eight (8) infants ages zero to two (2) years old and twelve (12) toddler age children ages eighteen (18) to thirty six (36) months in separate classrooms. During the inspection, LPA observed the facility to be in compliance with staff supervision and ratio requirements and that all infants were attended to. LPA observed that the facility is operating within the terms of the license and is in compliance with the approved fire clearance capacity. The facility was toured inside and out was observed to be clean, safe, sanitary, and in good repair. Disinfectants, cleaning solutions, and all other items that are dangerous to infants were observed to be securely stored and inaccessible. Furniture and equipment was observed to be safe, in good condition, and free of sharp, loose, or pointed parts. The facility has age appropriate furniture and equipment, including infant cribs and changing tables within arms reach or close proximity of a sink. Classroom furniture and equipment for infants were observed to be clean and operable. Infant cribs were observed to be in good condition and cribs were observed without any extra items in them and covered with tight fitting linens. The Director understands that sleeping infants shall be directly supervised and that staff should be positioned on the sleeping side of any partition or wall in the classroom when infants are sleeping in that area of the classroom. LPA and the Director discussed safe sleep practices in detail. A random sample of administration and staff records were reviewed and all teachers and staff observed in classrooms or files reviewed by LPA maintain valid background clearances. LPA reviewed a random sample of teacher files and observed that all teachers that provide care for infants have health screening forms and at least two staff on site maintains valid CPR / First Aid Certification which expires in 10/2020. LPA observed that files of infant teachers maintained transcripts confirming the educational post secondary unit requirements, in specified subject areas relating to infants. REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 11/14/2019):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019

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: CABRILLO COLLEGE CHILDRENS/INFANT CENTER	FACILITY NUMBER: 444400156
	VISIT DATE: 11/14/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #2 - REPORT DATED 11/14/2019):

A review of staff records today indicate that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also discussed and reviewed immunization including Measles, Pertussis, and Influenza. LPA also reminded Licensee 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. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

LPA reminded the Director of the immunization requirement regarding Senate Bill 792 (pertussis, measles, and flu vaccines) for ALL STAFF THAT WORK DIRECTLY WITH CHILDREN and the required "Mandated Reporter" training that all staff will be required to complete starting January 1, 2018 per AB 1207. LPA and the Director also discussed applicable updates to this training regarding length and material and the renewal period of every 2 years. LPA provided additional written information on Mandated Reporter Training, Active Shooter Information, Effects of Lead Exposure, and Safe Sleep for Infants.

The Director has been referred to the department website for Licensing resources and updates: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing

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 Family Child Care Homes Section 102417. 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

A Notice of Site Visit has been issued and must remain posted for 30 consecutive days.

No Deficiencies have been cited during today's inspection.
Exit interview conducted with Ms. Tricia Pastor Cross, Director.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019

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: CABRILLO COLLEGE CHILDRENS/INFANT CENTER	FACILITY NUMBER: 444400156
	VISIT DATE: 11/14/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 11/14/2019):

Bottles brought from home were observed to be properly stored at the appropriate temperature. LPA observed that bottles for infants brought from home are to be labeled with the infant's name and dated on a daily basis. The Director stated infant bottles are brought to the facility ready to consume and staff warm the bottles to the serving temperature. Bottles are disinfected at home and brought to the facility or disinfected at the facility and sent home. Storage containers for waste have tight fitting covers, changing tables are within arms length or close proximity to a sink, and floors and carpeting are clean and free from obstructions. The Director understands that changing tables or any equipment used shall be disinfected in between diaper changes. Food storage areas in the classrooms were clean. Changing tables were clean and in good condition. No baby walkers or bouncers were observed during the inspection. The outdoor area is surrounded by secured fencing and the outdoor surfaces are safe and age appropriate for infants. LPA observed that a written sign in/out sheet is used that is updated throughout the day and signed by parents / authorized representatives with full signatures. The facility maintains an updated roster of infants enrolled electronically.

No weapons are stored on site and no bodies of water are on the premises. LPA observed fire extinguishers, smoke detectors, carbon monoxide detectors, a central alarm system, and complete first aid kits throughout the facility. Emergency disaster drills are performed as required, last of which was done in 11/2019. LPA reminded the Director that all fire safety items and equipment should be maintained at least every 12 months. The last fire safety inspection was conducted on 10/2019 in which all fire safety equipment were serviced or maintained. LPA reviewed a random sample of infant's records and observed that there is a separate, complete, and current record for each infant enrolled in the center. LPA observed that each infant record reviewed included but not limited to; immunization records, needs and services plans, individual feeding plans, and emergency contact information. LPA observed that infant needs and service plans are updated at least quarterly as required.

The facility does not provide transportation. The facility does include off site field trips. LPA and the Director discussed emergency disaster drills and preparedness, children's personal rights including no corporal punishment, forms of discipline, AB 633, healthy beverages in child care, safe sleep, and recent updates to the child seat belt law.

LPA advised the Director regarding Staff Fingeprint associations to each facility license and provided the Director with copies of the most up to date personnel summaries for review.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #3 - REPORT DATED 11/14/2019):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 11/14/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/14/2019

LIC809 (FAS) - (06/04)

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