444400415-8-16-2019-07-CC-ZHAM-BF4RE8-20190816125708

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444400415
Report Date: 08/16/2019
Date Signed: 08/16/2019 12:57:16 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:	COMMUNITY BRIDGES SYCAMORE STREET CHILD DEV CENTER		FACILITY NUMBER:	444400415
ADMINISTRATOR:	ARASELE ROCHA		FACILITY TYPE:	850
ADDRESS:	121 SYCAMORE STREET		TELEPHONE:	(831) 454-9920
CITY:	SANTA CRUZ	STATE: CA	ZIP CODE:	95060
CAPACITY:	32	CENSUS: 23	DATE:	08/16/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Arasele Rocha		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 Analyst (LPA) Zaid Hakim conducted an Unannounced Annual / Random Inspection at the facility today. Upon arrival, LPA observed twenty three (23) preschool age children and at least five (5) staff engaging in daily activities and met with Ms. Arasele Rocha, Site 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 8:00am to 4:00pm. The facility is licensed to serve a maximum of thirty two (32) children ages two (2) years old to six (6) years old only. The facility is a part of a housing complex and maintains secure door pass codes and locks on gates that lead into the property. The purpose of the inspection was also to conduct Increased Monitoring with regard to the Non-Compliance Conference (NCC) between facility representatives and Community Care Licensing staff on 10/02/2018. LPA and the Director discussed the NCC terms in detail. LPA observed the facility maintains signed and dated LIC 9224 documentation in each file reviewed and has continued to implement and improve the Plan of Correction. LPA observed the facility to be operating within the agreed upon terms and in good standing regarding the NCC dated 10/02/18. 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 and was observed to be clean, safe, sanitary, and in good repair. Disinfectants, cleaning solutions, and all other items that are dangerous to children were observed to be securely stored and inaccessible. Indoor and outdoor activity spaces were observed as properly equipped with age appropriate toys and supplies that are in safe condition. LPA observed play areas to be physically separate from the surrounding areas. Storage containers for waste have tight fitting covers, the restrooms were observed to be clean and functional, and floors and carpeting are free from hazard and obstruction. LPA observed that the facility has posted menus throughout the facility that are consistent with food supplies. The facility provides meals and snacks and parents are informed of what foods may be served at any given time before they are served. The Director stated that all staff are aware of food allergies or dietary restrictions, which are outlined in children's files. In the event of meals not being delivered, the facility maintains sufficient food supplies to meet children's needs. LPA discussed staff protocols upon serving food such as; visual observation of all foods and maintaining appropriate temperatures prior to serving. REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 08/16/2019):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

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: COMMUNITY BRIDGES SYCAMORE STREET CHILD DEV CENTER	FACILITY NUMBER: 444400415
	VISIT DATE: 08/16/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 08/16/2019):

LPA observed cots, pillows, and blankets for napping and reminded the Director that cots for napping should be spaced to allow a walkway in between each. No weapons are stored on site and no bodies of water are on the premises. LPA observed fire extinguishers, smoke detectors, carbon monoxide detectors, and complete first aid kits throughout the facility. Emergency disaster drills are performed as required, last of which was done in 06/2019. The last fire safety inspection conducted by the local fire authority was conducted in 11/2018 in which detectors, alarm systems, and fire extinguishers were serviced. LPA reminded the Director that all fire safety items and equipment should be maintained at least every 12 months including, fire extinguishers and all detectors. The facility also maintains written logs of emergency disaster drills and procedures. LPA reviewed a random sample of children's records and observed that there is a separate, complete, and current record for each child enrolled in the center. LPA observed that each child record reviewed maintained a valid health screening report, required immunization records, and emergency contact information.

The facility maintains written sign in and out system, that is updated throughout the day, containing full signatures from responsible parties. The facility maintains an updated roster of children enrolled in the program. A random sample of administration and staff records were reviewed and all teachers and staff maintain valid background clearances. LPA reviewed a random sample of teacher files and observed at least two staff on site maintain valid CPR / First aid certification which expires in 10/2020 and 08/2019. The Director stated that she is aware that there must be at least one staff with current CPR/ First Aid training at all times. LPA toured the outdoor play area, which was observed to be safe and equipped with age appropriate toys and equipment. There is secure perimeter fencing around the area and play structures and equipment appeared to be in safe condition. LPA observed that there is sufficient absorbent materials under structures, drinking water available for children via personal water bottles / cups and water fountains, and there is also sufficient covering for shade provided by the building overhang, trees and canopies. LPA and the Director discussed transition protocol, including direct supervision of children at all times. LPA and the Director discussed children staying hydrated in hot weather, weather conditions such as extreme heat and air quality, and the facility outdoor supervision and staff rotation plan for supervision and safety outside.
The facility does not provide transportation to children. The program does not include off site field trips and LPA and the Director discussed parent permission and supervision away from the facility premises. LPA and the facility representatives discussed emergency disaster drills and preparedness, emergency lock-down procedures, children's personal rights including no corporal punishment, forms of discipline, AB 633, healthy beverages in child care, recent updates to the child seat belt law, payment of licensing fees, and surveillance systems in common areas.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #3 - REPORT DATED 08/16/2019):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

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: COMMUNITY BRIDGES SYCAMORE STREET CHILD DEV CENTER	FACILITY NUMBER: 444400415
	VISIT DATE: 08/16/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #2 - REPORT DATED 08/16/2019):

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 ensured all stall files reviewed maintained training certificates and 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 in Water, and Safe Sleep for Infants.

The Director has been referred to the department website for Licensing resource 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. Arasele Rocha, Site Director.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019

LIC809 (FAS) - (06/04)

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