444400415-2-8-2024-07-CC-FRAA-D29NCJ-20240208092049

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444400415
Report Date: 02/06/2024
Date Signed: 02/08/2024 09:20:56 AM

Document Has Been Signed on 02/08/2024 09:20 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	COMMUNITY BRIDGES EED SYCAMORE STREET 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: 14	DATE:	02/06/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Arasele Rocha		TIME COMPLETED:	12:25 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	On 02/06/2024 at 9:00am, Licensing Program Analyst (LPA), Farida Raja conducted an unannounced Required-3 Year inspection. LPA met with Program Manager/ Site Supervisor, Arasele Rocha and explained the purpose of today’s inspection. The facility is licensed to serve children ages 2 to 6 years in two rooms (east and west classrooms). LPA observed all required posted materials near the facility entrance. Days and hours of operation are Monday through Friday, 8:00 am to 4:00 pm. The facility is a part of a housing complex and maintains secure key pad entry into the property. Facility has one waiver which designates this facility as the central administrative facility and staff from 6 Community Bridges EED facilities are associated to this central administrative facility license. LPA and Site Supervisor toured the indoor and outdoor areas during today's inspection. LPA observed 14 children and three teachers in one classroom. Facility was in compliance with teacher to children ratio requirement. Children were engaged in circle time and group activities under direction from teachers. Site Supervisor stated the second/west classroom is not being used at present. LPA observed the room not being used. The classroom, children's restroom, staff restroom, kitchen and storage room were inspected. Facility has central heating for comfort of children. Supervisor stated that they use portable fans to provide cooling. Supervisor states that there are no weapons including firearms on the premises. There is a working telephone at the facility (831-400-1120). Disinfectants and cleaning products were observed to be stored in the storage room attached to the west classroom and inaccessible to the children in care. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Floors were clean and free from tripping hazards. Napping mats are appropriate. LPA observed solid waste containers with tight-fitting lids in the classroom. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. LPA observed spray bottles with cleaning solution placed out of reach of children. Staff has one separate bathroom. Continued on Page 2

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: COMMUNITY BRIDGES EED SYCAMORE STREET CENTER	FACILITY NUMBER: 444400415
	VISIT DATE: 02/06/2024

NARRATIVE

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LPA observed fire extinguishers, working smoke and carbon monoxide detectors, and fire pull stations. The facility has a built-in fire system. Log shows that the last Fire Drill was conducted on 01/25/2024 which is compliant with the six-month requirement for facilities.

Drinking water is readily available for children in each room and in the outdoor playground area via individual water bottles which are refilled using a filtered water pitcher. Water lead testing was completed for the facility on 12/01/2022 and no Action Level Exceedances were reported.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA referred Site Supervisor to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Facility provides breakfast, lunch and PM snack which is prepared on site. Food storage and preparation areas in the kitchen were observed to be sanitary. All food and beverages that require refrigeration are stored in covered containers at 45F or less. LPA observed a refrigerator and freezer temperature log monitoring the temperature each day and a weekly menu posted on the refrigerator. Site Supervisor stated that they do not have any children with food allergies or restrictions at this time.

Outdoor playground and play equipment was inspected and observed to be fenced in and free of hazards. Storage sheds were observed to be locked. LPA observed play equipment was in good condition, age-appropriate, and has rubber flooring as resilient materials under high climbing equipment and slides to absorbs falls. LPA observed a covered sand box. Shade is provided by covered porch, canopy over the sandbox and umbrellas. There were no bodies of water observed.

Children sign in and out procedures are completed electronically and logs were reviewed. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed six children's files during today's inspection. Each child's file reviewed contained the required forms.

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SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024

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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: COMMUNITY BRIDGES EED SYCAMORE STREET CENTER	FACILITY NUMBER: 444400415
	VISIT DATE: 02/06/2024

NARRATIVE

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LPA reviewed two staff files. All staff files reviewed contain the required transcripts/verification of experience. At least one staff member on site has a current CPR and First Aid certification. Supervisor understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). All staff have the required immunization's against pertussis, measles and statement declining the influenza vaccine. LPA observed the required Mandated Reporter Training on file for all staff.

Site Supervisor was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. Supervisor stated that facility does not have children that require medication or Incidental Medical Services (IMS) at this time. Site Supervisor stated that medication is stored in high cabinets in the kitchen area inaccessible to children. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Isolation of sick child was discussed, and Supervisor explained that sick children will be isolated in the empty classroom or supervisor's office and isolation equipment will be provided. The bathroom in the second classroom which is off limits to other children is used if necessary. Child is always under visual supervision of staff while in care of the facility.

Facility does not provide transportation to children. LPA reminded Site Supervisor that annual fee in the amount of $2,662.00 are due on 02/17/2024 and LPA provided Site Supervisor with a copy of the annual fee notice.

Continued on Page 4

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: COMMUNITY BRIDGES EED SYCAMORE STREET CENTER	FACILITY NUMBER: 444400415
	VISIT DATE: 02/06/2024

NARRATIVE

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Site Supervisor was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process

Exit interview conducted and report was reviewed with Program Manager/Site Supervisor, Arasele Rocha.

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

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

SUPERVISOR'S NAME: Gladys Kuizon	TELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida Raja	TELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2024

LIC809 (FAS) - (06/04)

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