444404901-11-17-2022-07-CC-CNEN-CL9S6S-20221117123625

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444404901
Report Date: 11/17/2022
Date Signed: 11/17/2022 12:36:35 PM

Document Has Been Signed on 11/17/2022 12:36 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:	CIRCLE OF FRIENDS		FACILITY NUMBER:	444404901
ADMINISTRATOR:	STACEY BOTKIN		FACILITY TYPE:	850
ADDRESS:	111 NORTH NAVARRA DRIVE		TELEPHONE:	(831) 461-1366
CITY:	SCOTTS VALLEY	STATE: CA	ZIP CODE:	95066
CAPACITY:	39	CENSUS: 31	DATE:	11/17/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:03 AM
MET WITH:	Stacey Botkin		TIME COMPLETED:	12:45 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), Cortney Nelson, met with the Licensee, Stacey Botkin, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by staff member, Kaelynn, and toured both indoors and outdoors during the inspection. Upon arrival, there were 26 preschool-age children, the Licensee, and four (4) staff members present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility and the hours of operation are Monday – Thursday, 7:30AM-5:15PM. The facility has three (3) primary classrooms that are used: Red Classroom (Pre-K) observed with one staff member and eleven (11) children, Blue Classroom (3s) observed with one staff member, child's assistant, and eleven (11) children, Green Classroom (2s & 3s) with one staff member and nine (9) children. LPA reviewed sign-in/out sheets, facility roster, and fire/disaster drill log during today’s inspection. Sign-in/out was observed to be completed with full legal signature and time of day. The last fire/disaster drill was conducted on 9/15/2022, which is compliant with the six-month requirement for facilities. LPA observed three (3) fully charged 2A10BC fire extinguishers (last serviced: 9/2022), functioning smoke detector and carbon monoxide detector. The Licensee states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. The Licensee states that 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: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

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: CIRCLE OF FRIENDS	FACILITY NUMBER: 444404901
	VISIT DATE: 11/17/2022

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

Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. During today's inspection, LPA observed preschool-age children engaged in activities such as coloring sheets, eating snack, and letter/number recognition. Furniture, such as tables, chairs, and shelves, are in good condition and safe for children. The floors were clean and free of tripping hazards. Drinking water is readily available for children in the facility via water dispensers and water bottles. There are bathrooms located in each classroom at the facility that are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children, which an isolated child can use if necessary. The Licensee has a working telephone in the facility.

The outdoor area of the facility was inspected and observed to be fenced in. The Licensee states that since the pandemic, the outside area has been divided into smaller areas for each classroom to play in. LPA requested the Licensee submit an updated outdoor facility sketch (LIC999) to reflect changes. During todays inspection, the LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (rubber padding/tanbark) to absorb falls. LPA advised daily raking of tanbark and observed that rubber padding is located at the base of slides/swings. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by canopy and large trees located outside.

Food is provided by the facility and is stored, prepared, and served in a safe and healthful manner to the children. The facility offers a full day program and provides AM/PM snack to children. The snack menu is in writing and posted at least one week in advance, accessible to authorized representatives. The kitchen and storage area is clean and free of litter and rubbish. LPA advised the Licensee to label the date that food was opened and served for snack and the Licensee states that the refrigerator is cleared weekly for excess food.

Five (5) children’s files were reviewed during today’s inspection and all required documents were present. Five (5) staff files (Licensee and four (4) teachers) were reviewed and all required documents were present. The Licensee has current CPR/First-Aid that expires 6/19/2023 and Mandated Reporter that expires on 6/14/2023. LPA reminded the Licensee that CPR/First-Aid and Mandated Reporter Training must be renewed every 2 years.

SUPERVISOR'S NAME: Joel Segura	TELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney Nelson	TELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

LIC809 (FAS) - (06/04)

Page: 2 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: CIRCLE OF FRIENDS	FACILITY NUMBER: 444404901
	VISIT DATE: 11/17/2022

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

The Licensee understands that she shall be on the premises during the hours the center is in operation and that children at the center shall be visually supervised at all times. LPA reminded the Licensee 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, such as field trips. The Licensee states that the facility transports children who need to be picked up after school and LPA observed that the Ford Transit is equipped with seven (7) booster chairs and is in good repair. The Licensee has current vehicle registration, vehicle insurance, and California Drivers License that expires 9/14/2023.

Exit interview conducted and report was reviewed with the Licensee, Stacey Botkin.

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: 11/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3