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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444404910
Report Date: 01/24/2023
Date Signed: 01/24/2023 11:27:52 AM


Document Has Been Signed on 01/24/2023 11:27 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:BAYMONTE CHRISTIAN PRESCHOOL TOOFACILITY NUMBER:
444404910
ADMINISTRATOR:ROBERTA HANDLEYFACILITY TYPE:
850
ADDRESS:4901 SCOTTS VALLEY DRIVETELEPHONE:
(831) 440-9248
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY:22CENSUS: 12DATE:
01/24/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:07 AM
MET WITH:Roberta Handley & Lisa PattersonTIME COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA), Cortney Nelson, met with Administrator, Lisa Patterson, and Site Director, Roberta Handley, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by staff member, Michelle, and toured both indoors and outdoors during the inspection. Upon arrival, there were twelve (12) preschool-age children and two (2) 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 – Friday, 8:15AM-12:15PM.

The facility offers half day programs for "twinklers" preschoolers ages three-four on Tuesday and Thursday and "sunshines" for preschoolers ages four-five on Monday, Wednesday, and Friday.

LPA reviewed sign-in/out sheets, facility roster (LIC9040), 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 12/12/2022, which is compliant with the six-month requirement for facilities. LPA observed a fully charged 3A40BC fire extinguisher (last serviced: 1/2023), functioning smoke detector and carbon monoxide detector. Lisa states that the facility does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. There are no weapons or firearms on the premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers, Section 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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 SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:
DATE: 01/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/12/2023
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: BAYMONTE CHRISTIAN PRESCHOOL TOO
FACILITY NUMBER: 444404910
VISIT DATE: 01/24/2023
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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 staff members engaged in various activities with the children, such as number recognition, sewing, and motor skill exploration. There is a properly barricaded wall heater in the facility. The floors were clean and free of tripping hazards. Drinking water is readily available for children in the facility via water dispensers and all children have water bottles from home labeled with their names. 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.

The outdoor area of the facility was inspected and observed to be fenced in. There are climbing structures, bikes, and a properly covered sandbox available for children's use while playing outside. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (tanbark) to absorb falls. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by canopy and there is a functioning drinking fountain outside for children's use.

The facility offers a half day program and snack is provided. All food is stored, prepared, and served in a safe and healthful manner to the children. The snack menu is in writing and posted at least one week in advance, accessible to authorized representatives. LPA advised adding serving proportions to the menu. The kitchen and storage area is clean and free of litter and rubbish.

Five (5) children’s files were reviewed during today’s inspection and all required documents were present. Two (2) staff files (Site Director & Teacher) were reviewed and most required documents were present. LPA advised Lisa of the required Preventative Health and Safety course required for Site Director and fully qualified teacher to act in Directors position while absent. The Site Director has current CPR/First-Aid that expires 11/2023 and Mandated Reporter Training that expires on 3/28/2024. LPA reminded Lisa that both must be renewed by all staff every 2 years.

Lisa understands that the Site Director 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 Lisa that there shall be at least one person with valid CPR and First-Aid certifications on site at all times and observed all staff have current certifications.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2023
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: BAYMONTE CHRISTIAN PRESCHOOL TOO
FACILITY NUMBER: 444404910
VISIT DATE: 01/24/2023
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Exit interview conducted and report was reviewed with Administrator, Lisa Patterson, and Site Director, Roberta Handley.

As a result of today’s inspection, a deficiency was cited, see 809-D.

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.

LPA requested the following updated documents from Lisa:
-Updated Parent Handbook
-Updated Admission Agreement
-Updated Administrative Organization (LIC309)

LPA will email Lisa the following document:
-Approved list of Preventative Health & Safety Courses
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 01/24/2023 11:27 AM - It Cannot Be Edited

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: BAYMONTE CHRISTIAN PRESCHOOL TOO

FACILITY NUMBER: 444404910

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 01/24/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.866
1596.866 Additional Health and Safety Training; Condition of Licensure (C)(i) A preventative health practices course or courses that include instruction on the recognition, management, and prevention of infectious diseases, including immunizations, prevention of childhood injuries, and, for licenses issued on and after July 1, 2020, instruction in the prevention of lead exposure that is consistent with the most recent State... curriculum on childcare lead poisoning prevention.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above as the Site Director did not have proof of completion of Preventative Health and Safety course, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 02/28/2023
Plan of Correction
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The Licensee will submit proof of completion, or registration if after POC date, for preventative health and safety course for the Site Director by 2/28/2022. Course must include nutrition (2016) and lead (2020) components. LPA will provide approved course list to the Licensee.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Cortney NelsonTELEPHONE: (916) 956-5037
LICENSING EVALUATOR SIGNATURE:
DATE: 01/24/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/24/2023
LIC809 (FAS) - (06/04)
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