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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444406219
Report Date: 02/14/2023
Date Signed: 02/14/2023 11:03:41 AM


Document Has Been Signed on 02/14/2023 11:03 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:GONZALEZ, ELIZABETHFACILITY NUMBER:
444406219
ADMINISTRATOR:GONZALEZ, ELIZABETHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 761-2190
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:14CENSUS: 14DATE:
02/14/2023
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
10:01 AM
MET WITH:Elizabeth GonzalezTIME COMPLETED:
11:10 AM
NARRATIVE
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Licensing Program Analysts (LPAs) Joe Macias and Farida Raja conducted an unannounced Case Management Inspection. The LPAs were greeted and granted entrance by the Licensee Elizabeth Gonzalez. The purpose of today’s inspection is to ensure the home is in compliance with Title 22 California Code of Regulations. Also present during today's inspection was the Licensee's assistant who is cleared and associated to the facility license. Todays census is 14, (3 infants, 11 preschool age). The current census places the Licensee out of Ratio.

This is the second time the Licensee has been over ratio in the last 12 months. The Licensee was cited a type A citation on February 3, 2023 for the number of children present. As a result of today's inspection the Licensee will be cited a type A citation, as well as be issued civil penalties.

For a Large Family Child Care Home, the maximum number of children for whom care may be provided at any one time when there is an assistant provider in the home, including children under age 10 who reside at the licensee's home and the assistant provider's children under age 10, shall be either:
- Twelve children, no more than four of whom may be infants.

A large family day care home may provide care for more than 12 children and up to and including 14 children, if all of the following conditions are met:
- At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age.
- No more than three infants are cared for during any time when more than 12 children are being cared for.
-The licensee notifies a parent that the facility is caring for two additional schoolage children and that there may be up to 13 or 14 children in the home at one time.
These conditions were not met, therefore the Licensee is out of compliance.

Type A deficiency cited, civil penalty assessed. Exit interview conducted and report was reviewed with the Licensee Elizabeth Gonzalez.

A notice of site visit was given and must remain posted for 30 days.

Child Care Parent Notification Requirements and Acknowledgement of Receipt of Licensing Reports (LIC9224) was also explained and provided to Licensee during today’s Inspection.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
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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Document Has Been Signed on 02/14/2023 11:03 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131


FACILITY NAME: GONZALEZ, ELIZABETH
FACILITY NUMBER: 444406219

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/14/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/17/2023
Section Cited

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102416.5 Staffing Ratio and Capacity (a) The capacity specified on the license shall be the maximum number of children for whom care may be provided at any one time.

This requirement was not met as evidenced by:
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The Licensee will be subject to additional visits to ensure that she is within capacity requirements for a large FCCH. She will submit schedule of children enrolled that demonstrates how ratio will be maintained each day by 2/17/2023.
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Upon arrival to the family child care home (FCCH), LPA's observed 14 children in care (3 infants and 11 preschool-age), which poses an immediate threat to the health, safety, and personal rights of children in care.
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LIC9224 must be signed by all parents currently enrolled and submitted to Licensing by end of day 2/15/2024. LIC9224 and LIC809 and 809D must be provided to all future enrollments for the next 12 months and maintained in file.

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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: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Joseph MaciasTELEPHONE: (408) 334-8320
LICENSING EVALUATOR SIGNATURE:
DATE: 02/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/14/2023
LIC809 (FAS) - (06/04)
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