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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444408834
Report Date: 12/19/2019
Date Signed: 12/19/2019 02:49:41 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:LANDMARK STATE PRESCHOOLFACILITY NUMBER:
444408834
ADMINISTRATOR:K.LATHROP/R.HERNANDEZFACILITY TYPE:
850
ADDRESS:235 OHLONE PARKWAYTELEPHONE:
(831) 761-7940
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY:24CENSUS: 21DATE:
12/19/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:20 AM
MET WITH:Linda OrosoTIME COMPLETED:
03:00 PM
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Licensing Program Analyst(LPA), Behbood, conducted an unannounced random visit to the Facility today. LPA met with Linda Orosco, Program Coordinator and Rosa Hernandez, Site Director. The purpose of the visit explained. LPA toured inside and outside of the facility during today's visit. Facility is located on Landmark Elementary School. They operate during elementary school year which is normally from Mid August through June. Operation hours is M - F from 1 to 4.
LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus.
All staff are finger printed through the School District.
LPA reviewed a sample of children file. Each child's file reviewed contains the Information and Emergency Information form (LIC 700) and a copy of the admission agreement. LPA observed that all children were properly signed in and out (legal signature & time of day) by a parent or authorized representative. At least one staff have current CPR and First Aid certifications. Staff files have copies of their educational background, and proof of immunization record. All staff have completed Mandated Child Abuse Reporter Training.
Furniture & equipment appear in good condition. Floors appear clean. Children's bathrooms are in operating condition. The PM snack is provided from school cafeteria, menu is posted.
Playground has climbing structures. Tan bark used for cushioning material.
Drinking water inside the classrooms and in the playground are provided via water fountain.
Medications for children are in the original prescription container & stored inaccessible to children.
This facility provides Incidental Medical Services (IMS). LPA reviewed storage of medication and equipment /supplies, and reviewed children’s, personnel and administrative records.
No citation issued during today's visit.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Mahvash BehboodTELEPHONE: (408) 334-8552
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2019
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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