444411592-2-7-2024-07-CC-FRAA-D28KMC-20240207070120

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444411592
Report Date: 02/06/2024
Date Signed: 02/07/2024 07:01:27 AM

Document Has Been Signed on 02/07/2024 07:01 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:	CHILDREN'S PRESCHOOL SANTA CRUZ		FACILITY NUMBER:	444411592
ADMINISTRATOR:	KRISHANIE WEERASEKARA		FACILITY TYPE:	850
ADDRESS:	420 MELROSE AVENUE		TELEPHONE:	(831) 425-7580
CITY:	SANTA CRUZ	STATE: CA	ZIP CODE:	95062
CAPACITY:	33	CENSUS: 11	DATE:	02/06/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	12:32 PM
MET WITH:	Krishanie Weerasekara		TIME COMPLETED:	05:45 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	On 02/06/2024 at 12:32pm, Licensing Program Analyst (LPA), Farida Raja conducted and an unannounced Required-3 Year inspection. LPA met with Director, Krishanie Weerasekara and explained the purpose of today’s inspection. The facility has a toddler component and is licensed to serve children ages 18 months to entry into first grade in two rooms. LPA observed the required posted materials in both classrooms. Days and hours of operation are Monday through Friday, 8:00 am to 5:00 pm. LPA and Director toured the indoor and outdoor areas during today's inspection. LPA observed 11 children and 3 staff. Children were napping while being supervised by staff during today's inspection. Facility was in compliance with teacher to children ratio requirement. LPA observed children from the toddler classroom combined with preschool children during nap time. LPA informed Director that children from the two components cannot co-mingle at any time and have to be physically separated at all times. The classrooms, children's restrooms, staff restroom, kitchen and storage area were inspected. Facility has central heating/cooling for comfort of children. Director states that there are no weapons including firearms on the premises. There is a working telephone at the facility (831-425-7580). Disinfectants and cleaning products were stored in a storage cabinet in the staff bathroom inaccessible to the children in care. All cabinets and drawers used for storage were locked. Furniture and equipment were age appropriate and free of sharp, loose, or pointed parts. Floors were clean and free from tripping hazards. LPA observed appropriate changing tables that have raised sides and vinyl changing pad at least 1 inch thick in the toddler classroom. Napping mats are appropriate. LPA observed solid waste trash cans with swing top lids in the rooms. LPA informed Director that containers used for disposal of solid wastes need to have a tight fitting lid. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. Staff has one separate bathroom that can be utilized by sick children if needed. 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: CHILDREN'S PRESCHOOL SANTA CRUZ	FACILITY NUMBER: 444411592
	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 smoke detector/ fire system. Log shows that the last Fire Drill was conducted on 01/05/2024 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. Water lead testing was completed for the facility on 11/12/2022 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 Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Facility provides AM and PM snack. Snack storage and preparation areas were observed to be sanitary. Lunch are prepared and provided from home. LPA observed monthly snack menu in each classroom.

Outdoor playground and play equipment was inspected and observed to be fenced in. Director stated that due to heavy rains and wind the tan bark and grass areas have been made off limits to the children and will be cleaned of all debris before allowing children to use the area. Director stated that children are only using the concrete area at present. LPA observed a sliding wooden gate on the right edge of the grass area was broken. LPA informed director to clean the area of all debris and make repairs prior to allowing children to use the area. LPA observed play equipment was age-appropriate and areas around and under high climbing equipment and slides were cushioned with resilient tan bark material that absorbs falls. Shaded rest area is provided by canopy and trees. There were no bodies of water observed. The toddler age children have access to an outdoor play area that is physically separated from the preschool age children.

Children sign in and out logs were reviewed. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed ten 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: CHILDREN'S PRESCHOOL SANTA CRUZ	FACILITY NUMBER: 444411592
	VISIT DATE: 02/06/2024

NARRATIVE

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LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA provided a copy of the 15-minute nap log to Director during today's inspection. LPA also informed Director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Two staff files were reviewed. 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. Director 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.

Director 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. Facility has an approved IMS Plan on file with San Jose Regional Office. Director stated that there are no children who require medication or Incidental Medical Services (IMS) at this time.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 Director explained that sick children will be isolated in an area of the preschool classroom and isolation equipment will be provided. A staff restroom which is off limits to other children is used if necessary. Child is always under visual supervision while in care of the facility.

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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: CHILDREN'S PRESCHOOL SANTA CRUZ	FACILITY NUMBER: 444411592
	VISIT DATE: 02/06/2024

NARRATIVE

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Facility does not provide transportation to children. LPA reminded Director that annual fee in the amount of $484.00 is due on 02/11/2024 and LPA provided Director with a copy of the annual fee notice. Director informed LPA that she completed payment online during today's inspection.

Director 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

As a result of today's inspection, two technical violations were issued. Exit interview was conducted, where this report and technical violations were reviewed with the Director, Krishanie Weerasekara.

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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