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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444412156
Report Date: 02/07/2024
Date Signed: 02/08/2024 10:19:16 AM


Document Has Been Signed on 02/08/2024 10:19 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:BRIDGES TO KINDER PARENT AND E.C.E. PROGRAMFACILITY NUMBER:
444412156
ADMINISTRATOR:LAURA TOBIASFACILITY TYPE:
850
ADDRESS:1000 HIGH STREETTELEPHONE:
(831) 429-3878
CITY:SANTA CRUZSTATE: CAZIP CODE:
95060
CAPACITY:18CENSUS: 14DATE:
02/07/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Laura TobiasTIME COMPLETED:
12:45 PM
NARRATIVE
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On 02/07/2024 at 9:10am, Licensing Program Analyst (LPA), Farida Raja conducted an unannounced Required-3 Year inspection. LPA met with Director, Laura Tobias and explained the purpose of today’s inspection. The facility is licensed to serve children ages 2 to 6 years in one room. Facility is located on the Westlake Elementary School campus. LPA observed the required posted materials including menus and daily activity schedule. Days and hours of operation are Monday through Friday, 8:30 am to 1:00 pm. Facility has two waivers on file, one for shared playground on the upper level of the elementary school and shared bathroom with the elementary school.

LPA and Director toured the indoor and outdoor areas during today's inspection. LPA observed 14 children, 3 staff including director and one parent volunteer. Facility was in compliance with teacher to children ratio requirement. The classroom, children's restrooms, staff restroom and food preparation area were inspected. The program uses the library, kitchen that is part of the library and community garden (life lab) on the school campus. During today's inspection, LPA observed children engaged in group activities and having snack under direction from staff. Facility has central heating/cooling for comfort of children.

Director states that there are no weapons or firearms on the premises. There is a working telephone at the facility (831-332-2112). Disinfectants and cleaning products were stored in high cabinets inaccessible to the children in care. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Floors were clean and free from tripping hazards. LPA observed solid waste containers with tight-fitting lids in the rooms. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. Director stated that children are walked to the restrooms in small groups everyday before snack and lunch. Staff restrooms are located in the Elementary school office.

LPA observed fire extinguisher, working smoke and carbon monoxide detector, and fire pull station. The facility has a built-in smoke detector/ fire system. Log shows that the last Fire Drill was conducted on 9/19/2023 which is compliant with the six-month requirement for facilities.

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SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2024
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 4


Document Has Been Signed on 02/08/2024 10:19 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: BRIDGES TO KINDER PARENT AND E.C.E. PROGRAM

FACILITY NUMBER: 444412156

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 02/07/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

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 for one staff (S1) which poses a potential health, safety or personal rights risk to persons in care. Staff, S1, does not have proof of immunizaions for Tdap and influenza/statement declining the influenza vaccine.
POC Due Date: 02/21/2024
Plan of Correction
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Director will submit a copy of staff, S1s immunizations and other missing required forms (LIC 9052, LIC 501, LIC 9108) to LPA by Plan of Correction date of 02/21/2024.
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: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4


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: BRIDGES TO KINDER PARENT AND E.C.E. PROGRAM
FACILITY NUMBER: 444412156
VISIT DATE: 02/07/2024
NARRATIVE
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Drinking water is readily available for children in each room and in the outdoor playground area via individual water bottles and refilled using store bought water. Water lead testing was completed for the facility no Action Level Exceedances were reported. Director stated that facility exclusively uses store bought water for drinking and food preparation.

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 snack. LPA observed a weekly snack menu and list of dietary restrictions posted on the refrigerator. Lunch is prepared and brought from home. Food storage and preparation areas in the classroom were observed to be sanitary. All food and beverages that require refrigeration are stored in covered containers. Director stated that the preschool also uses the kitchen in the library for food preparation purposes.



Outdoor playground and play equipment was inspected and observed to be fenced in and free of hazards. LPA observed play equipment was in good condition, age-appropriate, and has sufficient tan bark as resilient material to absorb falls. Shaded rest area is provided by building overhang, canopies and trees. There were no bodies of water observed.

Children sign in and out procedures and logs were reviewed. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed six files during today's inspection. Each child's file reviewed contained the required forms.

LPA reviewed three staff files. All staff files reviewed contain the required transcripts/verification of experience. All staff have current CPR/First Aid training. 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). LPA observed the required Mandated Reporter Training on file for all staff. LPA observed one staff (S1) did not have current immunization's for Tdap and influenza/statement declining the influenza vaccine.



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SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: BRIDGES TO KINDER PARENT AND E.C.E. PROGRAM
FACILITY NUMBER: 444412156
VISIT DATE: 02/07/2024
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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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Medications at the facility are stored out of reach of children with proper documentation. Director provided LPA with a copy of the Incidental Medical Plan during today's inspection. For IMS information see PIN 22-02-CCP. 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 either indoors or outdoors in relation to the other children and isolation equipment will be provided. A separate restroom which is off limits to other children is used if necessary. Child is always under visual supervision while in care of the facility.

Facility does not provide transportation to children. Director stated that during field trip children walk or are driven by parents.

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

One Type B deficiency was cited today on the attached LIC 809D page. Appeal rights were printed and provided to Licensee. Exit interview conducted and report was reviewed with Director, Laura Tobias

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Farida RajaTELEPHONE: (916) 926-9269
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4