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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444412727
Report Date: 09/27/2019
Date Signed: 09/27/2019 03:21:00 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:CAMPUS KIDS CONNECTION OPAL CLIFFS CHILDREN'S CTR.FACILITY NUMBER:
444412727
ADMINISTRATOR:CHANDRA PORTERAFACILITY TYPE:
850
ADDRESS:4510 JADE STREETTELEPHONE:
(831) 475-5188
CITY:CAPITOLASTATE: CAZIP CODE:
95010
CAPACITY:60CENSUS: 25DATE:
09/27/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Lisa Porsche TIME COMPLETED:
03:45 PM
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Licensing Program Analyst (LPA) Zaid Hakim conducted an Unannounced Annual / Random Inspection at the facility today. Upon arrival, LPA observed twenty five (25) preschool age children and at least six (6) staff engaging in daily activities and met with Ms. Lisa Porsche, Program Director. The Program Director is currently overseeing operation while the Site Director is temporarily away. LPA toured the facility inside and out and observed required postings including but not limited to; the License to operate, Emergency disaster plan (LIC 610) and Notification of Parents Rights (PUB 393). Days and hours of operation are Monday through Friday 7:00am to 6:00pm. The facility is licensed to serve a maximum of sixty (60) children ages two (2) years old to entry to first grade only. During the inspection LPA observed children to be supervised and attended to and the facility to be within ratio requirements.

LPA observed that the facility is operating within the terms of the license and is in compliance with the approved fire clearance capacity. The facility was toured inside and out and was observed to be clean, safe, sanitary, and in good repair. Disinfectants, cleaning solutions, and all other items that are dangerous to children were observed to be securely stored and inaccessible. The facility has barricade gates or half doors securing off limit areas. Indoor and outdoor activity spaces were observed as properly equipped with age appropriate toys and supplies that are in safe condition. Storage containers for waste have tight fitting covers, the restrooms were observed to be clean and functional and floors and carpeting are free from hazard and obstruction. The Director understands that changing tables are to be disinfected between uses. LPA observed that the facility has posted menus throughout the facility that are consistent with food supplies. The facility provides meals and snacks and the Director understands that parents are to be informed of what foods may be served at any given time prior to being served. The Director stated that all staff are aware of food allergies or dietary restrictions, which are outlined in children's files. LPA discussed staff protocols upon serving food such as; visual observation of all foods and maintaining appropriate temperatures prior to serving.

LPA observed cots, pillows, and blankets for napping and reminded the Director that cots for napping should be spaced to allow a walkway in between each. Director stated linens are washed weekly at the facility and children's families wash other items weekly as well. No weapons are stored on site and no bodies of water are on the premises. Due to the facility location and proximity to public areas, LPA and the Director discussed children's safety and privacy and discussed accessibility and visibility as it relates to public areas.

The Director has been referred to the department website for Licensing resource and updates: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 09/27/2019):
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid HakimTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
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 3
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: CAMPUS KIDS CONNECTION OPAL CLIFFS CHILDREN'S CTR.
FACILITY NUMBER: 444412727
VISIT DATE: 09/27/2019
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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 09/27/2019):

LPA observed fire extinguishers, smoke detectors, carbon monoxide detectors, and complete first aid kits throughout the facility. Emergency disaster drills are performed as required, last of which was done in 09/2019. The last fire safety inspection conducted by the local fire authority was conducted in 07/2019 in which detectors, alarm systems, and fire extinguishers were serviced. LPA reminded the Director that all fire safety items and equipment should be maintained at least every 12 months including, fire extinguishers and all detectors. The facility also maintains written logs of emergency disaster drills and procedures. LPA reviewed a random sample of children's records and observed that there is a separate, complete, and current record for each child enrolled in the center. LPA observed that each child record reviewed maintained a valid health screening report, required immunization records, and emergency contact information. LPA observed that the facility has the equivalent of the Consent for Medical Treatment Licensing form and meets this requirement.

The facility maintains written sign in and out system, that is updated throughout the day, containing full signatures from responsible parties. The facility maintains an updated roster of children enrolled in the program. A random sample of administration and staff records were reviewed and all teachers and staff maintain valid background clearances. LPA reviewed a random sample of teacher files and observed at least one staff on site maintain valid CPR / First aid certification which expires in 09/2020. The Director stated that she is aware that there must be at least one staff with current CPR/ First Aid training at all times. The Director has been reminded that staff files shall be complete and up to date as needed, including Mandated Reporter Training certificates on file for all staff.

LPA toured the outdoor play area, which was observed to be safe and equipped with age appropriate toys and equipment. There is secure perimeter fencing around the outdoor play areas and play structures and equipment appeared to be in safe condition. LPA observed that there is sufficient absorbent materials under structures, drinking water available for children via personal water bottles / drinking fountains, and there is also sufficient covering for shade provided by the building overhang and canopies. LPA and the Director discussed transition protocol, including direct supervision of children at all times. LPA and the Director discussed children staying hydrated in hot weather, weather conditions such as extreme heat and air quality, and the facility outdoor supervision and staff rotation plan for supervision and safety outside. *LPA reminded the Director of supervision and safety of children based on proximity to public streets and parking lots.

The facility does not provide transportation to children. The program does include site field trips that are walking only. LPA and the Director discussed parent permission and supervision away from the facility premises. LPA and the Director discussed emergency disaster drills and preparedness, emergency lock-down procedures, children's personal rights including no corporal punishment, forms of discipline, AB 633, healthy beverages in child care, recent updates to the child seat belt law, payment of licensing fees, and surveillance systems in common areas.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #3 - REPORT DATED 09/27/2019):
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid HakimTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: CAMPUS KIDS CONNECTION OPAL CLIFFS CHILDREN'S CTR.
FACILITY NUMBER: 444412727
VISIT DATE: 09/27/2019
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CONTINUATION OF PREVIOUS PAGE (PAGE #2 - REPORT DATED 09/27/2019):

A review of staff records today indicate that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also discussed and reviewed immunization including Measles, Pertussis, and Influenza. LPA also reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

LPA reminded the Director of the new immunization requirement regarding Senate Bill 792 (pertussis, measles, and flu vaccines) for ALL STAFF THAT WORK DIRECTLY WITH CHILDREN and the required "Mandated Reporter" training that all staff will be required to complete starting January 1, 2018 per AB 1207. https://mandatedreporterca.com/
LPA observed that all staff files reviewed maintained training certificates and LPA and the Director also discussed applicable updates to this training regarding length and material and the renewal period of every 2 years. LPA provided additional written information on Mandated Reporter Training, Active Shooter Information, Effects of Lead Exposure, and Safe Sleep for Infants.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. The following information regarding ADA was provided: US Department of Justice (USDOJ) 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

A Notice of Site Visit has been issued and must remain posted for 30 consecutive days.

No Deficiencies have been cited during today's inspection.
Exit interview conducted with Ms. Lisa Porsche, Program Director.
SUPERVISOR'S NAME: Anthony StudebakerTELEPHONE: (408) 324-2155
LICENSING EVALUATOR NAME: Zaid HakimTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2019
LIC809 (FAS) - (06/04)
Page: 3 of 3