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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444414367
Report Date: 09/14/2023
Date Signed: 09/14/2023 03:53:15 PM

Document Has Been Signed on 09/14/2023 03:53 PM - 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:LITTLE PEOPLE'S SCHOOL INFANT TODDLER CENTERFACILITY NUMBER:
444414367
ADMINISTRATOR:FOCHA-SMARTFACILITY TYPE:
830
ADDRESS:13155 OAK STREETTELEPHONE:
(831) 566-4236
CITY:BOULDER CREEKSTATE: CAZIP CODE:
95006
CAPACITY: 13TOTAL ENROLLED CHILDREN: 13CENSUS: 3DATE:
09/14/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Margaret Focha-SmartTIME COMPLETED:
01:35 PM
NARRATIVE
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On 09/14/2023 at 9:10am, Licensing Program Analyst (LPA), Farida Raja, met with Director, Margaret Focha-Smart, for an unannounced Required 1-Year inspection. Present today were director and 3 toddlers . The facility is licensed to serve a maximum of 13 infants ages seven (7) to thirty (30) months old with a toddler component. LPA observed the required posted materials in the kitchen area. Director stated that the hours of operation are Monday, Wednesday, Friday 8:00am-4:00pm and Tuesday and Thursday 8:00am- 6:00pm. Facility was in compliance with teacher to children ratio requirement.

LPA toured the indoor and outdoor areas of the facility during today's inspection. The facility including children's restrooms, staff bathroom, diaper changing area, and nap rooms were inspected. 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 (831-234-9405). Disinfectants, cleaning products and sharps were stored inaccessible to the children in care. Furniture, cribs, high chairs and toys were age appropriate and in good condition, free of sharp, loose, or pointed parts. Floors were clean and free from tripping hazards. LPA observed appropriate changing table that has a vinyl changing pad at least 1 inch thick and within arms reach of a sink. Infant cribs were observed to be in good condition without any items inside them and covered with a tight fitting sheet. LPA observed solid waste container with tight-fitting lid for disposal of diapers. 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.

LPA observed a 2A10BC fire extinguisher, two working smoke and carbon monoxide detectors in the bedrooms and first-aid kit during today's inspection. Log shows that the last Fire Drill was conducted on 05/2023 which is compliant with the six-month requirement for facilities.

Drinking water is readily available for children indoors and in the outdoor playground area via individual water bottles.

Continued on Page 2
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: LITTLE PEOPLE'S SCHOOL INFANT TODDLER CENTER
FACILITY NUMBER: 444414367
VISIT DATE: 09/14/2023
NARRATIVE
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Facility did not complete testing prior to the January 1, 2023. LPA referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Foods and beverages were stored safely to prevent contamination and spoilage. Food storage and preparation areas were observed to be sanitary. All food is provided by the parents. Bottles brought from home were observed to be properly stored at the appropriate temperature. The Director understands that bottles for infants brought from home are to be labeled with the infant's name and dated on a daily basis.

Director stated that children are not using the outdoor play area at present. The outdoor covered patio is the only space being used. The outdoor area is surrounded by secured fencing. LPA observed written sign in/out sheet with signatures.Children's roster was reviewed. LPA obtained a copy of the children's roster. There were no bodies of water observed.

LPA reviewed three (3) children's files files during today's inspection. Each child's file reviewed contained the required forms. Needs & Services Plans were on file but are not updated once per quarter or more often if needed. The Facility was in compliance with the Safe Sleep regulations/requirements 15 minute nap checks.

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 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.

LPA reviewed the director's file. File contained the required transcripts/verification of experience and immunizations for MMR and Tdap. Director did not have current pediatric CPR/ First Aid and Mandated Reporter Training. LPA reminded director that both trainings must be renewed every 2 years. LPA referred the Licensee to the training website: www.mandatedreporterca.com for additional information on the online training.

Continued on Page 3
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
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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: LITTLE PEOPLE'S SCHOOL INFANT TODDLER CENTER
FACILITY NUMBER: 444414367
VISIT DATE: 09/14/2023
NARRATIVE
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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.

Director stated that facility does not handle medications and currently has no children in care who require Incidental Medical Services (IMS). Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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/.

Facility does not provide transportation to children, but Director understands that children cannot be left alone, unattended in parked vehicles. 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

In areas that were evaluated, four (4) Type B regulatory violations were observed. Exit Interview was conducted, where this report, the citations, plan of corrections, and appeal rights were reviewed and discussed with Director. Citations are issued on 809-D pages of this report. Director signed the report acknowledging receipt of documents. LPA reminded director that failure to correct deficiencies by Plan of Correction Due Date may result in penalties of $100 per day per violation.Director will provide an updated Emergency Disaster Plan (LIC 610) to LPA by 09/28/2023. Exit interview conducted and report was reviewed with Director, Margaret Focha-Smart.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023
LIC809 (FAS) - (06/04)
Page: 3 of 5
Document Has Been Signed on 09/14/2023 03:53 PM - It Cannot Be Edited


Created By: Farida Raja On 09/14/2023 at 12:24 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LITTLE PEOPLE'S SCHOOL INFANT TODDLER CENTER
FACILITY NUMBER: 444414367

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reported training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review the director did not comply with the section cited above. Director does not have a current Mandated Reporter Training which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/28/2023
Plan of Correction
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Director stated that she will submit a copy of the Mandated Reporter Training by the POC date of 09/28/2023
Type B
Section Cited
CCR
102416(c)
(c) The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.

This requirement is not met as evidenced by:

Deficient Practice Statement
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Based on observation, record review and interview, the director did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Director has not completed the Pediatric CPR/First AId Training.
POC Due Date: 09/28/2023
Plan of Correction
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Director will complete the EMSA certified Pediatric CPR/ First aud training and submit proof to LPA by Plan of Correction date of 09/28/2023.
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 Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2023


LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 09/14/2023 03:53 PM - It Cannot Be Edited


Created By: Farida Raja On 09/14/2023 at 12:24 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LITTLE PEOPLE'S SCHOOL INFANT TODDLER CENTER
FACILITY NUMBER: 444414367

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Facility had not completed Water lead testing.

POC Due Date: 09/28/2023
Plan of Correction
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Director will complete Water Lead Testing and send proof of completion to LPA by Plan of Correction date of 09/28/2023. LPA provided Director with a copy of PIN 21-21 CCP.

Type B
Section Cited
CCR
101419.3(a)(1)
(a) The written infant needs and services plan shall be updated at least quarterly, or as often as necessary to assure its accuracy. (1) The director, the assistant director or a teacher shall update the plan with the assistance of the infant's authorized representative.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on LPA's record review, the licensee did not comply with the section cited above for 3 out of 3 children which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 09/28/2023
Plan of Correction
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Director shall provide copies of updated needs and services plans for 3 children and provide a written plan of correction to keep needs and services plans current as required to LPA by Plan of Correction date of 09/28/2023.
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 Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2023


LIC809 (FAS) - (06/04)
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