444416685-5-3-2023-07-CC-CNEN-CRGU65-20230503151747

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444416685
Report Date: 05/03/2023
Date Signed: 05/03/2023 03:17:56 PM

Document Has Been Signed on 05/03/2023 03:17 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	SECRET GARDEN PRESCHOOL, THE		FACILITY NUMBER:	444416685
ADMINISTRATOR:	LISA PORSCH		FACILITY TYPE:	850
ADDRESS:	26 FLORIDO AVENUE		TELEPHONE:	(801) 652-4417
CITY:	LA SELVA BEACH	STATE: CA	ZIP CODE:	95076
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 57	CENSUS: 25	DATE:	05/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:43 AM
MET WITH:	Lisa Porsch & Olesya Kalinowska		TIME COMPLETED:	03:27 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	Licensing Program Analyst (LPA), Cortney Nelson, met with Site Director, Lisa Porsch, and Owner, Olesya Kalinowska, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by the Site Director and toured both indoors and outdoors during the inspection. The facility is located inside of the United Church of Christ- Community Church. Upon arrival, there were twenty-five (25) preschool-age children (7 children/1 staff in the Main Room, 4 children/1 staff in Classroom #4, 4 children/1 staff in Classroom #3, 9 children/1 staff in Classroom #2, 4 children/1 staff in Classroom #1) and six (6) staff members, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility and the hours of operation are Monday – Friday, 7:00AM-5:30PM. LPA reviewed sign-in/out sheets, facility roster (LIC9040), and fire/disaster drill log during today’s inspection. Sign-in/out is completed using the application Procare and LPA observed it was completed with full legal signature and time of day. The last fire/disaster drill was conducted on 4/13/2023, which is compliant with the six-month requirement for facilities. LPA observed four fully charged 3A40BC fire extinguishers (last serviced: 6/2022), functioning smoke detector and carbon monoxide detector. There is an additional 2A10BC fire extinguisher located near the kitchen. The Site Director states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. There are no weapons or firearms on the premises. 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 Child Care Centers, Section 101173 and 101226. The following information regarding ADA was provided: US Department of Justice 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

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SECRET GARDEN PRESCHOOL, THE	FACILITY NUMBER: 444416685
	VISIT DATE: 05/03/2023

NARRATIVE

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Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. During today's inspection, LPA observed children eating lunch with staff and preparing for nap time. The floors were clean and free of tripping hazards. Drinking water is readily available for children in the facility via water dispensers and water bottles from home labeled with the children’s names. Staff and children’s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children, which an isolated child can use if necessary. There is a working telephone.

All food is prepared and served to the children by the facility and children are offered AM/PM snack and lunch. Menu is in writing and posted at least one week in advance, accessible to authorized representatives. LPA advised that menu should include portion sizes for food served to children. The kitchen and storage area is clean and free of litter and rubbish.

The outdoor area of the facility was inspected and observed to be fenced in. LPA observed play equipment was in good condition and age-appropriate. The Licensee states that additional tanbark will be added to the playground structure on 5/15/2023. LPA advised that the sandbox should be regularly inspected for foreign materials. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by building overhang.

Five (5) children’s files and five (5) staff files were reviewed during today's inspection.
There is at least one staff member present with current CPR/First-Aid that expires 8/2023. The Site Director has current Mandated Reporter Training that expires on 10/24/2024.

Exit interview conducted and report was reviewed with the Site Director, Lisa Porsch, and Owner, Olesya Kalinowska.

As a result of today’s inspection, deficiencies were cited, see 809-D.

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

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/03/2023 03:17 PM - It Cannot Be Edited

Created By: Cortney Nelson On 05/03/2023 at 02:23 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: SECRET GARDEN PRESCHOOL, THE	FACILITY NUMBER: 444416685
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/03/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.1(c)(1)

Teacher Qualifications and Duties

(c) To be a fully qualified teacher, a teacher shall have one of the following: (1) Twelve postsecondary semester or equivalent quarter units in early childhood education or child development completed, with passing grades, at an accredited or approved college or university; and at least six months of work experience in a licensed child care center or comparable group child care program. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above for two staff members who are missing core courses for teacher qualifications, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/10/2023
	Plan of Correction
1 2 3 4	The Licensee will provide proof of registration for courses for two staff members by 5/10/2023. LPA advised consideration of teacher exception request.

Type B

Section Cited

CCR

101216(g)(1)

(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven dats after employment or licensure. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview, and record review, the licensee did not comply with the section cited above for one staff member who completed physicians report, however did not complete tuberculosis test, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/17/2023
	Plan of Correction
1 2 3 4	The Licensee will submit proof of negative tuberculosis (TB) test for one staff member to the Department by 5/17/2023.

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:

Joel Segura

LICENSING EVALUATOR NAME:

Cortney Nelson

LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2023

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

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