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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444416984
Report Date: 07/07/2021
Date Signed: 07/07/2021 07:23:24 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:MIDTOWN DISCOVERY PRESCHOOLFACILITY NUMBER:
444416984
ADMINISTRATOR:MICHELLE ATKINSFACILITY TYPE:
850
ADDRESS:818 NORTH BRANCIFORTE AVENUETELEPHONE:
(831) 588-4225
CITY:SANTA CRUZSTATE: CAZIP CODE:
95062
CAPACITY:24CENSUS: 0DATE:
07/07/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:12 AM
MET WITH:Sara Balla and Michelle AtkinsTIME COMPLETED:
03:45 PM
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Licensing Program Analysts (LPA) Stephanie Collins conducted a scheduled Pre-Licensing inspection of the facility as a result of a request for a change in ownership from Midtown Montessori (License #444408886) to Midtown Discovery Preschool # 444416984

LPA met with Administer Sara Balla Center Director Michelle Atkin Midtown Discovery Preschool is applying for a License to operate a Preschool Center with a capacity of 24 at 818 N. Branciforte Ave Santa Cruz . This is a home like dwelling The Center will operate Monday through Friday from 08:00 AM to 04:00 PM, serving children ages 2-6 years old Facility's phone # (831) 588-4225.

The building was inspected inside and out. Indoor space for the Preschool Center was measured to ensure that there is 35 square feet of indoor activity space per child based on the total licensed capacity. fire clearance 6/14/2021.

Activity Area
= (Total sq. ft.) – (Encumbered Space) = (974.84 sq. ft.) – (4. sq. ft.)
= 970.84 sq. ft.

Total Indoor Activity Space = (970.84 sq. ft.) divided by (35 sq. ft. / child) = 27 Children

Yard
= (Total sq. ft.) – (Encumbered Space) = (2,489.38 sq. ft.) – (86.87 sq. ft.)
= 2,402.51 sq. ft.

Total Outdoor Activity Space = (2402.51 sq. ft.) divided by (75 sq. ft. / child) = 32 Children
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
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: MIDTOWN DISCOVERY PRESCHOOL
FACILITY NUMBER: 444416984
VISIT DATE: 07/07/2021
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The Preschool outdoor activity space is enclosed with fencing. The space is equipped with a variety of age-appropriate toys and equipment such as play structures, sandbox, garden area etc. Areas under and around high climbing play structures have resilient material to absorb falls. Shade is provided by canopy and trees. Drinking water is arranged to be readily available to children and there is a drinking fountain. The facility will not be providing transportation.

There is a total of 2 (30) toilets and 3 (45) sinks for the Preschool children to use. LPA observed soap dispensers and disposable towels in the restrooms. The restrooms near the Director's Office is designated for staff and children who become ill to use. The Director's Office will serve as an isolation area for children who are ill and has equipment (cots, chairs etc.) for children to rest. LPA observed that Facility has toys, furniture, and equipment for the children to use. The rooms are furnished with enough tables, chairs, and cubbies and hooks. The facility has mates for children to use for napping.

Parents are required to provide snacks and Lunches ,as well as morning and afternoon snacks for the Preschool. Meals and Snacks will be stored and prepared at the kitchen near the Director's Office. LPA observed the kitchen was equipped with refrigerator, microwave, oven, and stove to store, heat, and/or cool the food as needed. Containers used for storage of solid wastes have tight-fitting covers Detergents, cleaning compounds, sharps, medicines, and other items which could pose a danger if readily available to children are stored where they are inaccessible to children. Storage/Maintenance rooms were locked. Daily cleaning with a janitorial service at the end of each week.

Director Michelle Atkins meets Educational Qualification requirement and is has current certification for preventive health practices training with lead poisoning , which included current pediatric cardiopulmonary resuscitation and pediatric first aid certification. Director maintains documentation of immunity against Measles and Pertussis. Director and CEO has Background Check Clearance has been transferred to the preschool school.
LPA reminded Director and CEO 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. For an initial violation, civil penalty amounts to $100.00 per person up to $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person up to $3000.00 per person.

SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
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: MIDTOWN DISCOVERY PRESCHOOL
FACILITY NUMBER: 444416984
VISIT DATE: 07/07/2021
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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS has been 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)/ (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.

Facility is encouraged to visit the Department’s website at www.cdss.ca.gov [Shortcut: www.ccld.ca.gov] to access resources for Providers, Regulations, Annual License fee, Adoption of new Laws, etc.

Exit interview was conducted, where this report was reviewed and discussed Sara Balla Applicant. was informed that once Licensing Office receives and verifies all required documents The Applicant's file will be submitted to Licensing Management for review and final approval.
SUPERVISOR'S NAME: Sandy KnightTELEPHONE: (408) 324-2151
LICENSING EVALUATOR NAME: Stephanie CollinsTELEPHONE: (408) 334-8555
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2021
LIC809 (FAS) - (06/04)
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