<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 270700474
Report Date: 12/23/2021
Date Signed: 01/03/2022 08:44:24 AM

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:NORTHMINSTER PRESBYTERIAN PRESCHOOL/KINDERPREPFACILITY NUMBER:
270700474
ADMINISTRATOR:HUNTERMICHELS, LAURAFACILITY TYPE:
850
ADDRESS:315 EAST ALVIN DRIVETELEPHONE:
(831) 449-5676
CITY:SALINASSTATE: CAZIP CODE:
93906
CAPACITY:72CENSUS: 21DATE:
12/23/2021
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Laura Hunter Michels TIME COMPLETED:
12:00 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) Elizabeth Larios, conducted an unannounced case management visit today. LPA met with Director Laura Hunter Michels and discussed the nature of today's visit.

LPA conducted a complaint investigation on September 16, 2021 and became aware of a day care child (C-1) incident that occurred on August 18, 2021 where child was found in the parking lot by a day care parent.

CCL did not receive a LIC 624 Unusual Incident/Injury Report in regards to incident.

The following "Type A" deficiency and civil penalty of $500 has been assessed is noted on the attached page (LIC 809-D)

LPA discussed the requirements of AB633 to Laura and provided a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and understands the requirements. LPA conducted an exit interview with the Director Laura Hunter Michels where this report was reviewed and copy of appeal rights was provided. Please refer to page 809-D for citation, description, and plan of correction.

A Notice of Site Visit has been issued and must remain posted for 30 consecutive days.
SUPERVISOR'S NAME: Joel SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2021
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 2
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: NORTHMINSTER PRESBYTERIAN PRESCHOOL/KINDERPREP
FACILITY NUMBER: 270700474
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/23/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/23/2021
Section Cited

1
2
3
4
5
6
7
101229 Responsibility for Providing Care and Supervision
(a) The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1).Supervision shall include visual observation.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: On 9/16/2021 LPA became aware of a day care child (C-1) incident that occurred on 08/18/2021 where child was found in the parking lot by a day care parent. This poses an immediate threat to the health and safety of children in care.
8
9
10
11
12
13
14
According to AB 633, parents must be provided with this report which contains this Type A deficiency for the next 12 months and copy of signed acknowledgement form must be kept in each child's file.
Type B
12/30/2021
Section Cited

1
2
3
4
5
6
7
101212 Reporting Requirements
Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. (1) Events reported shall include the following: (C) Any unusual incident or child absence that threatens the physical or emotional health or safety of any child.
8
9
10
11
12
13
14
This requirement was not met as evidenced by: The center failed to report an unsual incident report for child (C-1) as required. This poses a potential risk to the health and safety of children in care.
8
9
10
11
12
13
14
Facility was cited prior on 11/18/2021 plan of correct was received and reviewed corrected.
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 SeguraTELEPHONE: (408) 334-8550
LICENSING EVALUATOR NAME: Elizabeth LariosTELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:
DATE: 12/23/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 12/23/2021
LIC809 (FAS) - (06/04)
Page: 2 of 2