274400122-8-3-2026-07-CC-DBAS-DWLP43-20260803105827

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274400122
Report Date: 08/03/2026
Date Signed: 08/03/2026 10:58:52 AM

Document Has Been Signed on 08/03/2026 10:58 AM - 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	SAN JERARDO MIGRANT HEAD START		FACILITY NUMBER:	274400122
ADMINISTRATOR/ DIRECTOR:	CARMEN ALVAREZ		FACILITY TYPE:	850
ADDRESS:	24495 CALLE EL ROSARIO		TELEPHONE:	(831) 751-9376
CITY:	SALINAS	STATE: CA	ZIP CODE:	93908
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 27	CENSUS: 19	DATE:	08/03/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:45 AM
MET WITH:	Carmen Alvarez		TIME VISIT/ INSPECTION COMPLETED:	11:10 AM

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	On August 3, 2026, Licensing Program Analyst (LPA) Darnella Barnes conducted an unannounced Annual Inspection. The purpose of the inspection was explained to Site Supervisor Carmen Alvarez, who granted LPA access to the facility. The Entrance Checklist (LIC 125) was provided. Present during today's inspection were the Site Supervisor, three cooks, five teachers, and 19 children in care. The facility operates Monday through Friday from 6:00 a.m. to 4:30 p.m. LPA observed all required licensing postings visible to the public, including the daily activity schedule and a current menu prepared in advance. Records reviewed indicated that the last documented fire drill was conducted on 7/27/26. Site Supervisor was reminded that fire drills are required at least once every six months and must be documented. LPA observed one 2A:10-B:C fire extinguisher with a service date of 7/27/26. A functioning combination smoke detector/carbon monoxide detector and an operable telephone were observed. Site Supervisor stated there are no firearms or other weapons stored on the premises. Site Supervisor acknowledged that smoking is prohibited on the property. Site Supervisor also confirmed understanding of licensing requirements regarding the separation of ill children. -----CONTINUED NEXT PAGE -----

Gladys Kuizon
Darnella Barnes
	DATE: 08/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SAN JERARDO MIGRANT HEAD START	FACILITY NUMBER: 274400122
	VISIT DATE: 08/03/2026

NARRATIVE

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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the Site Supervisor shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPAs Barnes verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Site Supervisor 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

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 inspection the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiency issued during today's inspection.

A notice of site visit was given and must remain posted for 30 days. Appeals rights provided.

Exit interview conducted and report was reviewed with Site Supervisor, Carmen Alvarez.

-----END OF REPORT -----

NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026

LIC809 (FAS) - (06/04)

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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SAN JERARDO MIGRANT HEAD START	FACILITY NUMBER: 274400122
	VISIT DATE: 08/03/2026

NARRATIVE

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LPA Barnes reviewed six staff files. All files were complete. Site Supervisor was reminded that Mandated Reporter Training must be renewed every two years and that at least one staff member with current Pediatric CPR and First Aid certification must always be present. LPA Barnes also reminded Site Supervisor that aides and assistants must remain under the direct supervision of a qualified teacher, except during naptime or when children are using the restroom.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

During the outdoor inspection, LPA observed that all walkways, ramps, and stairs were clear of tripping hazards. The play area had proper shade, was well-organized to prevent accidents, and the ground was free of debris or dangerous items. LPA observed that the climbing structure is cushioned with material that absorbs falls in and around the structure. Outdoor equipment was age-appropriate, securely anchored, in good condition, and free of sharp edges or loose parts. The outdoor area was fully enclosed by a fence at least five feet high. No bodies of water, dangerous equipment, chemicals, or utility fixtures were accessible.

LPAs Barnes discussed the safe sleep regulations with Carmen Alvarez 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. LPAs Barnes also informed Site Supervisor of the importance of checking for and removing any 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.

Site Supervisor was informed of the MyChildCarePlan.org site, 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..

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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026

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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SAN JERARDO MIGRANT HEAD START	FACILITY NUMBER: 274400122
	VISIT DATE: 08/03/2026

NARRATIVE

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Inside the facility, the environment was clean, safe, and well-maintained. The flooring was in good condition and free of tripping or slipping hazards. Toy containers had smooth edges, adequate ventilation, and lids designed to prevent finger entrapment. Each child had a designated and clearly labeled space for storing personal belongings. The children slept on cots, each of the sheet covering, bedding, blankets are stored in individual bags and labeled with each child’s name to avoid cross-contamination. All bedding and materials were cleaned or laundered weekly or as needed by the facility. First-aid supplies were accessible to staff but out of reach of children

The facility includes a kitchen designated for food preparation. The kitchen is equipped with refrigerators, a microwave, stove, oven, dishwasher and a sink with both hot and cold running water. The food storage area was observed to be clean, with children’s food items stored properly to prevent spoilage. The center provides breakfast, lunch, and PM snacks for the children, all prepared in the center’s kitchen using ingredients from an outside vendor. Trash was discarded in covered containers.

Cleaning products and chemicals were stored securely in locked cabinets, away from food and out of children’s reach.The bathroom facilities meet the requirement of having at least one sink and toilet for every 15 children. Toileting areas including sinks, dispensers, walls, and floors were regularly cleaned and disinfected.

The diapering area is maintained. Changing table had padded, washable vinyl surfaces at least one inch thick with raised sides at least three inches high, and were positioned within arm’s reach of a sink, away from any food preparation areas. Walls, floors, and dispensers were disinfected after each use. Sinks used for washing and rinsing soiled items were sanitized after every use. Solid covered containers were used for soiled diapers.

LPA Barnes reviewed five children's files. All files were complete. The facility roster and children's sign-in/sign-out records were reviewed which included signatures and date.

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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/03/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/03/2026

LIC809 (FAS) - (06/04)

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