274410788-2-20-2025-07-CC-ELAS-DE42GV-20250220162347

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274410788
Report Date: 02/20/2025
Date Signed: 02/20/2025 04:23:59 PM

Document Has Been Signed on 02/20/2025 04:23 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	M.A.O.F. MOUNTAIN VALLEY EARLY LEARNING CENTER		FACILITY NUMBER:	274410788
ADMINISTRATOR/ DIRECTOR:	VICKY SANTOS		FACILITY TYPE:	850
ADDRESS:	115 BARDIN ROAD		TELEPHONE:	(831) 771-9291
CITY:	SALINAS	STATE: CA	ZIP CODE:	93905
CAPACITY: 120	TOTAL ENROLLED CHILDREN: 120	CENSUS: 87	DATE:	02/20/2025
TYPE OF VISIT:	Case Management - Annual Continuation	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:42 AM
MET WITH:	Rozhgar Aziz & Elizabeth Montoya		TIME VISIT/ INSPECTION COMPLETED:	04:30 PM

NARRATIVE

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Licensing Program Analyst (LPA) Elizabeth Larios conducted an unannounced Case Management - Annual/Required Continuation Inspection. The purpose of today’s visit is to ensure the facility is in compliance with Title 22 California Code of Regulations. LPA met with the Program Manager, Rozhgar & Administrative Program Director, Dina Escobedo Lozoya and explained the nature of today's visit. LPA toured the facility both inside and outside during prior visit. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and activity schedule in each classroom. The hours of operation are Monday - Friday, 6:00am - 6:00pm.

LPA reviewed children's files. Each child's file reviewed contains the Information and Emergency Information form (LIC 700), immunization records, physicians report, personal rights, and parents rights. LPA continue reviewing staff files during today's visit. All staff have fingerprint clearances. Staff has current CPR and First Aid certifications on file. Staff had Health Screening Report and TB test, Immunization (Measles, Pertussis, and Flu) record. Not all staff had current Mandated Reporter Training certificate in file. Site Director understands that there shall be at least one person with valid CPR and First Aid certifications on site at all times, or present during off-site activities.

Program Manager understands the conditions, limitations, and capacity specifications of the facility license. Program Manager understands that children shall be visually supervised at all times. LPA observed classroom in order in prior visit. Drinking water is readily available for the children in each room and in the outdoor playground area via water dispensers/cups. LPA observed solid waste containers with tight-fitting lids in facility. Staff and children's bathrooms are clean, sanitary. There is a separate staff bathrooms not utilized by the children which an isolated child can use if needed. Program Manager states that there are no weapons or firearms on the premises.

====CONTINUE IN LIC 809-C====

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025

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: M.A.O.F. MOUNTAIN VALLEY EARLY LEARNING CENTER	FACILITY NUMBER: 274410788
	VISIT DATE: 02/20/2025

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LPA observed furniture and equipment were in good condition and safe for the children. The playground areas utilized by children is surrounded by appropriate fencing. LPA observed sufficient resilient materials under slides and other similar equipment surrounded with cushioned material that absorbs falls. LPA observed that the outdoor equipment is age appropriate. LPA did not observe any bodies of water.

The facility provides meals, snacks, and beverages to day care children. Food storage such refrigerator, and microwave areas are clean, free of litter & rubbish, and free of rodents and other vermin. LPA observed a fully charged 3A40BC/2A10BC fire extinguishers located in hallways and working fire pull stations, smoke detectors, carbon monoxide detectors, and first aid kits. Program Manager states that the facility does administer medications at this time.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Site Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

During visit LPA conducted staff interview and finish tool inspection. Exit interview conducted and report was reviewed with Program Manager, Rozhgar & Administrative Program Director, Dina Escobedo Lozoya . Deficiency was issued during today's inspection.

A NOTICE OF SITE VISIT WAS ISSUED, POSTED NEAR THE ENTRANCE TO THE FACILITY, AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Elizabeth Larios
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 02/20/2025 04:23 PM - It Cannot Be Edited

Created By: Elizabeth Larios On 02/20/2025 at 04:07 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: M.A.O.F. MOUNTAIN VALLEY EARLY LEARNING CENTER	FACILITY NUMBER: 274410788
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 02/20/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(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 reporter 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
1 2 3 4	Based on record review, the licensee did not comply with the section cited above staff (S3 & S4) have expired Mandated Reporter Certificates which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/27/2025
	Plan of Correction
1 2 3 4	Licensee will have staff complete training and send certificate to CCL by POC due date 02/27/2025

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Susy Cervantes

LICENSING EVALUATOR NAME:

Elizabeth Larios

LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025

LIC809 (FAS) - (06/04)

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