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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416130
Report Date: 04/18/2023
Date Signed: 04/18/2023 03:17:11 PM

Document Has Been Signed on 04/18/2023 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:LAURA'S BARN PRESCHOOL AND CHILDCARE CENTERFACILITY NUMBER:
274416130
ADMINISTRATOR:LAURA H & EVELYN WFACILITY TYPE:
850
ADDRESS:893 BLANCO CIRCLETELEPHONE:
(831) 261-9897
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY: 60TOTAL ENROLLED CHILDREN: 54CENSUS: 42DATE:
04/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Evelyn WeimerTIME COMPLETED:
03:25 PM
NARRATIVE
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Licensing Program Analyst (LPA), Joe Macias, conducted an unannounced case management inspection in response to an unusual incident that the facility self reported to Community Care Licensing (CCL) on April 17, 2023. LPA met with the Owner/ Licensee Evelyn Weimer, and explained the nature of today's inspection to her. There were a total of 42 preschool age children at the facility today along with 10 fully qualified teachers, and 7 assistants.

This case management inspection was made to inquire about an unusual incident that occurred on Monday April 17, 2023.

During today's visit LPA Macias toured the facility, interviewed staff, reviewed the LIC 624, and obtained copies of pertinent information. Based on staff interview, as well as the self reported incident report; a child found medication on the classroom floor and picked up the medication. The medication belonged to an employee and was disposed of. Prior to today's inspection the employee involved received disciplinary action, the center's staff medication policy was updated, and a staff training is scheduled for today April 18, 2023.

LPA Macias reviewed the importance of medications, disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children. Storage areas for poisons/ medications shall be locked.

As a result of this inspection, a deficiency was cited.

Appeal right were printed and reviewed with the Owner/ Licensee. LPA Macias reviewed the LIC9224, acknowledgement of receipt of licensing report.

Type A deficiency cited, exit interview conducted, and a copy of this report was reviewed by the Owner/ Licensee Evelyn Weimer.

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

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE: DATE: 04/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/18/2023
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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Document Has Been Signed on 04/18/2023 03:17 PM - It Cannot Be Edited


Created By: Joseph Macias On 04/18/2023 at 02:52 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: LAURA'S BARN PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 274416130

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/19/2023
Section Cited
CCR
101238(g)

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Buildings and Grounds:
Disinfectants, cleaning solutions, poisons and other items that could pose a danger if readily available to children shall be stored where inaccessible to children.
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Prior to today's inspection the employee involved received disciplinary action, the center's staff medication policy was updated, and a staff training is scheduled for today April 18, 2023. The Director shall provide the sign in sheet for the training by the POC date.
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Based on staff interview, as well as the self reported incident report; a child found medication on the classroom floor and picked up the medication. This poses an immediate risk to the health, safety and personal rights of the children in care.
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AB 633 states upon receipt, licensee shall post and provide copies of this licensing report to parents/guardians of children in care at the facility and to parents/guardians of children newly enrolled at the facility during the next 12 months and it is to be signed and kept in each child’s file.

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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:Gladys Kuizon
LICENSING EVALUATOR NAME:Joseph Macias
LICENSING EVALUATOR SIGNATURE:
DATE: 04/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/18/2023


LIC809 (FAS) - (06/04)
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