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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416131
Report Date: 11/13/2025
Date Signed: 11/13/2025 12:41:36 PM

Document Has Been Signed on 11/13/2025 12:41 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:LAURA'S BARN PRESCHOOL AND CHILDCARE CENTERFACILITY NUMBER:
274416131
ADMINISTRATOR/
DIRECTOR:		LAURA H & EVELYN WFACILITY TYPE:
830
ADDRESS:893 BLANCO CIRCLETELEPHONE:
(831) 261-9897
CITY:SALINASSTATE: CAZIP CODE:
93901
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: DATE:
11/13/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Sheila AcostaTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
NARRATIVE
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On November 13, 2025, Licensing Program Analyst (LPA) Darnella Barnes conducted an unannounced annual inspection at the facility. LPA Barnes met with Site Supervisor Sheila Acosta, explained the purpose of the visit, and was granted access to the facility. The Site Supervisor was provided with the LIC125 Entrance Checklist. Present during the inspection were Acosta, eight teachers, and twenty-five infants.

The facility operated Monday through Friday from 7:30 a.m. to 5:30 p.m. and had four infant classrooms. Parents provided meals and milk or formula, though meals were also available for purchase. All meals brought from home were labeled with each child’s name and refrigerated upon arrival. If meals were brought in a lunch box, parents included an ice pack. Scheduled mealtimes were breakfast from 7:00 to 7:30 a.m., morning snack at 10:00 a.m., lunch from 11:00 to 11:30 a.m., and afternoon snack at 3:00 p.m. LPA observed the kitchen to be clean and organized. Meals prepared by the facility were made in the kitchen using a microwave, refrigerator, stove, and oven. The sink had hot and cold running water. Site Supervisor stated that faucet water was used only for washing, and filtered water from a dispenser was used for cooking.

Filtered water was available throughout the day via dispensers in each classroom. Sink water was available for washing only and not used for drinking.


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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/13/2025
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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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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Document Has Been Signed on 11/13/2025 12:41 PM - It Cannot Be Edited


Created By: Darnella Barnes On 11/13/2025 at 11:27 AM
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: 274416131

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/13/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on record review, the licensee did not comply with the section cited above which poses/posed a potential health, safety or personal rights risk to persons in care. One staff member missing Measles immunization
POC Due Date: 11/27/2025
Plan of Correction
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Site Supervisor shall provide LPA written proof of documentation of the missing Staff's measles immunization. Site Supervisor shall provide LPA with a written plan of action to prevent this type of incident from happening again.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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.
Gladys Kuizon
NAME OF LICENSING PROGRAM MANAGER:
Darnella Barnes
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/13/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/13/2025


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: LAURA'S BARN PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 274416131
VISIT DATE: 11/13/2025
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Each classroom was equipped with a built-in fire and smoke alarm with carbon monoxide detection, and the hallway contained the same combination system. All required postings were observed to be publicly visible. The most recent fire drill had occurred on October 13, 2025. LPA Barnes reminded the Site Supervisor of the requirement to conduct and document fire drills at least once every six months. Five 3A-40-BC fire extinguishers, last serviced on September 24, 2025, were observed on site. Each classroom contained a functioning carbon monoxide detector. An operating telephone was present, and the Site Supervisor confirmed that no firearms were stored or present on the premises and smoking is prohibited.

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.

LPA Barnes conducted an inspection of the indoor environment. The area appeared clean, safe, and well-maintained. Flooring was in good condition and free of tripping or slipping hazards. Toy containers had smooth edges, proper ventilation, and finger-safe lids. Each child was assigned an individually labeled storage space.

The infant sleeping area was separate from the indoor activity space. Cribs were clean, equipped with firm mattresses and tightly fitted sheets, and free of pillows, blankets, toys, bumper pads, or hanging objects. Each child had individual bedding that was not shared and was washed daily. Cots were covered with wipeable material, labeled to indicate the floor side, and cleaned daily or as needed. Cribs, mats, and cots were spaced to maintain clear walkways for safe movement and staff access. The Site Supervisor was reminded that children able to climb out of cribs must be moved to cots, with labeled bedding stored separately.


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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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: LAURA'S BARN PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 274416131
VISIT DATE: 11/13/2025
NARRATIVE
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Diapering and hygiene areas were properly maintained. Changing tables 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 infants or rinsing soiled items were sanitized after every use. All areas inspected were organized, clean, and maintained.

Cleaning supplies and chemicals were stored in locked cabinets, separate from food and out of children’s reach. Floors were mopped and carpets vacuumed daily. Trash was disposed of in covered containers. The indoor temperature was recorded at 69 degrees Fahrenheit.

LPA Barnes reviewed five children’s files. All files were complete and included the Admission Agreement, Identification and Emergency Information (LIC 700), Consent for Emergency Medical Treatment (LIC 627), Physician’s Report (LIC 701), immunization records, TB test results, Personal Rights (LIC 613A), Notification of Parent’s Rights (LIC 995A), and Pre-admission Health History. Each file also contained documentation of 15-minute sleep checks and the Infant Safe Sleep Plan

Parents digitally signed children in and out using the ProCare app. Each parent used a unique personal identification number (PIN) to complete the process electronically. All entries contained full legal names and accurate times of arrival and departure.

LPA Barnes reviewed staff files and verified each contained current Pediatric First Aid and CPR certification, Mandated Reporter Training, job application, health screening, child abuse reporting acknowledgment, employee rights form, and educational qualifications. One teacher was missing Measles immunization. Citation B was issued on LIC809D. LPA Barnes reminded the Site Supervisor that Mandated Reporter Training must be renewed every two years and that at least one staff member must maintain current CPR and First Aid certification at all times. Aides and assistants were to remain under direct supervision of a qualified teacher except during naptime or bathroom transitions.


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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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: LAURA'S BARN PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 274416131
VISIT DATE: 11/13/2025
NARRATIVE
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During the outdoor inspection, LPA Barnes observed that all walkways, ramps, and stairs were free of hazards. The play area provided adequate shade and was organized to minimize the risk of injury. The outdoor space was fenced at least five feet high, was free of debris, and did not contain any accessible hazards or bodies of water.

First aid supplies were observed in an accessible location for staff and out of children’s reach.

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



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 as specified in Health and Safety Code section 1597.16. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP.). LPA verified that the lead testing was LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information
(https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)

The Site Supervisor provided an attestation that the facility does not use sink water for drinking, food preparation, or eating; it is used only for washing. Each classroom is equipped with a water dispenser, and bottled water is ordered every two weeks from Ready Refresh.com/PRIMO Brands. LPA reviewed proof of order and payment receipts covering a seven-week period

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: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
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: LAURA'S BARN PRESCHOOL AND CHILDCARE CENTER
FACILITY NUMBER: 274416131
VISIT DATE: 11/13/2025
NARRATIVE
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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.

During today’s inspection, one “Type B” deficiency is issued on attached 809-D. Appeal rights provided.

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

Exit interview conducted and report was reviewed with the Site Supervisor Sheila Acosta



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NAME OF LICENSING PROGRAM MANAGER: Gladys Kuizon
NAME OF LICENSING PROGRAM ANALYST: Darnella Barnes
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2025
LIC809 (FAS) - (06/04)
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