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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274416771
Report Date: 10/13/2023
Date Signed: 10/16/2023 08:11:17 AM

Document Has Been Signed on 10/16/2023 08:11 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:CARROLL, JILLFACILITY NUMBER:
274416771
ADMINISTRATOR:JILL, CARROLLFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 578-9970
CITY:SALINASSTATE: CAZIP CODE:
93908
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 3DATE:
10/13/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Jill CarrollTIME COMPLETED:
03:15 PM
NARRATIVE
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Licensing Program Analyst(LPA) Anna Morales conducted a Case Management Inspection. LPA informed the purpose of my visit. On 1/23/23, an Informal Office Meeting was conducted at the San Jose Regional Office as a result of providing Unlicensed Care on January 6, 2023.

During the meeting, Licensee Jill Carroll was informed that she would have increase monitoring from an assigned Licensing Program Analyst(LPA).

During my visit, LPA toured the day care and observed three children in care ( one infant under 12 months and two preschool aged children). Licensee stated that she understands that for a Large FCCH, when there are more than 12 and up to 14 children, one child has to be enrolled in school and one child has to be at least 6 years old. Licensee also stated that she understands that a Large FCCH must comply with the capacity requirement of a small FCCH whenever there is only one care provider home with the children (A small family day care home may provide care for more than six and up to eight children, without an additional adult attendant, if all of the following conditions are met:
(a) At least one child is enrolled in and attending kindergarten or elementary school and a second child is at least six years of age.
(b) No more than two infants are cared for during any time when more than six children are cared for.
(c) The licensee notifies each parent that the facility is caring for two additional schoolage children and that there may be up to seven or eight children in the home at one time.
(d) The licensee obtains the written consent of the property owner when the family day care home is operated on property that is leased or rented.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/13/2023
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CARROLL, JILL
FACILITY NUMBER: 274416771
VISIT DATE: 10/13/2023
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LPA advised Licensee that baby walkers and baby bouncers are not permitted in family day care.

LPA requested that Licensee submit a current Children's Current Roster to CCL by 10/16/2023.

Licensee stated that she does have an assistant that comes when needed.

LPA discussed the safe sleep regulations with licensee and
discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource

No deficiencies cited during today's visit.

Exit interview was conducted with Licensee Jill Carroll.

Notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 10/13/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023
LIC809 (FAS) - (06/04)
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