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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274417128
Report Date: 08/16/2023
Date Signed: 08/16/2023 11:21:54 AM

Document Has Been Signed on 08/16/2023 11:21 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:DUAL LANGUAGE ACADEMY OF THE MONTEREY PENINSULAFACILITY NUMBER:
274417128
ADMINISTRATOR:ASHLEY REYESFACILITY TYPE:
850
ADDRESS:1650 SONOMA AVENUETELEPHONE:
(831) 392-3456
CITY:SEASIDESTATE: CAZIP CODE:
93955
CAPACITY: 24TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/16/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH: Ashley ReyesTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA), Joe Macias conducted an announced Prelicensing Inspection. LPA Macias was greeted and granted entrance by Administrator Ashley Reyes. The center will operate Monday through Friday from 7:30 AM to 5:30 PM. Prior to today's inspection LPA Macias received an approved fire clearance from Seaside Fire Department. The center is located on the Dual Language Academy of Monterey Peninsula campus in room K1. LPA toured the facility both inside and out.

The following indoor measurements were taken today:

PRESCHOOL ROOM:
ROOM K1 40.583 x 26.500 = 1,075.449 - 10.220 encumbered space = 1,065.449
TOTAL INDOOR SPACE = 1,065.229 sq.ft. divided 35 = 30 children

There are 2 sinks (30) and 2 toilets (30) available for the children in care. There are 24 cots, 3 tables, 28 chairs, and 24 cubbies available for children. Napping equipment is appropriate. The facility will provide bedding. Sick children are kept in the nurse's office, a cot for resting is also provided. Sick children will be supervised by the preschool staff.

First aid supplies are stored in the Director's office, and are inaccessible to children. Cleaning supplies are securely stored and inaccessible to children. LPA observed fully charged 2A10BC fire extinguisher, and working smoke/carbon monoxide detectors. The center will only administer emergency medication and will be stored in a lock box in the nurse's office. All food will be provided by the Dual Language Academy cafeteria. There is a trash can with tight-fitting lid for the disposal of solid waste. Drinking water is provided in the indoor and outdoor spaces via filtered water dispenser, and cups. The facility has completed the required lead testing. The facility provides filtered drinking water for the children in care. LPA observed all furniture and equipment is in good condition and safe for the children. Room temperature is controlled by central heating/air conditioning.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2023
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
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: DUAL LANGUAGE ACADEMY OF THE MONTEREY PENINSULA
FACILITY NUMBER: 274417128
VISIT DATE: 08/16/2023
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INFANT YARD:
Total Infant Yard = 14,135.469
TOTAL OUTDOOR SPACE = 14,135.469 sq.ft. divided 75 = 188 children
*A waiver request must be submitted for shared outdoor space as the kindergarten class also utilizes the preschool outdoor space.

The yard is surrounded by appropriate fencing. Shade is provided by the building awning. No transportation is provided by the center. There is a working telephone in the office (831) 899.1100.

LPA Macias discussed the requirements of AB 633 to the Licensee representative and provided her the fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) and Applicant understands the requirements.

Clearances for individuals at this facility who require caregiver background checks are issued by State Department and/or County Office of Education and do not come under the jurisdiction of Community Care Licensing Division.

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, available at: http://www.ada.gov/childqanda.htm

LPA reviewed with Applicant Ashley Reyes the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant Ashley Reyes 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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023
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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: DUAL LANGUAGE ACADEMY OF THE MONTEREY PENINSULA
FACILITY NUMBER: 274417128
VISIT DATE: 08/16/2023
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A notice of site visit was given to Applicant Ashley Reyes and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the Applicant Ashley Reyes. LPA Macias advised the Applicant that the license is pending management approval.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Joseph Macias
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023
LIC809 (FAS) - (06/04)
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