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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430702027
Report Date: 09/05/2024
Date Signed: 09/05/2024 03:21:01 PM

Document Has Been Signed on 09/05/2024 03:21 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:SUNNYVALE CHRISTIAN SCHOOLFACILITY NUMBER:
430702027
ADMINISTRATOR/
DIRECTOR:		DICKSON, MARGOFACILITY TYPE:
850
ADDRESS:445 SOUTH MARY AVENUETELEPHONE:
(408) 736-3286
CITY:SUNNYVALESTATE: CAZIP CODE:
94086
CAPACITY: 98TOTAL ENROLLED CHILDREN: 55CENSUS: 45DATE:
09/05/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Margo DicksonTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Mel Matos met with Margo Dickson, Director, for an unannounced Required - 3 Year inspection. LPA toured the indoor and outdoor areas of the Facility with Margo during today's inspection. 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), Menus, and Activity Schedule. Days and hours of operation are Monday through Friday 7:30 AM to 5:30 PM. The Facility is licensed to serve a maximum of 98 preschool children ages two to 6 years in Rooms 1-3, 5-8, Senior Lounge, and Fireside Room Parlour (for rainy day activities). The Facility has two active waivers on file (shared playground and shared bathroom use with private K-5 school operated by the same entity) and is in compliance with the conditions of both waivers.

LPA reviewed five children's and six staff files (6 teachers) during today's inspection. Each child's file reviewed contains the required documents; including the Information and Emergency Information form (LIC 700) and immunization records. All staff files reviewed contain the required documents; including transcripts/verification of experience/immunization records, and Health Screening Report. All staff have current certificates of completion of the Mandated Reporter Training for Child Care Workers on file. Last fire/disaster drill was completed on August 28, 2024. All staff have current CPR and First Aid certifications on file. Margo 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 (field trips).



LPA observed that the teacher/child ratio was in compliance during today's inspection. LPA observed nine napping children with 1 teacher in Room 8, nine napping children with 1 teacher in Room 7, six napping children with 1 teacher in Room 6, eleven napping children with 1 teacher in Room 5, four napping children with 1 teacher in Room 2, & six napping children with 1 teacher in Room 1 during today's inspection. Margo understands the conditions, limitations, and capacity specifications of the Facility license. Margo understands that children shall be visually supervised at all times. Any child(ren) who exhibit symptoms of illness including, but not limited to, fever or vomiting, are not accepted in care. Any child(ren) who become ill during the day, shall be isolated in the main office area.

LPA observed that the Facility is clean, safe, sanitary, and in good repair for children, staff, and visitors. The Facility maintains a comfortable temperature by way of heating/air conditioning units and proper ventilation. Margo states that the Facility has a third party service that cleans the Facility Monday through Friday in the evenings. Margo understands that the Facility must be kept free of flies and other insects & rodents.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/05/2024
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: SUNNYVALE CHRISTIAN SCHOOL
FACILITY NUMBER: 430702027
VISIT DATE: 09/05/2024
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LPA observed that all furniture and equipment is in good condition and safe for the children. Drinking water is readily available for the children in the Facility and in the outdoor playground area via water coolers/water bottles/disposable cups. Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Margo states that there are no weapons or firearms on the premises. The Facility has functioning carbon monoxide detectors in each classroom.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. The Facility provides snacks for the children. Margo states that children bring their own lunches from home. The Facility has trash cans with tight fitting lids for solid waste in each classroom & outdoors. Cleaning supplies are inaccessible to the children and stored in locked and high cabinets inaccessible to children. There are no poisons in the Facility. LPA observed a complete First Aid kit, including touch less thermometer, in the Facility.

Margo states that the Facility does not administer any 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

The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. There is adequate equipment and supplies for children outdoors. LPA observed that the outdoor equipment is age appropriate and in good condition. Shade is provided by trees and building overhangs. There is sufficient resilient materials in the outdoor playground area (wood chips). LPA did not observe any bodies of water. Margo states that the Facility does not provide transportation.

Margo Dickson, 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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Exit interview conducted and report was reviewed with the Director, Margo Dickson. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC809 (FAS) - (06/04)
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