430703793-12-13-2023-52-CC-MESA-CYGU2K-20231213141203

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430703793
Report Date: 12/13/2023
Date Signed: 12/13/2023 02:12:07 PM

Document Has Been Signed on 12/13/2023 02:12 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	ROSE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	430703793
ADMINISTRATOR:	VANESSA ESPITIA		FACILITY TYPE:	850
ADDRESS:	250 A ROSWELL DRIVE		TELEPHONE:	(408) 635-2686
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY: 100	TOTAL ENROLLED CHILDREN: 100	CENSUS: 38	DATE:	12/13/2023
TYPE OF VISIT:	Required - 3 Year	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Vanessa Espitia		TIME COMPLETED:	11:50 AM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On Wednesday, December 13, 2023 at 9 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a required visit. LPA met with the Childhood Development Center (CDC) Coordinator Vanessa Espitia. Present on this visit were 10 staff and 38 Preschool Children. The Preschool Program opens at 7:30 am to 5:30 p.m., Monday to Friday in Room B and D (Part Day) and Room E (Full Day). LPA toured the facility to conduct a Health and Safety Inspection. Facility's License, Notification of Parents’ Right Poster, Child Car Seat Law, Menus and LIC 613A Personal Rights were observed to be posted. Facility was observed to follow teacher to children ratio requirement during LPAs' inspection. Children were engaged in various activities under the visual supervision of the teachers. The classrooms, restrooms, pantry, kitchen, storage room, and office area were inspected. The facility does not possess nor store any weapons on the premises. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment such as mats, cots, tables, and chairs were age appropriate and were in good condition. Restrooms for children's use were observed to be in safe, sanitary, and functioning condition. Floors were clean and free from tripping hazard. Outdoor activity space is fenced and was inspected. The play equipment was maintained in a safe condition and free of hazards. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children. Drinking water are arranged to be readily available to children during indoor and outdoor activities.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ROSE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 430703793
	VISIT DATE: 12/13/2023

NARRATIVE

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LPA reviewed Children Sign in and Out Sheets. A sampling of Children's files was taken for review. The records reviewed include Admission Agreement, Identification and Emergency Information, Consent for Medical Treatment, California School Immunization Record (CDPH 286), Centrally Stored Medication and Destruction Record (LIC 622), Signed and dated receipt of Notification of Parents’ Rights and Personal Rights — Community Care Facilities, Child Care Facilities (LIC 613A) receipts, signed and dated. Full meal and snacks is being provided by the facility. LPA observed Smoke and Carbon Monoxide Detectors, fire pull stations and fire extinguishers. Fire and Disaster Drills conducted monthly and last date of the drills conducted was 12/12/2023. Facility does not provide transportation for children.

The facility handle medications and does currently have children in care who requires Incidental Medical Services - IMS Epinephrine and Inhaled Medication. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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.

All the Staff Criminal Background checks are manage by School District. The 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.

There are no deficiencies cited on this visit. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with Vanessa Espitia.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:	DATE: 12/13/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

LIC809 (FAS) - (06/04)

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