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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430706089
Report Date: 11/10/2022
Date Signed: 11/10/2022 04:02:35 PM

Document Has Been Signed on 11/10/2022 04:02 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CAMPBELL CHRISTIAN EARLY CHILDHOOD CENTERFACILITY NUMBER:
430706089
ADMINISTRATOR:KATHY HARMONFACILITY TYPE:
850
ADDRESS:1075 WEST CAMPBELL AVE.TELEPHONE:
(408) 370-4900
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY: 116TOTAL ENROLLED CHILDREN: 79CENSUS: 59DATE:
11/10/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Kathy HarmonTIME COMPLETED:
04:15 PM
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Licensing Program Analyst (LPA), James Santos conducted an unannounced Required 1 Year inspection at the Facility today and met with Director, Kathy Harmon.

LPA toured the Facility inside and outside with the Director. The required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269) and Activity Schedule are posted. All classrooms were observed to be clean and well maintained. Furniture and equipment were observed to be in good condition. There are age appropriate toys available for children. Fire extinguishers, fire alarm system, smoke and carbon monoxide detectors and first aid kits were observed in the classrooms. There are solid waste containers with tight-fitting lids in each classrooms. The children's bathroom was observed to be clean and sanitary. Chemicals and cleaning solutions are secured and inaccessible to children. The outside playground area is surrounded by appropriate fencing and were observed to be safe and free of hazards. The outdoor play equipment are in good condition and the surface area has sufficient resilient materials. There are no bodies of water observed.

Lunch and snacks are provided to the children. The kitchen and food preparation area was observed to be clean and sanitary. The children bring their own drinking water, and the center also provides additional drinking water through a water container dispenser.

LPA reviewed six (6) staff records which include Immunization (Measles, Pertussis, and Flu) record, TB Clearance, CPR/First Aid and Mandated Reported Training, Curriculums and qualifications. Per review of record, the center conducts emergency disaster drills monthly. Per Director, there are no weapons or firearms on the premises.

The annual inspection will be continued on a later date. Exit interview conducted and report was reviewed and a copy was provided to Director, Kathy Harmon.


NOTICE OF SITE VISIT WAS ISSUED AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE: DATE: 11/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/10/2022
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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