434400316-11-13-2023-07-CC-SYIP-CXJVG4-20231113152454

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400316
Report Date: 11/09/2023
Date Signed: 11/13/2023 03:24:58 PM

Document Has Been Signed on 11/13/2023 03:24 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:	LITTLE SONSHINE SCHOOLHOUSE		FACILITY NUMBER:	434400316
ADMINISTRATOR:	SULLIVAN, YOLANDA		FACILITY TYPE:	850
ADDRESS:	16970 DEWITT AVENUE		TELEPHONE:	(408) 779-6788
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY: 53	TOTAL ENROLLED CHILDREN: 53	CENSUS: 13	DATE:	11/09/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	01:38 PM
MET WITH:	Yolanda Sullivan and Casie Picardo		TIME COMPLETED:	04:10 PM

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	Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Licensee Initiated inspection. LPA met with Assistant Casie PIcardo and explained the reason for the inspection. The purpose of this inspection is facility removed Room 2 from the center and renamed the rooms. An updated fire clearance was granted on 11/01/2023. Measurement for inside and outside were conducted during today's inspection. The indoor measurements are as followed: Room 3: (30.417 x 16.583 = 504.405) minus encumbered space 34.062 = 470.343 Room 4: (15.083 x 16.667 = 251.388) minus encumbered space 52.531 = 198.857 Room 5: (16.667 x 14.500 = 241.671) minus encumbered space 7.029 = 234.642 Room 6: (16.750 x 30.417 = 509.484) minus encumbered space 87.332 = 422.152 Room 7: (14.500 x 17.000 = 246.500) minus encumbered space 10.749 = 235.751 TOTAL INDOOR SPACE: 1,561.745 divided by 35 = 44 children The outdoor measurements are as followed: 66.333 x 104.750 = 6,948.381 minus encumbered space 652.343 = 6,296.038 TOTAL OUTDOOR SPACE: 6,296.038 divided by 75 = 83 children

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023

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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LITTLE SONSHINE SCHOOLHOUSE	FACILITY NUMBER: 434400316
	VISIT DATE: 11/09/2023

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---------------------continuation of 809 dated 11/09/2023 page 1------------------

Due to indoor measurements measuring for 44 children, Licensee will submit an updated LIC 200A and change of capacity fee. LPA discussed with Licensee that an updated fire clearance will be needed.

There are 60 chairs, 11 tables, 65 cubbies, 28 hooks, four toilets, and four sinks. There are toys for children, which are age-appropriate. LPA reminded Assistant Director that any disinfectant wipes or any items that state to keep out of reach of children, such as hand sanitizers, needs to be inaccessible to children. LPA also discussed with Assistant Director that all medication needs to be inaccessible to children.

Licensee will submit the following:
- updated LIC 200A with change of capacity fee
- updated LIC 999 to reflect the change to room

LPA advised Licensee that upon updated fire clearance and Licensing Program Manager review and approval an updated license will mailed to facility.

As a result of this inspection, no deficiencies were issued. Exit interview conducted and report was reviewed with Licensee Yolanda Sullivan. A notice of site visit has been issued and must remain posted for 30 days.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2023

LIC809 (FAS) - (06/04)

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