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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434404530
Report Date: 07/09/2024
Date Signed: 07/11/2024 08:27:05 AM

Document Has Been Signed on 07/11/2024 08:27 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:LEPE, YOLANDAFACILITY NUMBER:
434404530
ADMINISTRATOR/
DIRECTOR:		LEPE, YOLANDAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(408) 466-6211
CITY:SAN JOSESTATE: CAZIP CODE:
95148
CAPACITY: 14TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
07/09/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Yolanda LepeTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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On 07/09/2024 at 8:50am, Licensing Program Analyst (LPA), Farida Raja, conducted an unannounced annual/random inspection. LPA was granted access to the home by Licensee, Yolanda Lepe and explained the nature of today’s inspection. Present in the home were licensee, assistant and twelve children including eleven preschool age, and one infant. Licensee was operating within the ratio and capacity requirements of the license. Days and hours of operation are Monday to Friday, 5:30 am to 5:30 pm. LPA observed required posted materials in the play room and kitchen of the home. LPA reminded Licensee that postings need to be placed where they are visible to parents during drop off and pick up. Licensee stated that parents do not come inside and therefore she will display the required postings near the front or side entrance to the home so it is visible to parents. The adults that reside in the home are licensee and spouse. Licensee submitted an updated Application for a Family Child Care Home License (LIC 279) during today's inspection. Licensee has no minor children residing in the home.

LPA toured the indoor and outdoor areas of the home during today's inspection. Licensee has a working telephone in the home (408-466-6211). LPA observed sufficient materials, toys, and play equipment for the day care children. Furniture, such as tables, chairs, feeding chairs and shelves, are in good condition. The floors were free of tripping hazards with toys put away on shelves. LPA observed a wall mounted air conditioner and fans in the play area of the home and license stated that she uses heaters during cold weather for comfort of children. The home is single story with three bedrooms and 2 bathrooms. Areas on limit to children include childcare room, living room, one bedroom and one bathroom. Off limit areas inside the home: master bedroom, master bathroom, one bedroom, kitchen and attached garage. LPA observed a fireplace with a glass cover in the living room area. Off limit areas outside the home: locked storage shed and gated left side section. Backyard is fenced. The outdoor space and play equipment were observed to be age appropriate and free of hazards. LPA observed shaded areas provided my awning and canopies. LPA observed artificial grass under high climbing structures to absorb falls.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/09/2024
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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: LEPE, YOLANDA
FACILITY NUMBER: 434404530
VISIT DATE: 07/09/2024
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LPA observed a water table in the outdoor area that was not in use and reminded Licensee that all bodies of water including water tables, wading pols and similar items need to be emptied after each use. The Department has a zero tolerance policy on accessible bodies of water. There are no bodies of water observed. LPA reminded licensee to replace children's outdoor toys or items that are in disrepair so they are safe for children to use. LPA observed a fenced air conditioning condenser in the outdoor area. LPA observed that the bathroom used by children was in operating condition. Toilets and faucet are clean and operable. The shower area is free of any hazards. LPA reminded Licensee that toothpaste, shampoos, air fresheners, razors, mouthwash, perfumes and similar items need to be placed inaccessible to children in care. Licensee will submit an updated facility sketch to LPA indicating on and off limit areas by 07/23/2024.

LPA observed a fully charged 3A40BC fire extinguisher near the entrance and working smoke/carbon monoxide detectors. Licensee states that she does not have any weapons in the home. Licensee states that she has some chickens that are in the backyard area which is off limits to children in care. Cleaning products were observed to be placed in a child locked kitchen cabinet off limits to children in care. Knives were observed to be placed in high kitchen cabinet. Licensee understands that smoking is prohibited in the home.

Drinking water is readily available for children in the home via water pitcher and plastic cups. Licensee states that she provides all meals including breakfast, lunch and PM snack. Licensee understands that any food brought from home shall be labeled with each child's name and properly stored or refrigerated.

LPA reviewed a current Child Care Facility Roster and Fire/Disaster drill log during today's inspection. Fire/disaster drill was last conducted on 05/16/2024. LPA reminded licensee that the fire extinguisher needs to be serviced once every 12 months. LPA obtained copy of children's roster.

Children file review was completed and found to be current and up to date. Six children’s files were reviewed during today's inspection. Licensee states that she carries daycare insurance and is in communication with DC Insurance to renew her policy. LPA reviewed renewal paperwork submitted by licensee on 05/15/2024. LPA reminded licensee to maintain a new valid insurance policy prior to expiration or issue the Affidavit Regarding Liability Insurance for Family Child Care Home (LIC 282) and maintain it in children's files. LPA reviewed one infant's file and the file was complete with the required forms. Licensee is not providing care to children under 12 months of age at this time.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
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: LEPE, YOLANDA
FACILITY NUMBER: 434404530
VISIT DATE: 07/09/2024
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LPA discussed the safe sleep regulations with licensee, and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment. LPA reminded licensee that if an infant is sleeping in a separate room from where the provider is stationed the door to the room the infant is sleeping in shall remain open at all times. The provider shall be able to visually observe the infant without moving the door.

Staff file review was completed and found to be current and up to date. A review of staff records indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Licensee has current Pediatric CPR/First Aid certification with an expiration date of 04/28/2026. Licensee and assistant have proof of immunization in file for measles, pertussis and statement declining the influenza vaccine. Licensee and assistant's Mandated Reporter Training expires on 06/17/2026 and 06/05/2025 respectively.

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Supervision of children was discussed with Licensee, and she understands that she or a qualified adult must be present in the home during day care hours and ensure that the children are supervised at all times. LPA discussed the requirement for Licensee to be present at the facility 80 percent of the hours the facility is in operation and that temporary absences shall not exceed 20 percent of the hours that the facility is providing care per day. Licensee understands her capacity options and she understands that she cannot have more than 14 children in the home at any time and a qualified assistant must be present. Licensee understands in absence of a helper her license capacity is reduced to 8 and ratio (age of the children) must be observed.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: LEPE, YOLANDA
FACILITY NUMBER: 434404530
VISIT DATE: 07/09/2024
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LPA discussed "zero tolerance" related regulations which includes the assessment of an immediate $500 per day civil penalty for any violation of a "zero tolerance" related regulation. These include absence of supervision, accessible bodies of water, accessible firearms, refused entry of licensing staff, presence of an excluded person, and violations that result in illness or injury. An ongoing civil penalty of $100 per day continues until the violation(s) is corrected. Licensee was encouraged to frequently visit our website at www.ccld.ca.gov for licensing updates and regulations.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. LPA provided licensee with a copy of PIN 22-02-CCP and licensee will submit an IMS plan to LPA by 07/23/2024. 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 are available at: https://www.ada.gov/resources/child-care-centers/.

Licensee states that she does not transport any day care children. LPA reminded Licensee that if she decides to transport children, children should not be left unattended in parked vehicles and that car seats shall only be used for transportation and shall not be used for sleeping. Licensee was informed of the MyChildCarePlan.org website; 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.

During the exit interview, Licensee confirmed that there are no Registered Sex Offenders living in the facility and LPA completed the RSO profile in FAS.

One technical violations was cited as a result of today's inspection. Exit interview conducted and report was reviewed with the licensee, Yolanda Lepe.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2024
LIC809 (FAS) - (06/04)
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