434406682-8-11-2023-07-CC-AMOS-CULL65-20230811082810

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434406682
Report Date: 08/09/2023
Date Signed: 08/11/2023 08:28:14 AM

Document Has Been Signed on 08/11/2023 08:28 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:	MISSION COLLEGE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	434406682
ADMINISTRATOR:	MARTINEZ, YARELI		FACILITY TYPE:	830
ADDRESS:	3000 MISSION COLLEGE BLVD MS#6		TELEPHONE:	(408) 855-5176
CITY:	SANTA CLARA	STATE: CA	ZIP CODE:	95054
CAPACITY: 23	TOTAL ENROLLED CHILDREN: 23	CENSUS: 0	DATE:	08/09/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Anne Horgan/Yareli Martinez		TIME COMPLETED:	12:35 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 Analysts(LPA's) Anna Morales and Joe Macias conducted an Announced Case Management Inspection. The LPAs were greeted and granted entrance by Anne Horgan, Program Director and Site Director, Yareli Martinez. The infant License recently completed reconstruction and renovation, and a Fire Clearance was granted for a capacity of 23 on 8/1/2023. The facility has been in INACTIVE STATUS during the reconstruction phase. During today's visit, LPA's measured the two infant classrooms and the two infant playgrounds. 1. Classroom CDC29: 25.667x 19.500=500.50 sq ft Encumbered space= 3 x 9=27sq ft 500.50-27=473.50 473.50 divided by 35=13 children 2. Classroom CDC33: 19.917x 26.250=522.82 sq ft Encumbered space=-10 ft x 11.33=113.33 sq ft 522.82- 113.33=409.49 409.49 divided by 35=11 *TOTAL INDOOR SPACE = 24 children* *TOTAL OUTDOOR SPACE =* 2,050.78+1725.72=3,776.50 divided 75=50 children

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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

FACILITY NAME: MISSION COLLEGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 434406682
	VISIT DATE: 08/09/2023

NARRATIVE

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In Classroom CDC29, LPA's observed 12 cubbies, two tables, 13 chairs, 13 cots and two sinks. In Classroom CDC33, LPA's observed, 12 cubbies, six cribs, two tables, 8 chairs and 3 sinks and two toilets. Each classrooms were equipped with Fire Extinguishers. The smoke/carbon monoxide detectors are hard wired.

Directors was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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 Child Care Center. 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) tollfree 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, available at: http://www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with Directors and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep, as an additional resource. LPA also informed Directors 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.

Directors was informed of the MyChildCarePlan.org site, 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.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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: MISSION COLLEGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 434406682
	VISIT DATE: 08/09/2023

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Exit interview conducted and report was reviewed with Program Director Anne Horgan and Site Diretor Yareli Martinez.

Facility will return to ACTIVE STATUS upon final review.

A notice of site visit was given to Anne Horgan, and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC809 (FAS) - (06/04)

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