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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410817
Report Date: 12/07/2022
Date Signed: 12/07/2022 01:12:49 PM

Document Has Been Signed on 12/07/2022 01:12 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:NELLY'S CHILDCARE AND PRE-SCHOOLFACILITY NUMBER:
434410817
ADMINISTRATOR:GREISLYE PARADAFACILITY TYPE:
850
ADDRESS:202-B RAILWAY AVENUETELEPHONE:
(408) 364-1300
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY: 30TOTAL ENROLLED CHILDREN: 32CENSUS: 29DATE:
12/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Ludmila ParadaTIME COMPLETED:
01:25 PM
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Licensing Program Analysts (LPAs) James Santos and Marilou Monico met with General Manager, Ludmila Parada, today and conducted a Case Management Inspection. The facility submitted an application for a change of capacity for their preschool license from 30 to 32 children. Fire clearance was approved on October 28, 2022. LPAs toured the facility and measured the indoor and outdoor areas during today's inspection.

The following are the classrooms measurements and information:

PS 1(Previously Room 2): 28.500 x 15.917 = 453.634 minus 36.442 (encumbered space) = 417.192
PS 2(Previously Room 4): 11.750 x 13.417 = 157.649
15.333 x 13.417 = 205.722
PS 2 TOTAL = 363.371 - 15.887 = 347.484
PS 3(Previously Room 3): 28.500 x 14.917 = 425.134 minus 64.706 (encumbered space) = 360.428
TOTAL PRESCHOOL INDOOR SPACE = 1,125.104 sq. ft. divided by 35 sq. ft. = 32 children

There are 44 chairs, 5 tables, 38 cots and 44 cubbies available for the children. The Preschool program has 5 sinks (75) and 2 toilets (30) and 1 urinal (15). There is a staff bathroom next to the Preschool Children's Bathroom which a sick child can use if needed. The staff bathroom is clean, sanitary and operable. Sick children will be isolated in the office and isolation equipment will be provided. The facility has containers with tight-fitting lids for the disposal of solid waste. The facility has fire extinguisher, fire alarm system, smoke/carbon monoxide detectors.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: NELLY'S CHILDCARE AND PRE-SCHOOL
FACILITY NUMBER: 434410817
VISIT DATE: 12/07/2022
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The facility is providing snacks and lunch to the children. There is a kitchen at the facility for food preparation. The kitchen is equipped with refrigerators, oven, stove, dishwasher, and a sink with hot and cold running water.

The following outdoor measurements were taken by LPAs Monico and Palacios on July 19, 2011:

PRESCHOOL YARD: 60.581 X 51.83 = 3,139.913 minus 231.768 = 2,908.145
TOTAL PRESCHOOL OUTDOOR SPACE: 2,908.145 sq. ft. divided by 75 = 38 children

The yard is surrounded by appropriate fencing. There is a climbing structure with tanbark as resilient material. Shade is provided by trees and canvass. Drinking water is available outdoor via individual water bottles. No bodies of water observed.

Exit interview conducted and report was reviewed with General Manager, Ludmila Parada LPAs advised Ludmila that a license for 32 preschool children will be granted upon manager's review and approval.

There were no deficiencies cited.

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

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022
LIC809 (FAS) - (06/04)
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