434410818-9-6-2023-07-CC-ALOZ-CVESWS-20230906141449

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434410818
Report Date: 09/06/2023
Date Signed: 09/06/2023 02:14:55 PM

Document Has Been Signed on 09/06/2023 02:14 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	NELLY'S CHILDCARE AND PRESCHOOL		FACILITY NUMBER:	434410818
ADMINISTRATOR:	GREISLYE PARADA		FACILITY TYPE:	830
ADDRESS:	202 RAILWAY AVENUE, BLDG. B		TELEPHONE:	(408) 364-1300
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 7	DATE:	09/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Greislye Parada		TIME COMPLETED:	02:30 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), Ashley Lopez, met with Director, Greislye Parada, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by Greislye and toured both indoors and outdoors during the inspection. Upon arrival, there were 7 infants in the outdoor space with 2 staff members present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility and the hours of operation are Monday – Friday, 7:30AM-5:30PM. LPAs reviewed digital sign-in/out sheets and observed the facility uses the Application, Brightwheel. The fire/disaster drill log was reviewed and LPA observed the last drill was conducted on 8/21/2023, which is compliant with the six-month requirement for facilities. LPA observed a fully charged 3A40BC fire extinguisher and smoke/carbon monoxide detectors. The director stated there are no weapons or firearms on the premises. 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 Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers, Section 101173 and 101226. The following information regarding ADA was provided: US Department of Justice toll-free ADA Information Line at (800) 514-0301 (voice)/ (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

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

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: NELLY'S CHILDCARE AND PRESCHOOL	FACILITY NUMBER: 434410818
	VISIT DATE: 09/06/2023

NARRATIVE

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Indoor areas of the facility were inspected and observed to be clean, orderly, and safe for day care infants. The Infant room at the facility is physically separate from other childcare center components. LPA observed sufficient age-appropriate materials, toys, and play equipment. Toys are safe and do not have sharp edges or small parts that may pose a choking hazard. Infant changing table was observed to be padded, within arms reach of a sink, in good repair and safe condition. Cribs used by the infants are free from loose articles, covered with a fitted sheet, and there are no objects hanging above or attached to the crib. The floors are clean and free of tripping hazards and waste containers have tight fitting lids.

Infant Safe Sleep regulations (PIN 20-24-CCP) were discussed with Greislye, including the Individual Infant Sleeping Plan (LIC9227). LPA reminded that infants up to 12 months of age should be placed on their back to sleep and that infants should not be swaddled. LPA advised that sleep sacks are considered a swaddling device and shall not be used in child care centers. Infants should be supervised while sleeping and documentation of sleep checks every 15 minutes should remain on file.

The outdoor area was inspected and observed to be fenced in. Play equipment is age appropriate for the infants. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by gazebo structure. Placement of playpens does not create a hazard for other infants or staff in the outdoor area.

Three infant files were reviewed and most documents were present. LPA observed nap check documentation, Individual Infant Sleep Plan (LIC9227) for infants under 12 months, Personal Rights of Children (LIC613A), and updated Needs and Services Plans. Three staff files were reviewed and all required documents were present. There is at least one staff member present with current CPR/First-Aid and all staff have current Mandated Reporter Training.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

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: NELLY'S CHILDCARE AND PRESCHOOL	FACILITY NUMBER: 434410818
	VISIT DATE: 09/06/2023

NARRATIVE

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The director was reminded that all adults 18 and over, 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.

The director 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.

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.

No deficiencies issued during today's inspection.

Exit interview conducted and report was reviewed with Director, Greislye Parada.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

LIC809 (FAS) - (06/04)

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