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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434412029
Report Date: 09/21/2021
Date Signed: 09/21/2021 12:53:02 PM

Document Has Been Signed on 09/21/2021 12:53 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:TINY TREASURES DAYCARE & PRE. SERV. VICTORYFACILITY NUMBER:
434412029
ADMINISTRATOR:BRENDA RAMIREZFACILITY TYPE:
830
ADDRESS:590 SHAWNEE LANETELEPHONE:
(408) 578-0808
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY: 8TOTAL ENROLLED CHILDREN: 0CENSUS: 7DATE:
09/21/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:51 AM
MET WITH:Brenda RamirezTIME COMPLETED:
01:10 PM
NARRATIVE
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Licensing Program Analyst (LPA), Fermin Campos-Jaramillo, conducted an unannounced annual required inspection to the Facility today. LPA met with site Director Brenda Ramirez, and explained the nature of today's inspection to her. LPA observed there were seven infants in care and two staff members with them. LPA observed the facility is in compliance in ratio and capacity today. LPA toured the Facility inside during today's inspection.

A review of staff records on 9/20/21 indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also reminded director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violations within a 12 month period.

LPA reviewed a random sample of four children's files. The Information and Emergency Information form (form LIC700) is in each children's file. LPA observed the center has updated Infant Needs and Services and feeding plan forms for each infant. Director and several staff have current CPR and First Aid certifications in file. Director understands that there shall be at least one person, with valid CPR and First Aid certifications, on site at all times or present during off-site activities (field trips). LPA observed that the teacher/child ratio was in compliance during today's visit. Director understands the conditions, limitations, and capacity specifications of the Facility license. Director understands that children shall be visually supervised at all times. LPA reviewed the sign-in, sign-out sheets and observed in them full parents or representatives signatures. LPA obtained a copy of the Children's roster and it is complete and current.

Report dated 9/21/21 continues in page 2.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE: DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/21/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: TINY TREASURES DAYCARE & PRE. SERV. VICTORY
FACILITY NUMBER: 434412029
VISIT DATE: 09/21/2021
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Report dated 9/21/21 continues from page 1.

LPA observed that all rooms are clean and safe for all children and staff. Drinking water is readily available for the children in each room via water fountains. Director states that there are no weapons on the premises.

The center does not offer food or snacks for infants, parents send in the child with adequate kind and amount of food for the day, The Center has a preparation area equipped with sink and refrigerators, and running water. Cleaning supplies are inaccessible to the children. LPA observed a first aid kit in each classroom. Site Director stated there are not children on medication enrolled in the center. LPA observed a waiver is in file for the usage of the playground area. LPA did not observe any bodies of water.

LPA discussed the requirements of AB 633 with the director and the "zero tolerance" related regulations with the Director. LPA observed that the staff has not renewed the Mandated Reporter training which certifications expired on June 2021. LPA reminded the Site Director that training shall be renewed every two years. LPA referred the Licensee to the Website: www.mandatedreporterca.com for additional information on the online training.

LPA referred the Site Director to the Department website: www.ccld.ca.gov. for additional information.

A type B deficiency was issued as result of today's inspection.

NOTICE OF SITE VISIT ISSUED, POST AND MUST REMAIN POSTED FOR 30 CONSECUTIVE DAYS.
SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:

DATE: 09/21/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/21/2021
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/21/2021 12:53 PM - It Cannot Be Edited


Created By: Fermin Campos-Jaramillo On 09/21/2021 at 12:20 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: TINY TREASURES DAYCARE & PRE. SERV. VICTORY
FACILITY NUMBER: 434412029

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/05/2021
Section Cited
HSC
1596.8662(b)(1)

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On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training
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Site Director shall obtain from staff members present today, Maliyah and Sabrina, proof of completion for the Mandated Reporter training and will submit a copy to Licensing Department by or before November 5, 2021.
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 every two years following the date on which he or she completed the initial mandated reporter training. This requirement was not met as evidenced by: Staff has not renewed the Mandated Reporter training as of today 9/21/21, Site Director understands this poses a potential risk to the children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Mary Segura
LICENSING EVALUATOR NAME:Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:
DATE: 09/21/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/21/2021


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