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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413440
Report Date: 10/18/2023
Date Signed: 10/18/2023 11:47:20 AM

Document Has Been Signed on 10/18/2023 11:47 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:STRATFORD SCHOOL-MILPITASFACILITY NUMBER:
434413440
ADMINISTRATOR:MICHELLE TRUONGFACILITY TYPE:
850
ADDRESS:341 GREAT MALL PARKWAYTELEPHONE:
(408) 973-7320
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 219TOTAL ENROLLED CHILDREN: 219CENSUS: 111DATE:
10/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH: Director of Early Childhood Education Michelle TruongTIME COMPLETED:
11:00 AM
NARRATIVE
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On Wednesday, October 18, 2023 at 9:30 am, Licensing Program Analyst (LPA) conducted a Case Management - Incident Visit. LPA met with the Director of Early Childhood Education Michelle Truong and explained the nature of the visit. Present on this visit were 14 Staff and 111 Preschool Children. The facility operates from Monday to Friday 8:00 AM to 6:00 PM.

On Monday, October 2, 2023 at 3pm in classroom 111, S1 and S2 led their students to the outdoor playground. C1 and C2, were left behind in the classroom for less than two minutes. S1 and S2 realized that the children were not in the line and returned immediately to the classroom to get the children. S1 reported the incident to the Head of School, Deepali Deshmukh. Deepali informed C1 and C2 authorized representatives. Director of Early Childhood Education, Michelle Truong, called in the Oakland South Child Care Regional Office on 10/3/2023 at 3pm to report the incident. On Thursday, October 5, 2023 at 10:07 AM, LPA Estoesta receive the completed LIC 624 via email.

On 10/4/2023, the Director conducted a Staff Meeting to go over supervision, ratios, name to face, and counting the students at various points of transitions. The Director stated to continue to spot check classrooms to ensure the ratios are maintained and all the safety protocols are followed, and also continue to review all safety protocols during regular staff meetings. On 10/18/2023, the Director will conduct a Staff meeting and will include safety protocols.

LPA conducted staff interview, a health and safety inspection, record review and obtained copies of the Plan of Correction (POC) documentation.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/18/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: STRATFORD SCHOOL-MILPITAS
FACILITY NUMBER: 434413440
VISIT DATE: 10/18/2023
NARRATIVE
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Based on LPA Estoesta Staff Interview, on 10/2/23 at 3 pm C1 and C2 was left in the room classroom 111 without supervision of S1 and S2. The Licensee is in violation of Section 101229 (a)(1) that no child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time.

LPA Estoesta informed the Director and that this report dated 10/18/2023 included a Type A Citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care. An Immediate Civil Penalty was also assessed.

Also, LPA Estoesta informed the Director to provide a copy of this licensing report dated 10/18/2023 that document of any Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Exit interview conducted and report was reviewed with the Director of Early Childhood Education Michelle Truong.

SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2023
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Document Has Been Signed on 10/18/2023 11:47 AM - It Cannot Be Edited


Created By: Manel Estoesta On 10/18/2023 at 09:24 AM
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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: STRATFORD SCHOOL-MILPITAS
FACILITY NUMBER: 434413440

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/18/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/19/2023
Section Cited
CCR
101229(a)(1)

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Section 101229 (a)(1) that no child(ren) shall be left without the supervision, including visual supervision, of a teacher at any time.
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C1 and C2 were notified of the incident on 10/3/2023. The Director conducted a Staff Meeting on 10/4/2023 to go over supervision, ratios, name to face, and counting the students at various points of transitions.
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On 10/2/2023 at 3 pm, C1 and C2 was left in the room classroom 111 without supervision of S1 and S2, which is an immediate risk to the health, safety, or personal rights of children in care.
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 The Director stated to continue to spot check classrooms to ensure the ratios are maintained and all the safety protocols are followed, and also continue to review all
safety protocols during our regular staff meetings.

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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:Jason Jang
LICENSING EVALUATOR NAME:Manel Estoesta
LICENSING EVALUATOR SIGNATURE:
DATE: 10/18/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2023


LIC809 (FAS) - (06/04)
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