434413597-7-24-2023-07-CC-ALOZ-CU2UY5-20230724155923

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434413597
Report Date: 07/24/2023
Date Signed: 07/24/2023 03:59:28 PM

Document Has Been Signed on 07/24/2023 03:59 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:	HEARTS AND HANDS CHRISTIAN CHILDCARE AND PRESCHOOL		FACILITY NUMBER:	434413597
ADMINISTRATOR:	ZAYEHMOUREH, MADLEN		FACILITY TYPE:	850
ADDRESS:	400 LLEWELLYN AVENUE		TELEPHONE:	(408) 412-8823
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY: 70	TOTAL ENROLLED CHILDREN: 70	CENSUS: 25	DATE:	07/24/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:55 PM
MET WITH:	Madlen Zayehmoureh		TIME COMPLETED:	04:15 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 Analyst (LPA) Ashley Lopez met with Madlen Zayehmoureh, Director, for an unannounced Required - 1 Year inspection. LPA toured the indoor and outdoor areas of the Facility with the director during today's inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan, Earthquake Preparedness Checklist, Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Emergency Drill Log (last fire drill 7/17/23), and Activity Schedule. Days and hours of operation are Monday through Friday 6:30am - 6:30pm. The facility is licensed to serve a maximum of 70 of children, ages 2 years old to first grade. LPA reviewed 5 children’s files and 4 staff files during today's inspection. Children’s Records were reviewed for completeness and Inspection of required forms was made. In review of children’s records, files contain information including: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. All staff files reviewed contain the required transcripts, experience, immunization records, and Health Screening Report. All staff have current certificates of completion of the Mandated Reporter Training for Child Care Workers on file. At least one staff member has current CPR and First Aid certification on 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. LPA arrived at the facility during nap time and observed that the teacher/child ratio was in compliance during today's inspection. The facility has 5 classrooms, but is only using 3 and 2 for napping. LPA observed 16 children napping in Room #5 with 1 teacher and 9 children napping in Room #3 with 1 teacher during today's inspection. The director understands the conditions, limitations, and capacity specifications of the facility license. She stated that children are visually supervised at all times. The director states that a child who becomes ill during the day, shall be isolated in the director’s office and parents are contacted immediately. -----------------------------------continued on page 2-----------------------------------------

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

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: HEARTS AND HANDS CHRISTIAN CHILDCARE AND PRESCHOOL	FACILITY NUMBER: 434413597
	VISIT DATE: 07/24/2023

NARRATIVE

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LPA observed that the facility is clean, safe, sanitary, and in good repair for children and staff. The director states that the facility has a third-party cleaning service that cleans the facility Monday through Friday in the evenings. Director understands that the facility must be kept free of flies and other insects & rodents. LPA observed that all furniture and equipment is in good condition and safe for the children. Children bring their reusable water bottles from home and the facility provides bottled water. In the outdoor playground area there is a water fountain for children to drink from. Staff and children's bathrooms are clean, sanitary, and operable. The director states that there are no weapons or firearms on the premises. The facility has a central fire alarm/smoke detector system and working carbon monoxide detectors.

LPA observed the storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. The facility provides AM and PM snack to the children. The children bring their lunches from home. The facility has trash cans with tight fitting lids for solid waste in each Room. Cleaning supplies are stored in a locked cupboard and are inaccessible to children. LPA observed a complete First Aid kit. Any medications at the facility are individually stored in the directors office in a lock box.

The facility does not currently administer medications. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CC When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free 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 are available at: https://www.ada.gov/resources/child-care-centers/.

The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate and in good condition. Shade is provided by umbrellas and building overhang in the playground. There is sufficient resilient materials in the outdoor playground area. LPA did not observe any bodies of water.
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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

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: HEARTS AND HANDS CHRISTIAN CHILDCARE AND PRESCHOOL	FACILITY NUMBER: 434413597
	VISIT DATE: 07/24/2023

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, Madlen Zayehmoureh.

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: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

LIC809 (FAS) - (06/04)

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