434414625-5-20-2024-07-CC-SCHN-D5FV8P-20240520161304

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434414625
Report Date: 05/20/2024
Date Signed: 05/20/2024 04:13:13 PM

Document Has Been Signed on 05/20/2024 04:13 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	ST. VICTOR PRESCHOOL		FACILITY NUMBER:	434414625
ADMINISTRATOR/ DIRECTOR:	CELESTE VIRAY		FACILITY TYPE:	850
ADDRESS:	3150 SIERRA ROAD		TELEPHONE:	(408) 251-1740
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95132
CAPACITY: 22	TOTAL ENROLLED CHILDREN: 22	CENSUS: 16	DATE:	05/20/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:03 PM
MET WITH:	Celeste Viray		TIME VISIT/ INSPECTION 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	Page 1. On 5/20/24 Licensing Program Analyst (LPA), Sheena Chin, conducted an unannounced annual inspection of the center. LPA met with the director, Celeste Viray, and explained the purpose of the visit. The Facility is licensed to serve age 2.9 years to 5 years old in classroom 309. Subject to the conditions of waivers granted to share outdoor activity space, library, hall, and restroom in parish meeting room. Hours of operation for children in care: 7:30 AM to 3:30 PM Monday to Friday. The director stated that the facility did not have weapons on the premises, that smoking was not allowed on the premises and that the facility was willing to provide Incidental Medical Services – IMS for children in care but currently there was no children needing that service. Observation LPAs toured the indoor and outdoor areas of the Facility with the director. Required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Menus, and Activity Schedule were observed. LPA observed that some of the required postings were blocked by teaching materials. LPA advised the director that parents needed to see the required documents. The director removed the teaching materials and exposed the postings. continue to page 2.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ST. VICTOR PRESCHOOL	FACILITY NUMBER: 434414625
	VISIT DATE: 05/20/2024

NARRATIVE

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Observation
The facility had fire inspection on 9/28/23. LPA observed fully charged Fire Extinguishers, functioning smoke/carbon monoxide detectors, First Aid Kit, central heating, and air conditioning in both rooms. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Disinfectants, cleaning solutions, poisons, sharps, and other items that are dangerous to children were stored inaccessible. Restrooms for children to use were observed out of order. The director stated that around 11:15am the stall was overflowing. The director stated that maintenance staff has checked but was unable to fix the problem. The director stated that children were using the restrooms with stools in Parish meeting room.

The facility did not provide food. The director stated that parents needed to bring food for their children. The teacher/child ratio was in compliance during today's inspection. 16 children with two teachers in classroom 309. The director stated that she understands the conditions, limitations, and capacity specifications of the Facility license and that children shall be always supervised within the classroom and in the playground areas. The facility had a waiver to share the outdoor space with the school from kindergarten to 8^th grade. The director stated that children in care used the playground at a different time than any other classes.

The playground was not surrounded by appropriate fencing. Shade was provided by trees in the playground area. The climbing structure was observed to be inappropriate for preschool children. The director stated that it was a little bit deep, but the facility has not been informed of the situation. LPA talked to the principal of the school, who stated that the play/climbing structure has been there about 10 years ago when the preschool had not been established yet. LPA advised the principal that the play/climbing structure was not age appropriate for children 2.9 – 5 years old based on the observations. The principal stated that she would search if there’s any information about that play structure and that preschool children would play in the grass area with a canopy for shades. The principal also stated that the school would provide balls for children in care to play with.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ST. VICTOR PRESCHOOL	FACILITY NUMBER: 434414625
	VISIT DATE: 05/20/2024

NARRATIVE

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Records review
Disaster drills shall be conducted at least every six months and be maintained for at least one year. The last drills were conducted on 11/20/23. LPA advised the director to have a disaster drill as soon as possible. LPA reviewed facility's sign in/out procedure and record. A sampling of children and staff files was selected for review. Children records reviewed includes Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment form, Medical Assessment, and immunization. Staff records reviewed include Criminal Record and Child Abuse Index Background Check Clearance, Health Screening Report with TB Clearance, Immunization Record for Measles and Pertussis, Education Qualification, and required Training. Measles vaccination records were not observed for C3, C6 and C8. LPA advised the director that the AB1207 Mandated Reporter Training needs to be renewed every two years. There was at least one person with documented current certification in Pediatric CPR/1st Aid present at the facility during LPA' inspection.

LPA advised the director 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.On 12/14/22, the facility had water lead test results, meeting the requirement.

Discussion
Water lead test: Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). All centers need to complete the lead testing in accordance to the Written Directives outlined in PIN 21-21.1.CCP. LPA referred the director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families.LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1.CCP.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: ST. VICTOR PRESCHOOL	FACILITY NUMBER: 434414625
	VISIT DATE: 05/20/2024

NARRATIVE

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Discussion
Incidental Medical Services (IMS): This facility provides Incidental Medical Services – IMS, but per Director, currently the facility does not have any children in care who requires IMS. The following information regarding ADA was provided: US Department of Justice (USDOJ) 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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/.

Deficiency
No regulatory violations were observed during today's inpsections.

Further questions
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.

Exit
Exit interview conducted and report was reviewed with Celeste Viray
Notice of Site Visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Sheena Chin
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2024

LIC809 (FAS) - (06/04)

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