434415360-5-18-2022-07-CC-SCOS-CEJPTM-20220518113610

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415360
Report Date: 05/18/2022
Date Signed: 05/18/2022 11:36:19 AM

Document Has Been Signed on 05/18/2022 11:36 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	FOOTPRINTS EARLY EDUCATION CENTER		FACILITY NUMBER:	434415360
ADMINISTRATOR:	CHANG, CHIH-YEUAN		FACILITY TYPE:	850
ADDRESS:	1515 PARTRIDGE AVENUE		TELEPHONE:	4087849665
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94087
CAPACITY: 44	TOTAL ENROLLED CHILDREN: 44	CENSUS: 44	DATE:	05/18/2022
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	CHIH-YEUAN CHANG		TIME COMPLETED:	11:34 AM

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 Licensing Program Analysts (LPA’s) Stephanie Collins, Susy Cervantes and Araceli Almaraz conducted a site inspection of the facility today and met with Director Chin-Yeuan Chang . LPA explained the purpose of the visit; The inspection is in response to facility’s request for an increase in capacity from 44 to 49 preschool children age range 2 to 6 years of age . A Fire Clearance was granted on 3/11/22 by SUNNYVALE FIRE PREVENTION. The facilities days and hours of operation are Monday to Friday, 8:30am to 6:00pm. Working phone number is 408 784-966. LPA’s observed the 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), LPA also observed 7 staff and 44-day care children in the facility during today's inspection appropriate staff to ratio observed. The facility did not construct additional space or make any structural changes to the physical plant; However, the facility has decided to utilize Room #6 and add its' square footage to the exiting square footage of the license to accommodate the requested increase in capacity. The last Facility Evaluation was conducted on 1/14/2022. LPAs toured the indoor and outdoor areas of the Facility with director John (Chin) during today's inspection. A functioning Carbon Monoxide detector and Fire Extinguisher (3A40BC) was observed. Director states that there were no changes to the facility layouts since the inspection on 11/07/2018 therefore, the prior indoor activity space was not measured during today's inspection only Room # 6.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022

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

FACILITY NAME: FOOTPRINTS EARLY EDUCATION CENTER	FACILITY NUMBER: 434415360
	VISIT DATE: 05/18/2022

NARRATIVE

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The following indoor measurement were taken 1/11/2018
Room 1: 15.333x27.833 = 426.763 minus 5.332 (encumbered space) = 421.431
Room 2: 15.333x13.833 = 212.101
Room 3: 15.333x15.5 = 237.662
Room 4: 15.333x27.0083 = 414.118
Room 5: 15.333x17.167 = 263.222
=1,548.534 sq. Ft.
TODAYS INDOOR MEASUREMENT (5/18/2022)
Room 6: 17. X 15.50
= 263.5

TOTAL PRESCHOOL INDOOR SPACE: 1,812.03 sq. ft. divided by 35 = 51 children.

There are a total 4/60 toilets and 7/ 105 sinks available to preschool for children. Staff restrooms are located in the church building adjacent from the preschool. Sick children are using the staff restrooms to isolate when ill and isolation equipment is available.

The following outdoor measurement were taken 1/11/2018
Playground: (41.833x113.833 = 4761.976) + (63.667x40 = 2546.68) = 7308.656
7308.656 minus 138.125 (encumbered space) = 7170.531

TOTAL PRESCHOOL OUTDOOR SPACE: 7170.531 sq. ft. divided by 75 = 95 children.

The playground area is surrounded by appropriate fencing. There is resilient material under high climbing structures. Shade is provided by trees and building overhangs. Children bring their own water bottles during outdoor time. No bodies of water were observed during today’s inspection.

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SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022

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

FACILITY NAME: FOOTPRINTS EARLY EDUCATION CENTER	FACILITY NUMBER: 434415360
	VISIT DATE: 05/18/2022

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Incidental Medical Services (IMS) policy was discussed. Licensee/Director, John Chang stated that the facility has a IMS plan, but currently there are no children requiring IMS services. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Facility Representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Pictures and measurements were taken of Room #6, pictures were taken of staff restroom/proposed isolation area, licensure is pending and application will be under review by management.

No deficiency was cited . A notice of Site Visit was issued and is required to be posted near the entrance and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Facility Representative, Chin-Yeuan CHANG. LPA advised Chin that a license for 49 Preschool children will be submitted to Licensing Management for the final review and pending approval.

SUPERVISORS NAME: Mary Segura
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022

LIC809 (FAS) - (06/04)

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