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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415418
Report Date: 12/06/2021
Date Signed: 12/06/2021 03:44:27 PM

Document Has Been Signed on 12/06/2021 03:44 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:JARDIN DE MARIPOSAS SCHOOLFACILITY NUMBER:
434415418
ADMINISTRATOR:MELISSA GRANEYFACILITY TYPE:
850
ADDRESS:26790 ARASTRADERO ROADTELEPHONE:
(650) 796-6807
CITY:LOS ALTOS HILLSSTATE: CAZIP CODE:
94022
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 32DATE:
12/06/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Melissa GraneyTIME COMPLETED:
04:05 PM
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On 12/06/2021 at 12:30PM, Licensing Program Analyst (LPA) Melanie Otsuji conducted an unannounced Required 1 year and Capacity Increase Inspection. LPA was met by Directors, Melissa Graney and Edaena Cano Avila. Also present during today's visit were 10 staff members (including Directors) and 32 preschool aged children. The center has submitted an application for a CAPACITY INCREASE. Facility is currently requesting to increase from 47 preschoolers to 60 preschoolers. A health and safety inspection was conducted inside and outside. Facility days and hours of operation are Monday through Friday 8:30AM - 4:00PM. The facility measurement was completed on a previous visit and measurements are follows:

INDOORS: 2112.52 SQUARE FEET = 60 CHILDREN
OUTDOORS: 4648.54 SQUARE FEET = 62 CHILDREN

The center has obtained an approved fire clearance from Santa Clara County Fire Department for 60 children. Jardin De Mariposa will have six approved classrooms (Rooms 1, 2, 3, 4 (art lab), 11 and 14). Facility will also have 1 play yard available for preschoolers. The preschool rooms are equipped with varied age appropriate materials and equipment. There are 3 toilets, 2 urinals and 10 sinks available for children use. The staff have a separate bathroom in which will also serve as an isolation bathroom. Individual Medical Services (IMS) policy was discussed. 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.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE: DATE: 12/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/06/2021
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: JARDIN DE MARIPOSAS SCHOOL
FACILITY NUMBER: 434415418
VISIT DATE: 12/06/2021
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LPA reviewed a total of 10 children's files and 10 staff files. All licensing required documents are posted. Zero Tolerance policies were explained.

The Department has implemented a new software system called Guardian, and it is encouraged to set up an account. This will enable you to perform associations/disassociations, initiate background checks, check clearances, and print and download rosters without having to contact an analyst. For questions or concerns relating to Guardian, please contact their help desk at guardian@dss.ca.gov or call at (888) 422-5669.
Frequently Asked Questions regarding Guardian:
https://cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian-faqs
Guardian for Agencies (instructional videos):
https://cdss.ca.gov/inforesources/cdss-programs/community-care-licensing/caregiver-background-check/guardian


Notice of Site Visit form was provided and posted. The center was found to be clean, safe, sanitary and in good repair. There were no deficiencies cited during this visit.

A license for 60 preschool aged children operating out of Rooms 1, 2, 3, 4, 11, and 14 will be issued today, effective 12/6/2021.

An exit interview was conducted.
SUPERVISORS NAME: Wynn Norona
LICENSING EVALUATOR NAME: Melanie Otsuji
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021
LIC809 (FAS) - (06/04)
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