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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415759
Report Date: 09/28/2022
Date Signed: 09/28/2022 12:40:26 PM

Document Has Been Signed on 09/28/2022 12:40 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:A+ ACADEMYFACILITY NUMBER:
434415759
ADMINISTRATOR:LACAYO, NORAFACILITY TYPE:
850
ADDRESS:569 E. EL CAMINO REALTELEPHONE:
(408) 713-4400
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 27TOTAL ENROLLED CHILDREN: 27CENSUS: 8DATE:
09/28/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Harmeet singhTIME COMPLETED:
01:00 PM
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On 10:10 AM, Licensing Program Analyst, Kaur met with the Director Harmeet Singh. Purpose of the inspection was explained and is for an Unannounced Annual/ Random inspection. Facility operates a preschool program. Director arrived during inspection. Present during inspection was the Director and 1 staff and 8 children. All staff have their criminal record clearances of file. Hours of operation are Monday- Friday 9:30am- 12:30pm. Program operates year around. LPA inspected facility, indoors and outdoors, with director for health and safety hazards.

At 10:30 AM., LPA observed the following: Preschool classroom were clean, organized with age-appropriate toys, blocks and playthings. Facility has one big room, classrooms are divided with dividers. Floors and surfaces were free of obstructions or hazards. Furniture was in good repair. Toy were free of sharp objects, edges or splinters. Each classroom had several child size tables and chairs for snack and actives. Bathrooms were maintained in safe and sanitary condition. Facility had several cubbies and hangers for storage of children’s belongings. Classrooms had acceptable ventilation and lighting. Accessible trash cans and outlets have been properly covered. Preschool bathroom, observed clean with adequate supplies for the children. Staff restrooms are located separate. The food preparation area and facility refrigerator, were maintained clean. Facility food containers inspected were current.Facility had a smoke/ carbon monoxide detector combo and several fully charged fire extinguisher (2A:10BC). First aid kit had been reviewed and is fully stocked.



At 11:00 AM., LPA review facility records including 3 children’s files and 2 personnel files. Children files reviewed are complete and included: Consent for Medical Treatment (LIC627), Identification of Emergency Information (LIC700), Immunization Records and Admissions Agreement. Staff files included: Health Screening (LIC503), Declaration to Report Suspected Child Abuse (LIC9108) and notice of Employee Rights (LIC9052)

Present staff members had their current CPR/ 1st aid certification which expires: 09/2023. Emergency drills are conducted at the facility, with the last drill done on 08/22/2022, properly logged. Per Director, parents provide snacks for day-care children. Required posting was observed in the facility entry way including: License, Parents Rights (PUB393), Emergency Disaster Plan (LIC610) and LIC613A.

SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/28/2022
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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: A+ ACADEMY
FACILITY NUMBER: 434415759
VISIT DATE: 09/28/2022
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm


Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated.

LPA discussed safe sleep regulations with the director and discussed Child Care Licensing Safe Sleep webpage at http://www.cdss.ca.gov/inforesource/child-care-licensing/public-information-and-resouce/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: http://www.cpsc.gov/ and recommend they register all infant devices with the CPSC to be notified of any recalls on their purchased requirement.

Based on today's inspection, no deficiencies were observed in the areas evaluated according the Title 22 Division 12 Ca. Code of Regulations. Exit interview was discussed with Director and her signature of this form acknowledges receipt of these documents.



This report and rights to comment were discussed. This report must be available in the facility for public review. Notice was given and must remain posted for 30 days. Facility was advised any additional questions to call Office, M-F, 8am-5pm, 408/324/2148 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2022
LIC809 (FAS) - (06/04)
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