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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415767
Report Date: 06/07/2022
Date Signed: 06/07/2022 05:19:27 PM

Document Has Been Signed on 06/07/2022 05:19 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, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:CHILDREN'S COURTYARD, THEFACILITY NUMBER:
434415767
ADMINISTRATOR:SHAYLYNN LUCASFACILITY TYPE:
850
ADDRESS:610 E DUNNE AVENUETELEPHONE:
(408) 778-1977
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 96TOTAL ENROLLED CHILDREN: 96CENSUS: 60DATE:
06/07/2022
TYPE OF VISIT:Case Management - Legal/Non-complianceUNANNOUNCEDTIME BEGAN:
12:01 PM
MET WITH:Annabelle CalasanzTIME COMPLETED:
01:00 PM
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management- Legal/Non-Compliance inspection. LPA met with Director Annabelle Calasanz and explained the reason for the inspection. The purpose of this inspection is to ensure that facility is adhering to plan of correction implemented during the Non-Compliance Conference held on 04/29/2021 in regards to providing care and supervision and health-related services. Present during today's inspection were 60 children and at least 6 staff.

During today's inspection, LPA conducted observation. LPA observed that staff were positioning themselves where they could visually supervise children and moving so they can visually supervise children. LPA discussed with Director about plans that have been implemented. Director stated that they will do in-service training with staff twice a year where they will go over supervision and safety. Director will also send reminders to staff about supervision. Staff also complete safety training once a month, which include but not limited to heat related illnesses. Director also stated that they have MyPath, which teachers can use if they need additional resources on difficult behaviors.

As a result of this inspection, no deficiencies were cited. Exit interview conducted and report was reviewed with the Director, Annabelle Calasanz. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 06/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/07/2022
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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