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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415769
Report Date: 11/21/2024
Date Signed: 11/21/2024 03:32:02 PM

Document Has Been Signed on 11/21/2024 03:32 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:CHILDREN'S COURTYARD, THEFACILITY NUMBER:
434415769
ADMINISTRATOR/
DIRECTOR:		ANNABELLE CALASANZFACILITY TYPE:
830
ADDRESS:610 E DUNNE AVENUETELEPHONE:
(408) 778-1977
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY: 24TOTAL ENROLLED CHILDREN: 8CENSUS: 7DATE:
11/21/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:25 PM
MET WITH:Annabelle CalasanzTIME VISIT/
INSPECTION COMPLETED:
03:35 PM
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On 11/21/2024, at 2:25 PM, Licensing Program Analysts (LPA), Liridon Fici-Doni, met with Annabelle Calasanz, Director for an unannounced Required 1 Year Inspection. LPA was granted access to the facility-by-facility Director and toured both indoors and outdoors during the inspection with Director. Upon arrival, there were seven (7) infants, and two (2) staff present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility and the hours of operation are Monday – Friday, 6:30AM-6:00PM.

LPA reviewed facility roster (LIC9040), and the fire/disaster drill log during today’s inspection. The last fire/disaster drill was conducted on 9/10/2024, which is compliant with the six-month requirement for facilities. LPA observed a fully charged 2A10BC fire extinguisher (last serviced: 1/24/2024), with functioning smoke detector and carbon monoxide detector. Director stated that she does not currently have Incidental Medical Services on file and does not administer medication at this time. Director will submit an IMS plan in the later future. There are no weapons or firearms on the premises.

Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for day care infants. The infant and Pre-school room are physically separate from other childcare center components at the facility. LPA observed sufficient age-appropriate materials, toys, and play equipment for infants. Toys are safe and do not have sharp edges or small parts that may pose a choking hazard. The infant changing table was observed to be padded, within arm’s reach of a sink, in good repair and safe condition...


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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE: DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/21/2024
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: CHILDREN'S COURTYARD, THE
FACILITY NUMBER: 434415769
VISIT DATE: 11/21/2024
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Cribs are used by infants, which are free from loose articles, covered with a fitted sheet, and there are no objects hanging above or attached to them. The floors are clean and free of tripping hazards and waste containers have tight fitting lids.

Two (2) staff files were reviewed and LPA advised that infant staff shall have three (3) units related to the care of infants. There is at least one staff member with current First-Aid/CPR and all staff should have a mandated Reporter certificate on file in the center. LPA reminded that both shall be updated every two years.

This annual will continue at a later date.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted with Director, and this report reviewed and provided.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Liridon Fici
LICENSING EVALUATOR SIGNATURE:

DATE: 11/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/21/2024
LIC809 (FAS) - (06/04)
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