434415786-10-24-2023-07-CC-SYIP-CWJ28E-20231011171012

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434415786
Report Date: 10/11/2023
Date Signed: 10/24/2023 04:43:12 PM

Document Has Been Signed on 10/24/2023 04:43 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:	FOOTSTEPS PRESCHOOL		FACILITY NUMBER:	434415786
ADMINISTRATOR:	RACHEL RATLIFF		FACILITY TYPE:	850
ADDRESS:	8335 CHURCH STREET		TELEPHONE:	(408) 842-7269
CITY:	GILROY	STATE: CA	ZIP CODE:	95020
CAPACITY: 41	TOTAL ENROLLED CHILDREN: 41	CENSUS: 27	DATE:	10/11/2023
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Lisa Serna		TIME COMPLETED:	05:15 PM

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	Licensing Program Analysts (LPAs) Samantha Yip and Ashley Lopez conducted an unannounced Case Management- Licensee Initiated inspection. LPAs met with Director Lisa Serna and explained the reason for the inspection. The purpose of this inspection is the center applied for an increase in capacity from 41 children to 50 children and to add Sanctuary, Fellowship Hall, Chapel, Combo Room, and Overflow Area/Indoor Recess. An updated fire clearance was granted on 10/06/2023. Measurements for indoor and outside areas were conducted during today's inspection. The indoor measurements are as followed: Sanctuary: (1/2(12.000 x 4.500) = 27.000) + (78.250 x 69.083 = 5,405.744) + (71.417 x 15.583 = 1,112.891) = 6,545.635 minus encumbered space 437.573 = 6,108.062 Fellowship Hall: (41.417 x 57.000 = 2,360.769) minus encumbered space 525.347 = 1,835.422 Chapel: (41.167 x 46.083 = 1, 897.098) + (7.500 x 6.417 = 48.127) + (1/2(3.000 x 3.333 = 4.999) = 1,950.224 minus encumbered space 89.058 = 1,861.66 Overflow/Indoor Recess: (51.083 x 13.000 = 664.079) minus encumbered space 53.710 = 610.369 Combo Room: (14.417 x 21.083 = 303.641) minus encumbered space 5.312 = 298.641 --------------------continues on 809 dated 10/11/2023 page 2--------------------

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

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: FOOTSTEPS PRESCHOOL	FACILITY NUMBER: 434415786
	VISIT DATE: 10/11/2023

NARRATIVE

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---------------continuation of 809 dated 10/11/2023 page 1-----------------------

4's: (29.833 x 22.083 = 658.802) minus encumbered space 26.472 = 632.33
3's: (29.750 x 21.667 = 644.593) minus encumbered space 87.851 = 556.742
2's: (7.750 x 7.333 = 56.830) + (24.583 x 13.333= 327.765) + (13.333 x 21.583 = 287.766) = 672.361 minus encumbered space 50.453 = 621.908
Napping Room/Indoor Recess: (39.911 x 29.667 = 1184.217) minus encumbered space 90.019 = 971.013

TOTAL INDOOR SPACE: 13,496.147 divided by 35 = 385 children

The outdoor measurement are as followed:
(90.167 x 61 = 5,500.187) + (24.000 x 63.083 = 1, 513.992) = 7,014.179 minus encumbered space 1,158.916 = 5,855.263

TOTAL OUTDOOR SPACE: 5, 855.263 divided by 75 = 78 children

There are 74 hooks, 63 cubbies, 11 tables, 56 chairs, 25 cots, 7 toilets, 2 urinals, and 7 sinks. There is hot water in the restrooms next to the the 2s room. There are toys for children. The center does run a half-day program. LPA discussed with Director that there needs to be at least one cot for every child to rest/naps. LPAs reminded Director that all disinfectant spray and cleaning produces, such as Magic Erasers need to be inaccessible to children. All other cleaning supplies, disinfectant, and other items that could pose a risk to children were observed to be inaccessible to children. There is a fully charged fire extinguisher, smoke detector, and carbon monoxide detector. Director stated that there are no weapons, such as firearms, stored on the premise. Isolation area for children will be the office and children will use the restroom adjacent to the Fellowship Hall.

------------------continues on 809 dated 10/11/2023 page 3--------------------------

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 10/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: FOOTSTEPS PRESCHOOL	FACILITY NUMBER: 434415786
	VISIT DATE: 10/11/2023

NARRATIVE

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-----------------------continuation of 809 dated 10/11/2023 page 2---------------

The outdoor area is fenced. Areas around play structure has resilient material. There are equipment and toys for children. Shaded rest area is provided through trees and building overhang. There were no bodies of water observed during today's inspection. LPA discussed with Director about cleaning the water cooler outside.

The center only provides non-perishable snacks. Drinking water inside and outside are provided through water coolers and cups or individual water bottles.

Director will submit an updated LIC 999 to reflect the changes to the name by 10/18/2023.

Director was advised that an updated license reflecting the request to increase capacity will be issued pending Community Care Licensing Management Approval.

No deficiencies were issued. Exit interview conducted and report was reviewed with the Director, Lisa Serna. A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

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