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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415786
Report Date: 08/30/2022
Date Signed: 08/30/2022 05:07:18 PM

Document Has Been Signed on 08/30/2022 05:07 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 PRESCHOOLFACILITY NUMBER:
434415786
ADMINISTRATOR:RACHEL RATLIFFFACILITY TYPE:
850
ADDRESS:8335 CHURCH STREETTELEPHONE:
(408) 842-7269
CITY:GILROYSTATE: CAZIP CODE:
95020
CAPACITY: 41TOTAL ENROLLED CHILDREN: 41CENSUS: 38DATE:
08/30/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:16 PM
MET WITH:Rachel RatliffTIME COMPLETED:
12:55 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management-Other inspection. LPA met with Director Rachel Ratliff and explained the reason for the inspection.

During today's inspection, LPA observed that the outside area has concrete parking blocks. Two of the concrete parking blocks are broken and the metal bar is exposed. LPA observed that the end of the metal bar are sharp. Director stated that they have requested that the concrete parking blocks be taken out. Director stated that they will barricade until it is removed.

At 10:35AM, LPA observed that there were two children in the playground. There were two staff outside on the concrete area. There was one staff that was standing adjacent to the playground. A staff moved inside the playground during today's inspection. LPA discussed with Director about ensuring that children are supervised at all times, including visually.

As a result of this inspection, a Type B and a technical violation were issued. Exit interview conducted and report was discussed and provided to Director Rachel Ratliff. 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: 08/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/30/2022
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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Document Has Been Signed on 08/30/2022 05:07 PM - It Cannot Be Edited


Created By: Samantha Yip On 08/30/2022 at 12:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: FOOTSTEPS PRESCHOOL
FACILITY NUMBER: 434415786

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/30/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/06/2022
Section Cited
CCR
101238(a)

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Building and Grounds. The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.
This requirement is not met as evident by:
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BY 09/06/2022, Director will submit her plan on ensuring that the metal bars are inaccessible to children and proof to Licensing.
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Based on observation, LPA observed that two of the parking concrete blocks had metal bars that were exposed and sharp, which poses a potential health and safety risk to children in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joel Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 08/30/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/30/2022


LIC809 (FAS) - (06/04)
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