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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416173
Report Date: 03/06/2024
Date Signed: 03/06/2024 04:08:53 PM

Document Has Been Signed on 03/06/2024 04:08 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:ENLIGHTEN PRESCHOOL GREEN VALLEYFACILITY NUMBER:
434416173
ADMINISTRATOR:LISA, BORGIOLIFACILITY TYPE:
850
ADDRESS:525 GIUFFRIDA AVENUETELEPHONE:
(669) 262-8900
CITY:SAN JOSESTATE: CAZIP CODE:
95123
CAPACITY: 116TOTAL ENROLLED CHILDREN: 47CENSUS: 38DATE:
03/06/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
12:53 PM
MET WITH:Connie Lomas-Fischer & Weidong LiTIME COMPLETED:
04:18 PM
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Licensing Program Analyst (LPA), Cortney Nelson, met with the Site Director, Connie Lomas-Fischer, for an unannounced Required- 3 Year Inspection. LPA was granted access to the facility by a staff member (S3) and toured both indoors and outdoors during the inspection. Upon arrival, there were thirty eight (38) preschool-age children and six (6) staff members present, which is compliant with the facility license capacity and ratio requirements. The Site Director, Connie, arrived approximately 10 minutes after LPAs arrival and the owner of the facility, Weidong Li additionally arrived. LPA observed all required postings near the entrance of the facility and the hours of operation are Monday – Friday, 8:30AM-6:00PM (half day: 8:30AM-12:30PM).

LPA reviewed sign-in/out sheets, facility roster (LIC9040), and fire/disaster drill log during today’s inspection. Sign-in/out was observed to be completed digitally using Procare with full legal signature and time of day. The last fire/disaster drill was conducted on 2/29/2024, which is compliant with the six-month requirement for facilities. LPA observed fully charged fire extinguishers in each classroom (three- 3A40BC/ two- 2A10BC), functioning smoke detector and carbon monoxide detector. The facility currently has children in care who require Incidental Medical Services (EpiPen & Inhaler) and administers medication at this time. LPA observed that medication is properly stored out of reach of children with the proper documentation. LPA advised that time sensitive medication, such as EpiPens or Inhalers, shall not be locked for ease of accessibility in case of emergency. There are no weapons or firearms on the premises.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records.
For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/06/2024
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: ENLIGHTEN PRESCHOOL GREEN VALLEY
FACILITY NUMBER: 434416173
VISIT DATE: 03/06/2024
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Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. The Site Director states that the facility is currently using classrooms 2-5 and classroom 1 is currently not in use due to low enrollment and staffing issues. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility and furniture is in good condition and safe for children. The floors were clean and free of tripping hazards. Drinking water is readily available for children via filtered water dispensers and water bottles from home. Staff and children’s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children, which an isolated child can use if necessary. There is a working telephone in the facility.

The outdoor area of the facility was inspected and observed to be fenced in. The Site Director states that the facility is primarily using play yard 3 and play yard 1 and 2 are rarely in use. LPA observed play equipment was in good condition, age-appropriate, and has sufficient resilient materials (tanbark) to absorb falls. There are swings, a playground, sand box, balancing beams, and other outdoor play equipment for children to use. No outdoor bodies of water were observed during today’s inspection. Shaded rest area is provided by canopy and water is provided to the children by bringing their water bottles outside during outdoor play.

The facility offers a full day and half day program and provides AM/PM snack and lunch to the children. The Site Director states that children in care additionally have the option to bring their own lunch from home as well. LPA observed the menu is in writing and posted at least one week in advance, accessible to authorized representatives. The kitchen and storage area is clean and free of litter and rubbish. Equipment necessary for the storage, preparation and service of food is well maintained, clean, and sanitized after each use. LPA advised the Site Director to have portion sizes accessible for review by staff and parents to ensure that children are being provided at least the minimum quantity required for designated food groups.

Five (5) children’s files were reviewed and most required documents were present. LPA provided the Site Director with the Parent Consent for Administration of Medications and Medication Chart (LIC9221) and requested that the form is completed for medication at the facility. LPA advised that a physicians note shall be obtained for prescription medication and the LIC9221 shall be completed by authorized representatives for non-prescription medications.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
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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: ENLIGHTEN PRESCHOOL GREEN VALLEY
FACILITY NUMBER: 434416173
VISIT DATE: 03/06/2024
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Five (5) staff files were reviewed and most required documents were present. The Site Director has current CPR/First-Aid that expires 2/11/2025 and Mandated Reporter Training that expires on 10/31/2024. LPA reminded that the Mandated Reporter Training must be renewed by all staff every 2 years and shall be completed for Child Care Providers in addition to the General Training to meet the requirements of AB1207.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. The facility completed water lead testing on 8/17/2023 by Enthalpy Analytical and no action level exceedances (ALEs) were found.

The Site Director understands that she shall be on the premises during the hours the center is in operation and that children at the center shall be visually supervised at all times. LPA reminded that there shall be at least one person with valid CPR and First-Aid certifications on site at all times or present during off site activities, such as field trips.

Exit interview conducted and report was reviewed with the Licensee, Weidong Li, and Site Director, Connie Lomas-Fischer.

As a result of today’s inspection, deficiencies were cited, see LIC809-D.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/06/2024
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Document Has Been Signed on 03/06/2024 04:08 PM - It Cannot Be Edited


Created By: Cortney Nelson On 03/06/2024 at 03:36 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: ENLIGHTEN PRESCHOOL GREEN VALLEY
FACILITY NUMBER: 434416173

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/06/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above for two out of five staff files reviewed as the general training was the only certificate on file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/22/2024
Plan of Correction
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The Licensee shall submit proof of completion for Mandated Reporter training for S1 and S2 and confirm that it is completed for Child Care Providers (AB1207). Certificate shall be submitted to the Department by 3/22/2024.
Type B
Section Cited
CCR
101226(e)(4)(B)
Health-Related Services
(4) Nonprescription medications may be administered without approval or instructions from the child's physician if all of the following conditions are met: (B) For each nonprescription medication, the licensee shall obtain, in writing, approval and instructions from the child's authorized representative for the administration of the medication to the child.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, interview, and record review, the licensee did not comply with the section cited above for one child (C1) who has an EpiPen and allergy medication on site without proper documentation, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 03/15/2024
Plan of Correction
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The Licensee shall obtain paperwork for C1's allergy medication on site and it is advised that a physicians note is obtained, clarifying when the child shall be administered an EpiPen versus the allergy medication during allergic reaction. LPA advised LIC9221 is completed and submitted to the Department by 3/15/2024.
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:Cortney Nelson
LICENSING EVALUATOR SIGNATURE:
DATE: 03/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/06/2024


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