434416259-1-22-2025-07-CC-ALUZ-DD6SGP-20250122125215

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416259
Report Date: 01/22/2025
Date Signed: 01/22/2025 12:52:37 PM

Document Has Been Signed on 01/22/2025 12:52 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:	FREUND, KEREN		FACILITY NUMBER:	434416259
ADMINISTRATOR/ DIRECTOR:	KEREN FREUND		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 861-9188
CITY:	SUNNYVALE	STATE: CA	ZIP CODE:	94087
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 12	CENSUS: 10	DATE:	01/22/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:35 AM
MET WITH:	Keren Freund		TIME VISIT/ INSPECTION COMPLETED:	01:00 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	At 9:25AM, Licensing Program Analysts (LPAs) Angela Luz and Mandeep Kaur met with Licensee Keren Freund to conduct an unannounced annual random inspection. Present for this inspection were Licensee, 2 assistants(S1 &S2), 2 adults in the home and 10 children. The home was toured to conduct a Health and Safety Inspection. Days and hours of operation are from Monday - Friday 8:30AM-4PM. Facility: The ON LIMIT AREAS are the day care area, day care bathroom, and backyard. The OFF LIMIT AREAS are all four bedrooms, 3 bathrooms, dining room, kitchen, living room, and wood deck. The ISOLATION AREA is the side of the day care area. The home is single story. Off limit areas are inaccessible by closed and/or locked doors and visual supervision. The home is neat and clean with heating and ventilation for safety and comfort. The outdoor play area is free from defects or dangerous conditions and is fully fenced. The swing and wooden play structure are anchored. There have been no changes from the areas previously identified as OFF LIMITS or alterations to existing building or grounds. There is a covered and locked inflatable hot tub on the off limit wooden deck area. Most hazardous materials and toxins are kept out of the reach of children. Licensee states that there are no firearms or weapons in the home. The home has a fully charged 2A10BC fire extinguisher. The Department of Public Safety inspected the facility for working smoke and carbon monoxide detectors, fire drill log, and fully charged fire extinguisher on 1/6/2025. Care and Supervision: There are ample age-appropriate toys that appear to be safe and in good condition. All children nap in the day care area on mats. Licensee uses talking with the child as discipline. Licensee understands that children's personal rights should not be violated, including but not limited to, no corporal punishment, children are treated with dignity, receive safe, healthful, and comfortable accommodations, interference with eating, intimidation, or other actions of a punitive nature. *Page 1 of 3, continued on 809-C*

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Angela Luz
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

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: FREUND, KEREN	FACILITY NUMBER: 434416259
	VISIT DATE: 01/22/2025

NARRATIVE

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Also, discussed with the Licensee was isolation of sick children, supervision of children, staffing ratio and capacity, requirements for reporting suspected child abuse, unusual incidents/injuries, heat related illnesses, and requirements for an assistant/substitute.

Records: The Licensee CPR and First Aid certificate is current and expires 9/19/2025. Licensee Mandated Reporter Training for Child Care Providers is current and expires 9/13/2025. Licensee was reminded of Mandated Reporter Training (AB1207) and CPR/First aid certifications needs to be renewed every two years. A copy of the licensee’s immunization is on file. The Licensee conducts and documents fire and disaster drills every six months, last drill was conducted on 12/18/2024. Entrance checklist for Family child care home was provided and licensee was reminded of documents to be posted in a prominent, publicly accessible area of the facility.

LPA, Luz reviewed five (5) children files during today's inspection for the following records: Notification of Parents Rights(LIC995A), Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700), and Immunization records.

LPA, Luz reviewed two(2) staff (S1&S2) files for the following records: Employee rights(LIC 9052), Statement Acknowledging Requirement to Report Child Abuse (LIC 9108), and required training. Licensee's Staff (S1&S2) have immunizations in measles, pertussis and declined statement of flu in file. Based on records review, two of two staff(S1&S2), is missing TB test. LPA Luz reminded Licensee about TB test requirements for their staff.

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.

***Page 2 of 3, continued on 809-C***

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Angela Luz
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

LIC809 (FAS) - (06/04)

Page: 2 of 7

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: FREUND, KEREN	FACILITY NUMBER: 434416259
	VISIT DATE: 01/22/2025

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Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Child Care Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/.

Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During today's inspection, two Type B deficiencies are issued on attached page 809-D and three advisory notes are issued. Appeal rights were provided.

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

Exit interview conducted and report was reviewed with the Licensee, Keren Freund.

***Page 3 of 3, End of Report***

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Angela Luz
LICENSING EVALUATOR SIGNATURE:	DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

LIC809 (FAS) - (06/04)

Page: 3 of 7

Document Has Been Signed on 01/22/2025 12:52 PM - It Cannot Be Edited

Created By: Angela Luz On 01/22/2025 at 12:11 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: FREUND, KEREN	FACILITY NUMBER: 434416259
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 01/22/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

102417(g)(4)

Operation of A Family Child Care Home

(g) The home shall be free from defects or conditions which might endanger a child. Safety precautions shall include but not limited to: (4) Poisons, detergents, cleaning compounds, medicines, firearms and other items which could pose a danger if readily available to children shall be stored where they are inaccessible to children. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above. LPAs observed air fresheners in a cabinet accessible to children and dish soap under the sink accessible to children, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 01/22/2025
	Plan of Correction
1 2 3 4	Licensee moved air fresheners and dish soap to areas inaccessable to children. Defieciency is clearend during today's inspection.

Type B

Section Cited

HSC

1597.622(c)

Administration of Child Day Care Licensing

(c) The family day care home shall maintain documentation of the required immunizations or exemptions from immunization, as set forth in this section, in the person's personnel record that is maintained by the family day care home. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review and interview, the licensee did not comply with the section cited above in 2 out of 2 staff (S1 & S2) is missing TB test, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 02/07/2025
	Plan of Correction
1 2 3 4	By plan of correction due date of 2/7/2025, Licensee will submit a copy of TB test conducted for two staff (S1 & S2) to the Department.

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:

Belinda Devall

LICENSING EVALUATOR NAME:

Angela Luz

LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025

LIC809 (FAS) - (06/04)

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