434416303-10-17-2024-07-CC-SYIP-DA5Q3Q-20241017114906

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416303
Report Date: 10/17/2024
Date Signed: 10/17/2024 11:49:12 AM

Document Has Been Signed on 10/17/2024 11:49 AM - 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:	REHOBOTH PRESCHOOL/DAYCARE		FACILITY NUMBER:	434416303
ADMINISTRATOR/ DIRECTOR:	DINORA SANCHEZ		FACILITY TYPE:	830
ADDRESS:	3275 WILLIAMS ROAD		TELEPHONE:	(408) 603-5251
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95117
CAPACITY: 8	TOTAL ENROLLED CHILDREN: 8	CENSUS: 0	DATE:	10/17/2024
TYPE OF VISIT:	Office	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Dinora Sanchez		TIME VISIT/ INSPECTION COMPLETED:	11:55 AM

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Regional Manager (RM) Jennifer Pare, Licensing Program Manager (LPM) Joel Segura, and Licensing Program Analyst (LPA) Samantha Yip met with Director Dinora Sanchez at the San Jose Regional Office for a schedule Informal Meeting. The purpose of this Informal Meeting is to discuss the recent citations. The center was cited for teacher qualification, supervision, and criminal record clearance.

101429(a)(1) Responsibility for Providing Care and Supervision for Infants.
On 07/25/2024, LPA observed that a staff walked out of the room into the outdoor activity area; leaving one infant in the room by themselves. The staff walked back into the room.

101416.2(c)(1)(A) Infant Care Teacher Qualifications
On 07/18/2024, 07/25/2024, and 08/07/2024, the infant program was cited for not have any staff who was a qualified infant teacher.

101170(e)(2) Criminal Record Clearance.
On 07/18/2024, there was a staff who did not have cleared criminal record clearance.

The facility submitted an updated staff schedule to Licensing to ensure that there is a qualified teacher. Director stated that she has conducted staff meeting, written reminders, and one-on-one meetings with staff regarding supervision. Director will also conduct observation in the rooms to ensure children are supervised at all times.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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: REHOBOTH PRESCHOOL/DAYCARE	FACILITY NUMBER: 434416303
	VISIT DATE: 10/17/2024

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LPM discussed teacher qualification, criminal record clearance, and supervision. A copy of the teacher qualification was provided to Director during today’s meeting. LPM discussed with Director that courses completed need to completed at an accredited or approved college or university.

LPM Segura explained the informal meeting and the administrative process. Director was advised that continued non-compliance with Title 22 Regulations could result in their license being referred to CCL's legal department for review and possible action against the license. Assembly Bill 633 (Child Care Parent Notification Requirements) and Acknowledgement of Receipt of Licensing Reports (LIC9224) was also explained and provided to Director Dinora Sanchez.

Director understood that this department will increase monitoring of the facility for the next twelve months at the departments discretion.

Exit interview was conducted and report was reviewed with Director Dinora Sanchez.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC809 (FAS) - (06/04)

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