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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416304
Report Date: 10/17/2024
Date Signed: 10/17/2024 11:50:00 AM

Document Has Been Signed on 10/17/2024 11:50 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/DAYCAREFACILITY NUMBER:
434416304
ADMINISTRATOR/
DIRECTOR:		DINORA SANCHEZFACILITY TYPE:
840
ADDRESS:3275 WILLIAMS ROADTELEPHONE:
(408) 603-5251
CITY:SAN JOSESTATE: CAZIP CODE:
95129
CAPACITY: 38TOTAL ENROLLED CHILDREN: 38CENSUS: 0DATE:
10/17/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Dinora SanchezTIME 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.

The citations are as followed:

101229(a)(1) Responsibility for Providing Care and Supervision
On 08/07/2024, the school-age program was cited for supervision. A staff walked out of the room due to a child walking out of the room; leaving children in the room without a staff.

101516.5(b)(1) Teacher- Child Ratio
On 07/26/2024 and 08/07/2024, the school-age program was over ratio. On 07/26/2024, there was one staff with 17 children. On 08/07/2024, all staff are aides.

101170(b)(4)(D) Criminal Record Clearance
On 07/18/2024 and 07/25/2024, LPA observed that a volunteer on the school-age program was left alone with the children.

----------------CONTINUES ON 809 DATED 10/17/2024 PAGE 2----------------
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: 434416304
VISIT DATE: 10/17/2024
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-----------CONTINUATION OF 809 DATED 10/17/2024 PAGE 1--------------

101170(e)(2) Criminal Record Clearance.
On 08/07/2024, the school-age program had one staff who did not have criminal record clearance and was left alone with the children.

101161(a) Limitation on Capacity
On 07/18/2024, the preschool program was cited for commingling with the school-age program. There is no waiver for the school-age and preschool program to commingle.
On 07/18/2024, the school-age program was cited for using an outdoor space that is not on their license.

The facility submitted an updated staff schedule to Licensing to ensure that there is a qualified teacher and rooms are within ratio. 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. Director also stated that she checks that staff have cleared criminal record clearance prior to them starting.

LPM discussed teacher qualification, ratio, criminal record clearance, and supervision. A copy of the teacher qualification and ratio were 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 also discussed with Director that children from different programs cannot commingle.

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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