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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416387
Report Date: 06/16/2021
Date Signed: 06/28/2021 01:25:10 PM

Document Has Been Signed on 06/28/2021 01:25 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:TULIP KIDSFACILITY NUMBER:
434416387
ADMINISTRATOR:NIKKI HUFANAFACILITY TYPE:
850
ADDRESS:10181 FINCH AVENUETELEPHONE:
6693775774
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 67TOTAL ENROLLED CHILDREN: 0CENSUS: 4DATE:
06/16/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
03:34 PM
MET WITH:Nikki HufanaTIME COMPLETED:
04:35 PM
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Pp1
Licensing Program Analyst (LPA), Stephanie Collins met with Site Director, Nikki Hufana and inform her of the nature of the inspection. Licensee is requesting a change of capacity. The preschool is applying for an decrease in the capacity from 67 to 55 preschool students. they will be subtracting Room #11 (Monke- room) from the total square footage as well. Hours of operation will be from 8:00 AM to 6:00 PM Monday through Friday. LPA toured the facility both indoors and outdoors.
Indoor measurements taken during evaluation report dated 1/27/2020
Room 12(Frog) 22.913 x 21.913 = 502.093 minus 149.041 (encumbered space) = 353.052
Room 13 (Owl) 30.415 x 29.249 = 889.608 minus 107.946 (encumbered space) = 781.662
Room 14 (Caterpillar) 29.332 x 30.415 = 892.132 minus 104.747 (encumbered space) = 790.385

PRESCHOOL INDOOR SPACE TOTAL = 1,925.099 sq. ft. divided 35 sq. ft. = 55 children

LPA observed that Tulip Kids has heritage program running on-site and the program uses different classrooms from the preschool program.

LPA reviewed with Applicant Representative the violations that would result in an immediate assessment of civil penalty in the amount of $500. Applicant Representative is encouraged to visit the Department’s website at www.cdss.ca.gov [Shortcut: www.ccld.ca.gov] to access resources for Providers, Regulations, Adoptions of new laws, pay annual fees etc.

Beginning January 1, 2019 AB2370 requires licensed homes and centers to share information on the risks and effects of lead exposure with enrolling and re-enrolling families. LPA reviewed and provided a copy of the “Lead Poisoning Facts Information Flyer." Provider Notice Information (PIN) summary for Child Care Center lead testing of drinking water and backup generator safety requirements were provided.
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE: DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/16/2021
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: TULIP KIDS
FACILITY NUMBER: 434416387
VISIT DATE: 06/16/2021
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There are 8 toilets (120) and 9 sinks (135) available for preschool children. Only cold water is available in the children's sinks. Staff have separate bathroom located next to the director's office. Sick children will be isolated in the director's office and isolation equipment will be provided. The sick children will use the staff bathroom if needed. The sick children will be accompanied by a staff member. LPA observed no fireplaces at the Facility. First aid supplies are stored in each room and in the director's office inaccessible to children. The facility will be administering medication and there is a cabinet in the director's office for the storage of medication. The center will be providing morning and afternoon snacks and lunch will be provided by parents. There is a food preparation area located at the staff lounge and is equipped with refrigerator, microwave, dishwasher, and a sink with hot and cold running water. Sanitation is by the dishwasher. LPA observed functioning carbon and smoke detectors at the facility. LPA observed trash cans with tight fitting covers throughout the facility for the disposal of solid waste. Site Director states that there are no weapons on the premises. Drinking water indoor is via individual water bottles.
(Measurement taken from 01/27/2021 report)
PRESCHOOL YARD: 50.249 x 33.83 = 1,699.923
76.415 x 60.332 =4,610.269
15.581 x 21.000 = 327.201
6,637.393 minus 296.814 = 6,340.59
PRESCHOOL OUTDOOR SPACE TOTAL = 6,340.579 divided by 75 sq. ft. = 84 children

New fence in yard was observed measuring 4 feet and above. Shade is provided by canopy and a trees. Drinking water is available in the playground via drinking fountain. There is adequate equipment, supplies, and toys for children outdoor. LPA did not observe any bodies of water. LPA observed resilient material under climbing structures and swings to absorb falls. Transportation will not be provided by the Facility. There is a working telephone which is (669) 377-5774.

This report was review with director, Notice of Site Visit Post for 30 days> No violations observed.

Decrease in capacity is approved per Management's review and approval
SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2021
LIC809 (FAS) - (06/04)
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