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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416689
Report Date: 03/28/2024
Date Signed: 03/29/2024 09:01:59 AM

Document Has Been Signed on 03/29/2024 09:01 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SWEET HEARTS PRESCHOOLFACILITY NUMBER:
434416689
ADMINISTRATOR:STEFANIE NANEZFACILITY TYPE:
830
ADDRESS:2720 SOUTH BASCOM AVENUETELEPHONE:
(408) 429-8644
CITY:SAN JOSESTATE: CAZIP CODE:
95124
CAPACITY: 8TOTAL ENROLLED CHILDREN: 4CENSUS: 4DATE:
03/28/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Stefanie NanezTIME COMPLETED:
05:30 PM
NARRATIVE
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On 03/28/2024 at 2:45 pm, Licensing Program Analyst (LPA), Farida Raja, met with Director, Stefanie Nanez, for an unannounced Annual inspection in the Infant Program. The facility is licensed to serve children ages 6 weeks to 2 years in the infant and infant sleeping rooms. Facility has a preschool program (#434415865) at the same location. The facility has one waiver on file for commingling children between the infant and preschool components between 8-9 am and 4-5 pm. LPA observed the required posted materials including activity schedule near the entrance. Days and hours of operation are Monday through Friday, 8:00 am to 5:00 pm.

LPA toured the indoor and outdoor areas during today's inspection and observed the 4 infant children and two teachers. Facility was in compliance with teacher to children ratio requirement. Classrooms, staff restroom and kitchen were inspected. Infants were engaged in free play under the visual supervision of staff. Facility has central heating and uses wall/portable air conditioners for comfort of children. Director states that there are no weapons including firearms on the premises. There is a working telephone at the facility (408-429-8644). Disinfectants, cleaning products and first aid kit were observed stored inaccessible to the children in care. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. LPA observed appropriate changing table that have raised sides (3 inches in height) and have vinyl changing pad that is at least 1 inch thick and within arm’s reach of a portable sink. LPA observed a trash can with tight fitting cover for the disposal of diapers. Napping equipment is appropriate. LPA observed two baby bouncers in the infant nap room. No children were using the bouncers during today’s inspection.

LPA observed fire extinguishers, working smoke and carbon monoxide detectors, and fire pull stations. The facility has a built-in smoke detector/ fire system. Last Fire Drill was conducted on 03/28/2024. LPA reminded Director that fire drills need to be conducted and documented every six months.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/28/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 03/29/2024 09:01 AM - It Cannot Be Edited


Created By: Farida Raja On 03/28/2024 at 04:57 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: SWEET HEARTS PRESCHOOL
FACILITY NUMBER: 434416689

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the Director did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Director has not completed the water lead testing for the facility by the deadline.
POC Due Date: 04/12/2024
Plan of Correction
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Director will complete water lead testing or provide a written attestaion to LPA by plan of correction date of 04/12/2024. LPA provided Director with PIN 21-21.1-CCP for reference.
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

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 one staff (S1) which poses a potential health, safety or personal rights risk to persons in care. Director did not have facility file for Staff S1 for LPA to review.
POC Due Date: 04/12/2024
Plan of Correction
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Driector will provide proof of required forms for staff S1 to LPA by plan of correction date of 04/12/2024.
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2024


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 03/29/2024 09:01 AM - It Cannot Be Edited


Created By: Farida Raja On 03/28/2024 at 04:57 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: SWEET HEARTS PRESCHOOL
FACILITY NUMBER: 434416689

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/28/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101229.1(d)
Sign In and Sign Out
(d) The sign-in and sign-out sheets with the signatures required by this section and by Section 101226.1 shall be kept for one month and shall be available at the center for review by the Department.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the Director did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Director did not have parents complete sign in and out during drop off and pick up.
POC Due Date: 04/12/2024
Plan of Correction
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Director will implement parent sign in and out with full legal signatures and submit proof to LPA by plan of correction date of 04/12/024.
Type B
Section Cited
HSC
1596.841
§1596.841 Current roster of children provided care in facility required

Each child day care facility shall maintain a current roster of children who are provided care in the facility. The roster shall include the name, address, and daytime telephone number of the child's parent or guardian, and the name and telephone number of the child's physician. This roster shall be available to the licensing agency upon request.


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 04/12/2024
Plan of Correction
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Director will submit a current children's roster to LPA by Plan of Correction date of 04/12/2024.
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:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 03/28/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/28/2024


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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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SWEET HEARTS PRESCHOOL
FACILITY NUMBER: 434416689
VISIT DATE: 03/28/2024
NARRATIVE
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Drinking water is readily available for children in each room and in the outdoor playground area via individual water bottles which are refilled using store bought water. Facility did not complete water lead testing prior to their deadline. 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. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

All infants bottles and food are provided by parents and LPA observed bottles labelled with child's name in kitchen refrigerator. Director stated that parents provided insulated lunch boxes which are stored in infant's bags. Food storage areas were observed to be sanitary. All food and beverages that require refrigeration are stored in covered containers.

LPA observed the play area in the front yard is surrounded by appropriate fencing and the outdoor surfaces are safe for children. LPA observed that the play equipment is age appropriate, in good condition and free of hazards. LPA observed rubber mats and tan bark as resilient material to absorb falls. LPA discussed with Director about plans for obtaining more tan bark and having staff even out tan bark before children go outside. There are no bodies of water observed. Shade is provided by building overhang and trees. Director stated that both components use only the front play area and the backyard will be used during the summer. Director stated that infant and preschool children use outdoor play areas at different times or follow the conditions outlined in the waiver.

Director stated that they use electronic sign in and out but have not been implementing since the pandemic. LPA informed Director that each parent bringing and picking up children from the childcare center are required to sign children in and out with full legal signatures. Director did not have a children's roster for LPA to review. LPA provided Director with a copy of Childcare Facility Roster (LIC 9040) during today's inspection. LPA reviewed two (2) infant files during today's inspection. Each infant's file reviewed contained the required forms. Needs & Services Plans were on file. LPA reminded Director to update Needs and Services Plans at least once per quarter or more often if needed. Facility was in compliance with the Safe Sleep regulations/requirements, including the Infant Sleeping Plan (LIC 9227) and 15 minute nap checks.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
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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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SWEET HEARTS PRESCHOOL
FACILITY NUMBER: 434416689
VISIT DATE: 03/28/2024
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Two (2) staff files were reviewed. A review of staff records indicates that all Facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. Staff file for staff, S1 was not available at facility for LPA to review. At least one staff member on site has a current CPR and First Aid certification. LPA observed required Mandated Reporter Training on file for all staff.

Director was reminded that all adults 18 and over, 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 Child Care Center. 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies. Director stated that facility does handle medications but currently has no children in care who require Incidental Medical Services (IMS). Facility has an approved IMS Plan on file with San Jose Regional Office. Any medications at the facility are stored in a high cabinets and are inaccessible to children in care. Isolation of sick child was discussed, and Director explained that sick children will be isolated away from other children and isolation equipment will be provided. Child is always under visual supervision while in care of the facility. 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/.

Facility does not provide transportation to children. Director 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.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: SWEET HEARTS PRESCHOOL
FACILITY NUMBER: 434416689
VISIT DATE: 03/28/2024
NARRATIVE
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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

Four (4) Type B deficiencies and one technical violation were cited today on the attached LIC 809D pages. Appeal rights were printed and provided to Director. LPA reminded Director that failure to correct deficiencies by Plan of Correction Due Date may result in civil penalties.Exit interview conducted and report was reviewed with Director, Stefanie Nanez.

NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2024
LIC809 (FAS) - (06/04)
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