434416978-11-4-2021-07-CC-SCOS-C8G5HK-20211104195827

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416978
Report Date: 08/25/2021
Date Signed: 11/04/2021 07:58:38 PM

Document Has Been Signed on 11/04/2021 07:58 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 KIDS ACADEMY		FACILITY NUMBER:	434416978
ADMINISTRATOR:	NEERU SHARMA		FACILITY TYPE:	850
ADDRESS:	6097 COTTLE ROAD		TELEPHONE:	(408) 483-8941
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95123
CAPACITY: 75	TOTAL ENROLLED CHILDREN: 0	CENSUS: 6	DATE:	08/25/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Neeru Sharma		TIME COMPLETED:	06:45 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	Pp1 Licensing Program Analyst (LPA) Stephanie Collins conducted a scheduled Pre-Licensing inspection of the facility as a result of a request for a change in ownership from current Licensee Family Footsteps (License #434400306) to Tulip Kids Academy. LPA met with Tulip Kids Academy Center Owner/ Applicant Neeru Sharma who is applying for a License to operate a Preschool Center with a capacity of 75 at the above address. The Preschool also has an Infant Center located in Building 2. of the Same property ( #434416979). The Preschool will operate Monday through Friday from 07:00 AM to 06:00 PM, serving children ages 2 to 5 years old. Facility's phone #( 408) 622-8404 and (408) 859-6442. Fire clearance was completed 8/12/2021. The building was inspected inside and out. Indoor space for the Preschool school was measured to ensure that there is 35 square feet of indoor activity space per child based on the total licensed capacity. Activity Space Measurements are as follows: Building 1 & 2 (preschool rooms) = (Total sq. ft.) – (Encumbered Space) = (2,767.9 sq. ft.) – (376.61 sq. ft.) = 2391.23 sq. ft. Total Indoor Activity Space = (2,391.23 sq. ft.) divided by (35 sq. ft. / child) = 68 Children. The Preschool has 7/150 toilets and 7/150 sinks available to children in care.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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 ACADEMY	FACILITY NUMBER: 434416978
	VISIT DATE: 08/25/2021

NARRATIVE

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Pp2
Outdoor space was measured to ensure that there is at least 75 square feet of outdoor activity space per child based on the total licensed capacity.

Outdoor Activity Space Measurements are as follows:
Preschool Main-Yard # 1
= (Total sq. ft.) – (Encumbered Space) = (13,884.48 sq. ft.) – (104.07 sq. ft.)
= 13,780. 41 sq. ft.
Preschool Yard # 2
(1,856.40 sq. ft.) – (52.22 sq. ft.)
=1,804.18 sq. ft.
Total Outdoor Activity Space = ( 15,584.59 ) divided by (75 sq. ft. / child) = 207 children
There are separate staff restrooms that can be utilized by sick children with appropriate equipment. Each room is equipped with first aid materials supplies stored inaccessible to children. the facility follows Public Health's Departments' COVID-19 Guidelines and Protocols. Facility has a specific plan to ensure proper cleaning and disinfection of environmental surfaces and laundry are completed. Staff will disinfect classrooms and toys daily and as needed. A functioning fire extinguisher and carbon monoxide detectors were observed. LPA observed age appropriate outdoor play equipment for the preschool and there are resilient materials under climbing play structure. The outdoor play space is surrounded by fencing. Shade is provided by canopy and tress. Water is readily available to children, children are also in courage to bring their own water bottles. LPA did not observe any bodies of water during the visit. Currently there two play- yard, Play yard two (2) is under renovation and the preschool will not be using it at this time. Following the completion of renovation the preschool authority will inform the Community Care Licensing Office when the Play yard two will be accessible/ open to children while in care. The facility will not provide transportation.

Facility has sufficient and age appropriate toys, furniture, and equipment. LPA observed feeding chairs, and cubbies. Sleeping area for infants is located in room There are sufficient mats and cots resting/napping children. The Facility provides Lunch, and Morning and Afternoon snacks. Menu is posted. Food can be stored and prepared in the kitchen area. There are sinks with hot/cold running water, refrigerator, and microwave available. LPA observed solid waste containers with tight-fitting lids. Areas designated for storage of detergents, cleaning compounds, sharps, medicines, and other items which could pose a danger if readily available to children are inaccessible to infants.

Director meets Director’s Educational Qualification requirement. There is at least one staff with current certification for preventive health practices training, which included current pediatric cardiopulmonary resuscitation and pediatric first aid certification. Director maintains documentation of immunity against Measles and Pertussis and required training. Background Check Clearance has been completed.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

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 ACADEMY	FACILITY NUMBER: 434416978
	VISIT DATE: 08/25/2021

NARRATIVE

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Pp 3
LPA reminded Director and owner of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license, and who come in contact with or provide care and supervision to the children. For an initial violation, civil penalty amounts to $100.00 per person up to $500.00 per person. For a subsequent violation within a 12-month period, civil penalty amounts to $100.00 per person up to $3000.00 per person.

This facility plans to provide Incidental Medical Services – IMS. For IMS information,– Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. A Plan of Operation that includes IMS has been 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: http://www.ada.gov/childqanda.htm.

AB633; LPA discussed the requirements of AB 633 to Administrator Neeru Sharma and provided her the fact sheet and a copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224) her and staffs records

Exit interview was conducted, where this report was reviewed and discussed with Neeru Sharma and she is reminded that the application will be submitted to Licensing Management for review and final approval.

1: Pending: NEW UPDATED Application 200A w/ wet signature for Preschool # 434416978. (Per todays measurements preschool maximum capacity is 68 preschool children) .

Due to time restraints this report was printed at the San Jose Regional Office.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 08/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021

LIC809 (FAS) - (06/04)

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