434416979-11-4-2021-07-CC-SCOS-C8G6RU-20211104210256

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416979
Report Date: 09/08/2021
Date Signed: 11/04/2021 09:03:18 PM

Document Has Been Signed on 11/04/2021 09:03 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:	434416979
ADMINISTRATOR:	NEERU SHARMA		FACILITY TYPE:	830
ADDRESS:	6097 COTTLE ROAD		TELEPHONE:	(408) 483-8941
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95123
CAPACITY: 18	TOTAL ENROLLED CHILDREN: 0	CENSUS: 6	DATE:	09/08/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Neeru Sharma		TIME COMPLETED:	01:40 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	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 an Infant Center with a capacity of 18 at the above address. The Infant Center is located in Building 2. Tulip Kids Academy also has a Preschool located on the same property ( #434416978). The Center will operate Monday through Friday from 08:00 AM to 6:00 PM, serving children ages 8 month until 24 months . Facility's phone # (408) 622-8404 and (408) 859-6442. Fire clearance was granted 8/12/2021. The building was first inspected on 08/31/2021, an Infant wall to separate the infant napping area from the infant activity space was required per regulation. LPA measured and inspected wall and indoor activity space. Indoor space for the Infant center was measured to ensure that there is 35 square feet of indoor activity space per child based on the total licensed capacity. Indoor Activity Space Measurements are as follows: Building 2(Infant room) = (Total sq. ft.) – (Encumbered Space) = (433.80 sq. ft.) – (8.83 sq. ft.) 424.97 = sq. ft. Total Indoor Activity Space = (424.97 sq. ft.) divided by (35 sq. ft. / child) = 12 Children Outdoor Activity Space Measurements are as follows: (taken 8/31/2021) Yard 1 Infant = (Total sq. ft.) – (Encumbered Space) = (1,157.18 sq. ft.) – (14.92 sq. ft.) = 1,142.26 sq. ft. *Total Outdoor Activity Space = (1,142.26sq. ft.) divided by (75 sq. ft. / child) = 15 children*

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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: 434416979
	VISIT DATE: 09/08/2021

NARRATIVE

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LPA observed age appropriate outdoor play equipment for the infant and there are resilient materials under climbing play structure. The outdoor play space is surrounded by fencing. Shade is provided by canopy. LPA did not observe any bodies of water during the visit. Director stated that facility will not provide transportation.

Facility has sufficient age appropriate toys, furniture, and equipment. LPA observed feeding chairs, and cubbies. Sleeping area for infants is located in room There are cribs and mats and cots for the older infants who are able to climb out of cribs. The Infant Center will not be providing potty training. Infant room has two sinks and a changing table within arm's reach of a sink. The changing tables has raised sides that are at least 3 inches high and has padded surface that is no less than one inch thick and covered in washable vinyl. Owner understands that a baby walker shall not be kept or used on the premises of a child day care facility. Drinking water is readily available indoor and outdoor. Facility will follow each infant’s Feeding Plan. Feeding chairs and other appropriate seating equipment will be used to seat infants during feeding. Infants shall be held during feedings if they are unable to sit unassisted. Propped bottles are not permitted. Menu is posted. Food are stored and prepared in the kitchen area . There is a sink with hot/cold running water, and refrigerator, and microwave. 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 have been completed.

LPA reminded Director/ 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.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

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: 434416979
	VISIT DATE: 09/08/2021

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This facility plans to provide Incidental Medical Services – IMS. For IMS information, see Evaluator Manual – 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.

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.

SUPERVISORS NAME: Sandy Knight
LICENSING EVALUATOR NAME: Stephanie Collins
LICENSING EVALUATOR SIGNATURE:	DATE: 09/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2021

LIC809 (FAS) - (06/04)

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