434417023-12-14-2021-07-CC-MMOO-C9PW52-20211214155827

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417023
Report Date: 12/14/2021
Date Signed: 12/14/2021 03:58:43 PM

Document Has Been Signed on 12/14/2021 03:58 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:	WONDER STEPS PRESCHOOL		FACILITY NUMBER:	434417023
ADMINISTRATOR:	JETALBEN PATEL		FACILITY TYPE:	850
ADDRESS:	15063 UNION AVENUE		TELEPHONE:	(408) 594-9812
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95124
CAPACITY: 30	TOTAL ENROLLED CHILDREN: 30	CENSUS: 0	DATE:	12/14/2021
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Jetalben Patel		TIME COMPLETED:	01:30 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 Analysts (LPAs) Dung Mac and Marilou Monico, conducted an announced pre-licensing inspection to the Facility today. LPAs met with Jetalben Patel, Applicant Representative/Site Director, and explained the nature of today's inspection to them. The Facility is still in operation (Facility #434406741) pending the approval of the change of ownership. Note: Applicant Representative has applied for a Preschool (#434417023) and Infant (#434417024) on the same premises. The Preschool Center will operate Monday through Friday from 8:00AM to 6:00PM, serving Preschool children ages 2-6 years old. The Preschool program will be using two classrooms: Toddler/Preschool and Preschool/Pre-K. The Infant program will be utilizing Infant-Toddler classroom. A fire clearance approval from the San Jose Fire Department for 30 preschool children was received prior to today's inspection. LPAs toured and measured the indoor and outdoor areas of the facility during today's inspection. INDOOR ACTIVITY SPACE: TODDLER/PRESCHOOL ROOM: (14.500 x 8.750) + (12.083 x 19.917) - 4.234 (encumbered) = 367.532 - 4.234 = 363.298 (18.500 x 18.000) - 72.555 (encumbered) = 260.555 PRESCHOOL/PRE-K ROOM: 20.083 x 23.750 = 476.971 363.298 + 260.555 + 476.971 = 1,100.714 sq. ft *TOTAL PRESCHOOL INDOOR SPACE =* 1,100.714 sq. ft. divided by 35 = 31 children Report To Be Continued on Page #2

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021

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: WONDER STEPS PRESCHOOL	FACILITY NUMBER: 434417023
	VISIT DATE: 12/14/2021

NARRATIVE

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Facility has 3 sinks (45) and 3 toilets (45) available for the preschool children. The sinks used by children only have cold running water. The Staff bathroom is clean and sanitary and can be utilized by sick children if necessary. Sick children will be isolated in the director's office and isolation equipment will be provided. Medications will be stored in the Director's office inaccessible to children. First aid supplies (including touch less thermometer) will be stored in the kitchen on a high shelf inaccessible to children. Cleaning supplies will be stored in a locked cabinet in the kitchen.

LPAs observed a solid waste container with a tight-fitting lid and functioning smoke/carbon monoxide detectors in each classroom. Facility has adequate toys and activities for children. LPAs observed a barricaded fireplace in the Toddler/Preschool classroom. Both classrooms have appropriate lighting.

There are 6 tables, 21 chairs, 30 cubbies, 28 cots, and 2 mats. Drinking water will be readily available for the children in each room and in the outdoor playground area via individual water bottles and pitchers. Transportation will not be provided by the Facility.

Breakfast and AM/PM snacks will be provided by the center. Children will bring their own lunch. There is an off-limits kitchen for food preparation. The food preparation area (kitchen) is functional and has hot and cold running water, sink, refrigerator, oven, dish washer, microwave, and storage spaces for food. Disposable plates and utensils will be provided by the Center.

OUTDOOR MEASUREMENTS:

PRESCHOOL PLAYGROUND:
(74.000 x 79.667) + (35.500 x 38.667) + (6.417 x 19.000) minus 1,615.615 (encumbered) = 5,774.334

TOTAL OUTDOOR SPACE = 5,774.334 sq. ft divided by 75 = 76 children

The areas around and under the play structures are cushioned with material (rubber foam) that absorbs falls. The playground equipment is age appropriate. There are adequate equipment, supplies, and toys for children outdoors.

Report To Be Continued on Page #3

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021

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: WONDER STEPS PRESCHOOL	FACILITY NUMBER: 434417023
	VISIT DATE: 12/14/2021

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LPAs observed the playground is surrounded by appropriate fencing. Shade is provided by trees, canopies, and umbrellas. There is a ground pool on the preschool playground. Pool has at least 5' high fence and can be seen through. Pool has a wrought iron fence and both gates swing away from the pool, self-close, and self-latching. Gate handles lock from the outside only. Space between bars on fence is no more than 4 inches apart. Bottom of fence is less than 4 inches from the ground. LPAs observed 2 windows in off-limit garage have direct access to the pool. LPAs observed a large sand box with a canopy for shade. LPAs observed a locked shed.

Jetalben Patel, Applicant Representative/Director, has obtained a Criminal Records Clearance and Child Abuse Index Checks. Director has met the education and experience qualification requirements and her Pediatric First Aid/CPR Certifications expire on 9/11//2023. Director has proof of completion of Preventative Health Practices and proof of immunity against Measles and Pertussis, Influenza on file.

LPAs reminded Jetalben Patel of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the facility, 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 per day 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.

Incidental Medical Services (IMS) policy. 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 must be 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

LPAs conducted an exit Interview and advised Jetalben Patel that a license for 30 preschool children will be approved pending the receipt of the following items:
1) At least 5 foot fence to be installed in the area of the swimming outside the windows facing the swimming pool.
2) Barricade the area separating the off limit kitchen to the Toddler/Preschool Classroom.
3) Management review and approval

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2021

LIC809 (FAS) - (06/04)

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