434417041-9-22-2022-07-CC-MMOO-CJHTQH-20220922145558

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417041
Report Date: 09/22/2022
Date Signed: 09/22/2022 02:56:10 PM

Document Has Been Signed on 09/22/2022 02:56 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:	ATLC PRESCHOOL & EXTENDED CARE		FACILITY NUMBER:	434417041
ADMINISTRATOR:	PAULA WALKUP		FACILITY TYPE:	850
ADDRESS:	1975 CAMBRIANNA DRIVE		TELEPHONE:	(408) 371-2573
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95124
CAPACITY: 165	TOTAL ENROLLED CHILDREN: 165	CENSUS: 38	DATE:	09/22/2022
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Paula Walkup		TIME COMPLETED:	03:10 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) Marilou Monico and James Santos met with Applicant Representative, Paula Walkup, for the purpose of conducting a pre-licensing inspection. This was in response to an application for a change of ownership. The Preschool Program will operate Monday through Friday from 7:00 AM to 5:30 PM, serving preschool children ages 2-6 years old. The Preschool program will be utilizing Rooms 1 thru 7. LPAs toured and measured the indoor and outdoor areas of the facility during today's inspection. Indoor Activity Space: ROOM 1: 40.417 x 29.083 = 1,175.45 minus 61.5 (encumbered space) = 1,114.16 ROOM 2: 41.5 x 29.167 = 1,210.43 minus 174.15 (encumbered space) = 1,036.28 ROOM 3: 31.667 x 29.25 = 926.26 minus 46.06 (encumbered space) = 880.20 ROOM 4: 31.417 x 29.333 = 921.55 minus 48.75 (encumbered space) = 872.80 ROOM 5: 31.583 x 29.25 = 923.80 minus 47.56 (encumbered space) = 876.24 ROOM 6: 31.5 x 29.167 = 918.76 minus 51.08 (encumbered space) = 867.68 ROOM 7: 31.5 x 29.167 = 918.76 minus 53.179 (encumbered space) = 865.58 *TOTAL INDOOR SPACE = 6,512.94 sq. ft. divided by 35 = 186 children* *Continuation on Page 2*

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

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: ATLC PRESCHOOL & EXTENDED CARE	FACILITY NUMBER: 434417041
	VISIT DATE: 09/22/2022

NARRATIVE

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Facility has 15 sinks (225), 8 toilets and 4 urinals (180) available for the children. The sinks used by children only have cold running water. There is a staff bathroom located in the Director's Office. There is another staff bathroom located next to the kitchen. The sick children will be using the staff bathroom located in the Director's Office if needed. Sick children will be isolated in the Director's Office and isolation equipment will be provided. Staff and children's bathrooms are clean, sanitary, and operable.

LPAs observed containers with tight-fitting lids for the disposal of solid waste. First aid supplies are stored in each classroom and in the Director's Office inaccessible to children. Cleaning supplies are stored in the closet in each room out of reach of children. LPAs observed smoke/carbon monoxide detectors and appropriate lighting in each classroom. The facility has central heating and window units air conditioning. Medications will be stored in plastic containers located in the upper shelves in the kitchen.

LPAs observed stained carpet/tile floors in all of the classrooms. Paula understands that the facility must be kept free of flies, other insects & rodents. LPAs observed that all furniture and equipment indoors are in good condition and safe for the children. Drinking water will be readily available for the children indoors via individual water bottles. Transportation will not be provided by the facility.

The facility will serve morning and afternoon snacks. There is an off-limits kitchen for food preparation. The kitchen is clean and equipped with hot and cold running water, refrigerators, microwave, toaster, and storage space for food. Disposable utensils and plates will be utilized by the facility.

There are 53 tables, 200 chairs, 107 cubbies, 114 hooks, and 50 cots for the children. There is adequate equipment, supplies, and toys for the preschool children in each classroom. Some of the children will be attending on a part-time basis and will not nap at the center.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

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: ATLC PRESCHOOL & EXTENDED CARE	FACILITY NUMBER: 434417041
	VISIT DATE: 09/22/2022

NARRATIVE

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OUTDOOR MEASUREMENTS:
BACK PLAYGROUND: 146.5 x 197.75 = 28,970.38
28.167 x 70.5 = 1,985.77
BACK PLAYGROUND TOTAL = 30,956.15
COURTYARD: 113 x 66.167 = 7,476.87
30.417 x 19.75 = 600.74
COURTYARD TOTAL = 8,077.61
FRONT PLAYGROUND: 91 x 45.750 = 4,163.25
1/2 (61.750)(59.333) = 1,831.906
FRONT PLAYGROUND TOTAL = 5,995.156 minus 591.401 (encumbered space) = 5,403.755
TOTAL OUTDOOR SPACE = 44,437.515 sq. ft. divided by 75 = 592 children

LPAs observed the playgrounds are fully fenced which meet the height requirements. Shades are provided by trees, canopies, and building overhang. The areas under the play structures are cushioned with material (tanbarks) that will absorb a fall. Drinking water will be provided via individual water bottles. No bodies of water were observed. LPAs observed that the walls located at the back of Rooms 4, 5, 6, and 7 have chipping paints. LPAs observed chipping paints on wood window borders located outside of Rooms 1 & 2. The train cart play equipment located in the Front Playground needs to be repainted.

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

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: ATLC PRESCHOOL & EXTENDED CARE	FACILITY NUMBER: 434417041
	VISIT DATE: 09/22/2022

NARRATIVE

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Applicant Representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

LPAs reviewed with Applicant Representative the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with Paula Walkup, Applicant Representative. LPAs advised Paula that a license for 150 Preschool children will be submitted to Licensing Management for the final stage of approval upon receiving the following items:

1) Carpet/tile floors in all classrooms to be cleaned/shampooed

2) Outside walls of Rooms 4, 5, 6 and 7 to be repainted
3) Wood window borders outside Rooms 1 and 2 to be repainted
4) Train cart play equipment located in the front playground to be repainted
5) Receipt of items requested during the Office Meeting on September 19, 2022

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:	DATE: 09/22/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/22/2022

LIC809 (FAS) - (06/04)

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