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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417090
Report Date: 09/20/2024
Date Signed: 09/20/2024 02:28:31 PM

Document Has Been Signed on 09/20/2024 02:28 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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:MT. PLEASANT COMMUNITY PRESCHOOLFACILITY NUMBER:
434417090
ADMINISTRATOR/
DIRECTOR:		STEPHANIE ARROYOFACILITY TYPE:
850
ADDRESS:14275 CANDLER AVENUETELEPHONE:
(408) 258-6451
CITY:SAN JOSESTATE: CAZIP CODE:
95127
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
09/20/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Jessica TejadaTIME VISIT/
INSPECTION COMPLETED:
02:45 PM
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Licensing Program Analysts(LPA's) Anna Morales, Marilou Monico and Shine Yu met with Program Director Jessica Tejada for a Case Management inspection in response to licensee's request to relocate from Classroom H to C. Fire Clearance was granted on 9/11/24
LPAs toured the facility both indoor and outdoor as well as measured the classroom.

Indoor measurements are as follows:
Room C: 27.42 x 23.17 = 635.32 minus 44.06(encumbered space) = 591.26
Total preschool indoor space = 591.26 divided by 35 sq. ft. = 16 children

There are seven(7) sinks and four (4) toilets available for the children. There is a staff bathroom located in Room A. Sick children will use one of the designated bathroom inside the classroom if needed and will be accompanied by a staff. Isolation of sick children will be in a corner inside the classroom. LPA's observed fully charged 3A-40BC fire extinguisher and functioning carbon monoxide/ smoke detectors. Drinking water will be provide to the children via water dispenser and individual water bottles. LPA's observed toys and equipment that is age appropriate and safe for day care children.

The facility offers a two- half day programs (8:00am-11:30am/12:00-3:30pm) and serves breakfast and lunch to the children enrolled. The food is provided through the Mt. Pleasant Elementary school cafeteria.
Continuation on next page:
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/20/2024
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: MT. PLEASANT COMMUNITY PRESCHOOL
FACILITY NUMBER: 434417090
VISIT DATE: 09/20/2024
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LPA's observed four(4)tables, eighteen(18) chairs and 24 cubbies. The children will not be taking naps while at the preschool, therefore no mats were observed.

The following Outdoor measurements were taken on 6/15/23, by LPA's Anna Morales and Oscar Huang during an initial Pre-Licensing Inspection:

Outdoor measurements are as follows:
Playground:
126(L) x 135 (w)=17,010 sq ft.

TOTAL OUTDOOR SPACE = 17,010 sq. ft. divided by 75 = 226 children

The playground is surrounded with at least four feet tall fence. Shade is provided by Canopy and trees. There is a climbing structure in the yard with synthetic grass as resilient material under and around the structure. No bodies of water were observed. Drinking water outdoor is via individual water bottles.

Exit interview conducted and the report was reviewed with Program Director Jessica Tejada.

A licensed for 16 children will be granted pending manager review/approval and submission of the following items:
1). Proof of purchase of Trash can(s) with tight fitting cover(s) for disposable of solid waste.
2). Photo of Designated bathroom/toilet that will be used for sick children with label.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2024
LIC809 (FAS) - (06/04)
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