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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417104
Report Date: 01/24/2025
Date Signed: 01/26/2025 11:52:36 PM

Document Has Been Signed on 01/26/2025 11:52 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:HUGHES EARLY LEARNING PROGRAMFACILITY NUMBER:
434417104
ADMINISTRATOR/
DIRECTOR:
JENNIFER TAFACILITY TYPE:
830
ADDRESS:4949 CALLE DE ESCUELA # 27TELEPHONE:
(408) 423-1516
CITY:SANTA CLARASTATE: CAZIP CODE:
95054
CAPACITY: 12TOTAL ENROLLED CHILDREN: 9CENSUS: 9DATE:
01/24/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Jennifer TaTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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Licensing Program Analysts (LPA) Anna Morales conducted a ANNUAL RANDOM INSPECTION and was greeted by Director Jennifer Ta. The Infant Program is open Monday through Friday from 7:15AM to 5:30PM and serves children ages 0 - 2 years old in Room #27. Facility's License, Notification of Parents’ Rights Poster, Child Car Seat Law, Personal Rights (LIC 613A), Emergency Disaster Plan, and Earthquake Preparedness Checklist were observed to be posted. Last Disaster Drill was conducted on 8/29/24.

LPA toured the facility both indoor and outdoor. LPA observed that the facility was operating in compliance with teacher to children ratio requirement. Infants/toddlers were engaged with activities and sleeping with supervision of staff. There were no bodies of water observed. Director stated that they do not have weapons on the premises. Furniture and equipment were observed to be age appropriate and in good condition, free of sharp, loose, or pointed parts. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Floors were clean.

There is adequate equipment, supplies, and toys for the infant children. LPA observed a changing table that has raised sides (3 inches in height) and is within an arm's reach of a sink. LPA observed containers with tight-fitting lids for solid waste and diaper disposal. First aid supplies are stored and are inaccessible to children. Cleaning supplies are stored in a locked cabinet and Janitor's cleaning supplies are locked in the off-limits shipping container located outside on the school grounds. Carbon monoxide and smoke detectors are interconnected. The Facility has central heating/air conditioning.

The playground is shared with the preschool program on rotating schedules and there is a wavier on file. The playground is enclosed with fencing and the areas around and under the play structure are cushioned with material (Play N Pour rubber surfacing) that absorbs falls. Shade is provided by canopies and outdoor patios in the playground. There is adequate equipment and toys for children outdoors. Drinking water is provided outdoors via filter water refilling station and sippie cups.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
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: HUGHES EARLY LEARNING PROGRAM
FACILITY NUMBER: 434417104
VISIT DATE: 01/24/2025
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Meals(including infant formula) and Snacks are provided by the center. The sink located on the counter is equipped with hot and cold running water. There is a refrigerator and storage space for food.

LPA discussed the safe sleep regulations with Director and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed owner of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Children records reviewed include Admission Agreement, Identification and Emergency Information, Consent for Emergency Medical Treatment, receipt of Parent Rights Notice, Personal Rights Notice, Physician's Report, Medical Assessment, Immunization records, Infant Needs and Services Plan, and Infant Sleep Logs. LPA observed that each infant has current feeding, diaper, and nap log. The center has documentation that sleeping infants were checked every 15 minutes. Diapers are being disposed appropriately. Each infant has personal items individually stored and labeled.

LPA reviewed staff files during today's inspection. Staff records reviewed include: Personnel Record, Employee Rights, Statement Acknowledging Requirement to Report Child Abuse, Health Screening Report with TB Clearance, Immunization records (Measles, Pertussis, and Influenza), proof of education qualifications, mandated reporter training certificates. teachers at this facility have current Pediatric CPR/First Aid certifications on file.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP). CCC did not complete Testing prior to their deadline. Water is supplied through filter water.

LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
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: HUGHES EARLY LEARNING PROGRAM
FACILITY NUMBER: 434417104
VISIT DATE: 01/24/2025
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Director stated that this facility provides Incidental Medical Services – IMS. Staff stated that there are no children who currently taking any medications. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/.
Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies cited during visit. Exit interview was conducted with Director. A notice of site visit was given and must remain posted for 30 days.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process..

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC809 (FAS) - (06/04)
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