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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417126
Report Date: 09/06/2024
Date Signed: 09/06/2024 12:06:44 PM

Document Has Been Signed on 09/06/2024 12:06 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:JY INTERNATIONAL GROUPFACILITY NUMBER:
434417126
ADMINISTRATOR/
DIRECTOR:		THERESA CAMPBELLFACILITY TYPE:
850
ADDRESS:755 SOUTH BERNARDO AVENUETELEPHONE:
(408) 348-9618
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 120TOTAL ENROLLED CHILDREN: 27CENSUS: 9DATE:
09/06/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:27 AM
MET WITH:Zengqiang WangTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Mandeep Kaur met with Licensee representative, Zengqiang Wang
for an unannounced Annual/Random Inspection. The purpose of today's inspection was explained with Licensee representative. Facility's License, Notification of Parents’ Right Poster, Child Car Seat Law, Personal Rights (LIC 613A), Emergency Disaster Plan, Menus, Activity Schedule, and Earthquake Preparedness Checklist were observed to be posted. The preschool program has a active waivers: outdoor space. The center's operating hours are Monday through Friday from 08:00 AM to 6:00 PM. The facility is licensed to serve children ages 2 years to 5 years in Rooms #101, #102, #103, #104 and #105.

LPA toured the indoor and outdoor areas with Licensee representative. LPA observed that the teacher-child ratio was in compliance. Fire drill was conducted on July 26,2024. The facility has current children's roster and a copy was provided to LPA during the inspection. Cleaning products, disinfectants, sharp objects were stored inaccessible to children. Furniture and equipment were observed to be age appropriate and in good condition. The facility is clean. The bathrooms for children and staff are clean, sanitary, and operable. LPA observed 8 toilets and 8 sinks available for the children. Licensee representative stated that the center has a third party cleaning service that comes and clean the facility after daycare hours.

The center provides morning snacks, lunch, afternoon snacks and late afternoon snacks to the children. There is a kitchen at the facility for food preparation. The kitchen is equipped with refrigerator, stove, oven, microwave, dishwasher, storage space for food, and a sink with hot and cold running water. Drinking water is available for the children indoor via individual water bottles, water dispenser in each classroom and store bought water bottles. LPA observed trash cans with tight fitting covers for the disposable of solid waste.

Healthy beverages requirements were discussed with Licensee representative.

The facility has fire extinguishers and working smoke and carbon monoxide detectors.
Continuation on next pages:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2024
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: JY INTERNATIONAL GROUP
FACILITY NUMBER: 434417126
VISIT DATE: 09/06/2024
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The playground is surrounded with appropriate fencing and the outdoor surfaces are safe. Shade is provided by canopies. Drinking water is readily available for the children outdoor via individual water bottles and store bought water bottles. LPA observed climbing structures with resilient material (rubber foam) under and around the structures. There were no bodies of water observed. Licensee representative stated that there are no weapons or firearms on the premises.

LPA reviewed 5 random children's files. Children records reviewed include Admission Agreement,
Identification and Emergency Information, Consent for Emergency Medical Treatment, Physician's Report, TB test, Immunizations, Parent Right's Receipt, Personal Rights, and Health History.

LPA reviewed 4 staff files. Staff records reviewed include Employee Rights, Statement Acknowledging
Requirement to Report Child Abuse, Health Screening Report with TB Clearance, Immunizations (Measles,
Pertussis, and Influenza) and required training. Based on records review, 1 out of 4 of the staff (S4) does not have completed Mandated Reporter Training certificate on file. LPA reminded Licensee representative that the Mandated Reporter Training shall be renewed by all staff every two years. At least one staff member present during the inspection has current Pediatric CPR/First Aid certifications.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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) 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-care-centers/.

Licensee representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Continuation on next page:
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024
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: JY INTERNATIONAL GROUP
FACILITY NUMBER: 434417126
VISIT DATE: 09/06/2024
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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.
LPA referred Licensee representative, to the Department website for lead: Lead Toxicity
Prevention and Water Testing Information. The facility does not need to complete Lead Inspection Services as building was constructed after January 1, 2010. Licensee states that construction was completed in 07/2023. Proof of Lead testing is not required, email from water board, dated 07/11/2024, was obtained during today's inspection.

Licensee representative, 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&R's) throughout California.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

As a result of this inspection, No deficiency was issued. One technical violation was issued during today's inspection.

Exit interview conducted and report was reviewed with Licensee representative, Zengqiang Wang.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Mandeep Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

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