434417193-11-13-2024-07-CC-JCRZ-DAYRC6-20241113115347

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417193
Report Date: 11/13/2024
Date Signed: 11/13/2024 11:53:57 AM

Document Has Been Signed on 11/13/2024 11:53 AM - 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:	STATE PRESCHOOL AT ANTONIO DEL BUONO		FACILITY NUMBER:	434417193
ADMINISTRATOR/ DIRECTOR:	BEATRICE MAGDALENO		FACILITY TYPE:	860
ADDRESS:	245 FARRELL AVENUE		TELEPHONE:	(669) 205-7960
CITY:	GILROY	STATE: CA	ZIP CODE:	95020
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	11/13/2024
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Beatrice Magdaleno		TIME VISIT/ INSPECTION COMPLETED:	12:20 PM

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On 11/13/2024, Licensing Program Analysts (LPAs) Janette Cruz and Harsimran Kaur met with Applicant representative, Beatrice Magdaleno. The purpose of the visit was an announced pre-licensing inspection at the facility to ensure that health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were no children present during this inspection. This is an application for 22 children, ages 2.9 to 5 years old. The child care center will operate two part-time sessions daily, Monday – Friday at 8:00 am - 11:00 am and from 12:00pm to 3:00pm. The City of Gilroy Fire Department approved the fire clearance on 07/24/2024. The facility is located in a building operated by Gilroy Unified School District.

LPAs toured and measured the on-limits areas and the classroom (E3) located at the facility.

Classroom measurements are:

The Indoor total measurements contain a total of 797.45 square feet, which will accommodate Applicant’s request for 22 children.

Outdoor Play measurements are:

Outdoor total measurements contain a total of 5133.96 square feet, which will accommodate Applicant’s request for 22 children.

Indoor/Children’s Area:

The facility was observed to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors. A comfortable temperature for children shall be maintained at all times. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. There are 30 chairs, 6 tables, 50 cubbies, 4 toilets, and 6 sinks for the preschool program. There are age-appropriate fixture and equipment available for children during today’s inspection. The Applicant shall ensure that each child has an individual permanent or portable storage space for his/her clothing, personal belongings. There is fully charged fire extinguisher, smoke detector, and carbon monoxide detector.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024

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: STATE PRESCHOOL AT ANTONIO DEL BUONO	FACILITY NUMBER: 434417193
	VISIT DATE: 11/13/2024

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The Applicant shall take measures to keep the center free of flies, other insects, and rodents. All containers used for storage of solid wastes, including moveable bins, shall have a tight fitting cover that is kept on. LPAs observed no fireplace or open face heaters.

Disinfectants and cleaning solutions are located in high cabinets inaccessible to children. Storage areas for poisons shall be locked. LPAs advised that Applicant maintains first-aid supplies in a location accessible to staff but inaccessible to children. The designated isolation area is at the director's office. The isolation area shall be equipped with a mat, cot, couch or bed for each ill child. The Applicant shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted. Medications shall be kept in a safe place inaccessible to children.

Applicant was reminded that all child care centers shall have working telephone service on the premises.

LPAs advised that smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b). All toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating condition. LPAs observed hot and cold water available in the classroom. LPAs advised that hot water temperature controls shall be maintained to automatically regulate temperature of hot water delivered to plumbing fixtures used by children to attain a hot water temperature of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). A separate staff bathroom is available that can be used as isolation area for a sick children to use for bathroom.

All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Lunch is prepared off site via school district lunch resource provider, "Sedexo." LPAs advised Applicant as per Title 22, if food is prepared off the center premises, the following shall apply: (A)The preparation source shall meet all applicable requirements for commercial food services.(B) The center shall have the equipment and staff necessary to receive and serve the food and to clean up.(C) The center shall maintain the equipment necessary for in-house food preparation, or shall have an alternate source for food preparation and service in the event of an emergency. Commercial foods shall be approved by appropriate federal, state and local authorities. All foods shall be selected, transported, stored, prepared and served so as to be free from contamination and spoilage and shall be fit for human consumption. Drinking water is available via water drinking fountains and bottled waters.

LPAs observed outdoor area is enclosed by a fence at least four feet high to protect children and to keep them in the outdoor activity area. Shade was provided by a canopy structure. The areas around and under high climbing equipment and slides had resilient material (poured rubber) that can absorb falls. LPAs observed no bodies of water. LPAs observed a portable hand washing station and an outdoor drinking fountain available for children.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024

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: STATE PRESCHOOL AT ANTONIO DEL BUONO	FACILITY NUMBER: 434417193
	VISIT DATE: 11/13/2024

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The following items were discussed:
Drinking water from a non-contaminating fixture or container shall be readily available both indoors and in the outdoor activity area. LPAs advised per Health and Safety Code 1597.16(a)(1) Lead Testing and PIN-21-21-CCP Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test.
Per Written Directive 100700(c)(1) Written Directives for Lead Testing (1) For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

Applicant 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, 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.

LPAs discussed the safe sleep regulations with Applicant and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPAs also informed Applicant 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.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. 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) or (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 reviewed with Applicant the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.
Applicant was informed of the MyChildCarePlan.org site, 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.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024

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: STATE PRESCHOOL AT ANTONIO DEL BUONO	FACILITY NUMBER: 434417193
	VISIT DATE: 11/13/2024

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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 platforms.

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.

The following requirement is needed before a licensure will be considered.
1. Final review of application packet.

An exit interview was conducted with the above items discussed and a copy of appeal rights and this report was provided to the Applicant Representative, Beatrice Magdaleno. Final license determination will be made upon review by the Licensing Program Manager.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2024

LIC809 (FAS) - (06/04)

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