434417197-12-16-2024-07-CC-JCRZ-DBZREJ-20241216115737

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434417197
Report Date: 12/16/2024
Date Signed: 12/16/2024 11:57:46 AM

Document Has Been Signed on 12/16/2024 11:57 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:	KIDANGO EDEN PALMS		FACILITY NUMBER:	434417197
ADMINISTRATOR/ DIRECTOR:	MICHELLE PALACPAC		FACILITY TYPE:	860
ADDRESS:	5398 MONTEREY ROAD		TELEPHONE:	(408) 353-0500
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95111
CAPACITY: 23	TOTAL ENROLLED CHILDREN: 0	CENSUS: 6	DATE:	12/16/2024
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:17 AM
MET WITH:	Michelle Palacpac		TIME VISIT/ INSPECTION COMPLETED:	12:25 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	On 12/16/2024, Licensing Program Analyst (LPA) Janette Cruz met Michelle Palacpac, Applicant Representative. The purpose of the visit was an unannounced pre-licensing inspection at the facility to ensure the health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. The facility has an existing infant program Facility # 434414074 with a capacity of 9 infants which will be converted to a single license upon completion of the inspection process. Applicant is requesting to be licensed for 15 infants (ages 0 to 24 months) in infant classroom #208 and 8 toddlers (ages 18-36 months) in toddler classroom #133. Hours of operation will be Monday to Friday 7:00AM to 6:00PM. Fire clearance was granted on 11/19/24. Infant Classrooms measurements are: The Indoor total measurements contain a total of {1003.37} square feet, which will accommodate Applicant's request for 15 infant children. Toddler Classroom measurements are: The Indoor total measurements contain a total of {419.11} square feet, which will accommodate Applicant's request for 8 toddlers. Infant Outdoor Play measurements are: Outdoor total measurements contain a total of (1839.54 square feet), which will accommodate Applicant’s request for 15 infant children. Toddler Outdoor Play measurements are: Outdoor total measurements contain a total of (795.92 square feet), which will accommodate Applicant’s request for 8 toddlers. Indoor/Children's Area All indoor and outdoor activity space utilized for the children were inspected today. Facility has one infant and one toddler classroom. LPA informed Applicant that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities. There are total of two classrooms observed to be clean, safe, sanitary and in good repair. All outdoor and indoor passage ways and other areas of potential hazard were free of obstruction.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

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: KIDANGO EDEN PALMS	FACILITY NUMBER: 434417197
	VISIT DATE: 12/16/2024

NARRATIVE

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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. All materials and surfaces accessible to children, including toys, shall be free of toxic substances. All play equipment and materials used by children were observed to be age-appropriate. LPA observed no fireplace or open face heaters. LPA observed fully charged fire extinguisher, smoke and carbon monoxide detectors in the facility. There are 25 chairs, 7 tables, 18 cots, 5 cribs, 33 cubbies, 7 feeding chairs, 3 toilets, and 5 sinks for toddlers and infants. Staff have separate bathroom that can be utilized by sick children if needed. Sick children will be isolated in the office area of the facility. LPA observed that items that may pose a danger to children were stored in locked storage and high cabinets inaccessible to children. LPA observed containers with tight-fitting lids for the disposal of solid wastes. LPA advised that Applicant maintains first-aid supplies in a location accessible to staff but inaccessible to children.

The Applicant shall take measures to keep the center free of flies, other insects, and rodents. The facility provides lunch and snacks. Meals are prepared and packaged by the facility's "Nutritional Department," which is off site, and then delivered to the facility. No outside food is allowed at the facility. All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. LPA advised Applicants 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. LPA observed the facility has refrigerator and microwave in the premises. Kitchen/food warming and storage areas were observed to be clean and free of litter and rubbish. Drinking water is readily available for the children via water fountains and filtered water in water pitchers. .

LPA observed infant changing tables within arms reach to the sink. Applicant stated that facility shall provide food and milk bottles for infants. LPA advised Applicants that as per Title 22 regulations, bottles and dishes shall be rinsed for sanitizing at the end of each day. LPA advised that there shall be one potty chair to every five infants being toilet trained.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

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: KIDANGO EDEN PALMS	FACILITY NUMBER: 434417197
	VISIT DATE: 12/16/2024

NARRATIVE

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Outdoor:
LPA observed the facility has fully fenced outdoor playgrounds with separate areas for toddlers and infant children. Outdoor areas were free of hazards including, holes, broken glass dry grasses, and other debris that pose a fire hazard. Any construction or equipment that could pose a hazard in the outdoor activity areas shall be made inaccessible to children in care. Shade was provided by trees. The playground is enclosed by a fencing at least 4 feet high. There are sufficient outdoor age-appropriate toys and play equipment available on the playground. There is adequate cushioning in fall zones provided (grass and poured rubber). LPA observed sandboxes that is currently kept off limits to children, LPA advised Applicant that sandboxes shall be inspected daily and kept free of hazardous foreign materials when in use. LPA observed no bodies of water. During today's inspection, only a portion of the area of infant yard space was measured and will be made accessible to infant children. Applicant stated that facility plans to remove preschool climbing structures and two spring rider bouncers which shall be replaced with play structures age-appropriate for infant use.

Drinking water from a non-contaminating fixture or container shall be readily available both indoors and in the outdoor activity area. LPA 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.

This facility provides 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.

LPA discussed the safe sleep regulations with Director 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. LPA 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.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

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: KIDANGO EDEN PALMS	FACILITY NUMBER: 434417197
	VISIT DATE: 12/16/2024

NARRATIVE

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LPA reviewed with the Applicant 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.

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 corrections are needed before a licensure will be considered.
1. Proof of adequate infant play equipment available at the infant yard.
2. Proof of fencing to separate designated and measured infant yard space that shall be made accessible for infants.
3. Proof of available potty chairs for infant use.

An exit interview was conducted and copy of appeal rights were provided to Michelle Palacpac, Applicant Representative. Final license determination for a single license will be made upon review by the Licensing Program Manager.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:	DATE: 12/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2024

LIC809 (FAS) - (06/04)

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