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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417418
Report Date: 04/25/2024
Date Signed: 04/26/2024 08:38:27 AM

Document Has Been Signed on 04/26/2024 08:38 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:CHO, YONG KYOFACILITY NUMBER:
434417418
ADMINISTRATOR/
DIRECTOR:		YONG KYO CHOFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(213) 503-9712
CITY:SANTA CLARASTATE: CAZIP CODE:
95051
CAPACITY: 14TOTAL ENROLLED CHILDREN: 14CENSUS: 0DATE:
04/25/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Yong Kyo ChoTIME VISIT/
INSPECTION COMPLETED:
11:10 AM
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Licensing Program Analyst(LPA) Anna Morales conducted a scheduled Pre-Licensing visit. LPA met Applicant Yong Kyo Cho. Applicant stated that she is the only adult residing at the facility.

Days and hours of operation will be Monday- Friday from 8:30am-5:30pm, ages 18 months to five years old. Applicant's CPR and First Aid certifications are current and expire on 5/20/2025. Applicant completed the Mandated Reporter Training for Child Care Workers and it expires on 4/3/2026. A copy of current TB test ,decline statement for the flu and MMR,& Tdap vaccinations are on file. Applicant submitted a copy of the renters/lease agreement. Applicant will obtain have liability insurance and understands that if she does not obtain the insurance that she will issue an Affidavit Regarding Liability Insurance for Family Child Care Home (LIC 282) to all enrolling families. Applicant completed the Preventative Health and Safety that includes the nutrition and lead.

LPA toured the indoor and outdoor areas of the home with the Applicant during today's inspection. This is a single-three bedroom home with no swimming pool. LPA observed in the main living room a covered fireplace. Children will have access to the living room areas, Bedroom Number Three and First bathroom(Bathroom Number two) located in the hallway. Children will have access to the backyard. Off limit areas inside and outside of the home: Bedroom Number 1 and 2, Bathroom Number 1, the kitchen and the garage. LPA observed twelve new mats and age appropriate chairs and tables.

The home is clean, orderly, including heating and air conditioning, for safety & comfort. Applicant has a working working combo smoke & carbon monoxide detectors, no bodies of water, and fenced backyard. Applicant has a 2A10BC Fire Extinguisher. Applicant does have sufficient toys, play equipment, and materials for day care children. Applicant states that she does not have any weapons/ammunition in the home.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE: DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/25/2024
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: CHO, YONG KYO
FACILITY NUMBER: 434417418
VISIT DATE: 04/25/2024
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Cleaning Products, toxic agents, and sharp objects are not accessible to children. LPA reminded Applicant that smoking, baby walkers, baby bouncers and similar items are not allowed in Family Child Care Homes. Applicant states that a child will be isolated in Bedroom Number Three if necessary due to illness or communicable disease. Applicant does have a First Aid kit in the home.

Forms of discipline to be used by Applicant: talking to children & redirection. Applicant will also talk with the parent and have them help with the behavior issues if necessary. Applicant understands that children's personal rights should not be violated, including no corporal punishment. isolation of sick children, supervision of children, capacity options, transportation of children, requirements for reporting suspected child abuse, unusual incidents/injuries, heat related illnesses, and requirements for assistant/substitute were also discussed. LPA informed the Applicant that fire/disaster drills must be practiced at least once every 6 months and documented.

Incidental Medical Services (IMS) policy was discussed. Applicant states that she will not administer any medication to For IMS information see PIN 22-02- CCP. When any IMS is provided, a Plan for Providing 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 requirements of AB 633 with the Licensee and understands the AB 633 fact sheet/copy of Acknowledgement of Receipt of Licensing Reports (LIC 9224). LPA discussed "zero tolerance" related regulations with the Licensee and advised the Licensee of the assessment of an immediate $500 per day civil penalty for any violation of a "zero tolerance" related regulation. An ongoing civil penalty of $100 per day continues until the violation(s) is corrected. LPA reminded the Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license, and who come in contact with or provide care and supervision to the children.


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

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
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: CHO, YONG KYO
FACILITY NUMBER: 434417418
VISIT DATE: 04/25/2024
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at:
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensees 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. LPA informed Licensee that sleep sacks are not allowed to be used on infants.

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-carelicensing/subscribe and select the Child Care option to receive email communication.

Exit interview conducted and report was reviewed with the Applicant, Yong Kyo Cho. LPA advised the Applicant that a Large Family Child Care Home license will be approved upon completion of the following:

1). Manager review and Approval of final license.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Anna Morales
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
LIC809 (FAS) - (06/04)
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