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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444406696
Report Date: 09/16/2022
Date Signed: 09/16/2022 01:45:38 PM

Document Has Been Signed on 09/16/2022 01:45 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOLFACILITY NUMBER:
444406696
ADMINISTRATOR:REGINA MOLINAFACILITY TYPE:
850
ADDRESS:40 BLANCA LANETELEPHONE:
(831) 724-0175
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 70TOTAL ENROLLED CHILDREN: 64CENSUS: 32DATE:
09/16/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Regina SanchezTIME COMPLETED:
02:00 PM
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Licensing Program Analyst (LPA), Cortney Nelson, met with Site Director, Regina Sanchez, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by the Site Director, conducted COVID risk assessment, and toured both indoors and outdoors during the inspection. Upon arrival, there were 32 preschool-age children and 6 staff (4 Teachers/ 1 Assistant Director/ 1 Site Director) present, which is compliant with the facility license capacity and ratio requirements. LPA observed all required postings near the entrance to the facility. Hours of operation for the facility are Monday – Friday, 6:30AM-6:30PM.

LPA reviewed sign-in/out sheets, facility roster (LIC9040), and fire/disaster drill log during today’s inspection. Sign-in/out was observed to be completed with full legal signature and time of day. The last fire/disaster drill was conducted on 8/11/2022, which is compliant with the six-month requirement for facilities. LPA observed three (3) fully charged 3A40BC fire extinguishers, functioning smoke detector and carbon monoxide detector. The facility additionally has a built-in fire alarm system within the building. The Site Director states that she does not currently have any children in care who require Incidental Medical Services and does not administer medication at this time. The Site Director states that there are no weapons or firearms on the premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual- Regulation Interpretations and Procedures for Child Care Centers, Section 101173 and 101226. 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 toll-free ADA Information Line at (800) 514-0301 (voice)/ (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
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/16/2022
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOL
FACILITY NUMBER: 444406696
VISIT DATE: 09/16/2022
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Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for the day care children. Staff were observed to be working with children in the following rooms: Room #1 with 6 children, Room #2 with 9 children, Room #4 with 9 children, & Room #5 with 8 children. Room #3 was not in use during todays inspection. LPA observed sufficient age-appropriate materials, toys, and play equipment in the facility. Furniture, such as tables, chairs, and shelves, are in good condition and safe for children. The floors were clean and free of tripping hazards. Drinking water is readily available for children in the facility via water fountain and water bottles from home labeled with the children’s names. Staff and children’s bathrooms are clean, sanitary, and operable. There is a separate staff bathroom, not utilized by the children, which an isolated child can use if necessary. The Site Director has a working telephone in the facility.

Food provided by the facility is stored, prepared, and served in a safe and healthful manner to the children. The facility offers a full day program and provides snack three (3) times throughout the day to children. The snack menu is in writing and posted at least one week in advance, accessible to authorized representatives. The kitchen and storage area is clean and free of litter and rubbish. Equipment necessary for the storage, preparation and service of food is well maintained, clean, and sanitized after each use.

The outdoor area of the facility was inspected and observed to be fenced in. LPA observed that the playground needs additional resilient material near the base of the slides as the ground beneath the tanbark is visible. LPA additionally observed that plastic play materials located outside for children need cleaning as build up of dirt is visibly present on most toys. LPA observed play ground was in good condition and age-appropriate for preschool-age children. There is a sandbox located outside for children that is maintained and covered while not in use. Water fountains are located outside for children to drink. Shaded rest area is provided by canopies outside. No outdoor bodies of water were observed during today’s inspection.

10 children’s files were reviewed during today’s inspection and all required documents were present including updated immunization records and signed admission agreements.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022
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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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOL
FACILITY NUMBER: 444406696
VISIT DATE: 09/16/2022
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6 staff files (Site Director/ 4 Teachers/ Assistant Director) were reviewed and all required documents were present. There is at least one staff member present with current CPR/First-Aid that expires 2/2024. The Site Director has current Mandated Reporter training that expires on 2/8/2024. LPA reminded the Site Director that Mandated Reporter training must be renewed by all staff every 2 years.

Site Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The Site Director understands that she shall be on the premises during the hours the center is in operation and that children at the center shall be visually supervised at all times. LPA reminded Site Director that there shall be at least one person with valid CPR and First-Aid certifications on site at all times or present during off site activities, such as field trips. During todays inspection, LPA observed all staff have current CPR/First-Aid.

LPA advised Site Director of Child Care Center requirement to test drinking water for lead contamination by January 1, 2023 and will email PIN 21-21-CCP for reference.

Exit interview conducted and report was reviewed with the Site Director, Regina Sanchez.

As a result of today’s inspection, deficiencies were cited, see 809-D.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

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.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 09/16/2022 01:45 PM - It Cannot Be Edited


Created By: Cortney Nelson On 09/16/2022 at 11:50 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: HEARTS AND HANDS CHRISTIAN CHILDCARE & PRESCHOOL

FACILITY NUMBER: 444406696

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 09/16/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above for outdoor plastic play materials for children which were observed to be visibly dirty, which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 09/26/2022
Plan of Correction
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Site Director will clean plastic toys that are located outside for children's use and remove any that are in disrepair or unsafe for children to use by 9/26/2022. Photographs of cleaned plastic materials will be submitted to the Department.
Type B
Section Cited
CCR
101238.2(e)
Outdoor Activity Space
(e) As a condition of licensure, the areas around and under high climbing equipment, swings, slides and other similar equipment shall be cushioned with material that absorbs falls.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and interview, the licensee did not comply with the section cited above as the base of the slides on the playground have visible ground, which poses a potential health, safety or personal rights risk to children in care.
POC Due Date: 09/26/2022
Plan of Correction
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Site Director will order additional resilient material for the playground and ensure that the ground is not visible near the base of the slide by 9/26/2022. Resilient materials should be maintained around the playground. Photographs of additional resilient material should be submitted to the Department.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joel Segura
LICENSING EVALUATOR NAME:Cortney Nelson
LICENSING EVALUATOR SIGNATURE:
DATE: 09/16/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/16/2022


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