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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444408744
Report Date: 09/22/2023
Date Signed: 09/22/2023 05:15:22 PM

Document Has Been Signed on 09/22/2023 05:15 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:HAPPY DAYS CHILDREN'S LEARNING CENTERFACILITY NUMBER:
444408744
ADMINISTRATOR:ANDREA MARCFACILITY TYPE:
850
ADDRESS:191B HARVEY WEST BOULEVARDTELEPHONE:
(831) 469-9358
CITY:SANTA CRUZSTATE: CAZIP CODE:
95060
CAPACITY: 69TOTAL ENROLLED CHILDREN: 69CENSUS: 35DATE:
09/22/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
02:31 PM
MET WITH:Andrea MarcTIME COMPLETED:
03:20 PM
NARRATIVE
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Licensing Program Analyst (LPA) Samantha Yip conducted an unannounced Case Management-Other inspection. LPA met with Director Andrea Marc and explained the reason for the inspection.

During today's inspection, S-1 was present at the center. S-1's fingerprints are associated to #434417012. Director transferred S-1's fingerprints to facility during today's inspection.

As a result of this inspection, a Type B citation was issued. A civil penalty of $100 was assessed for caregiver background check. Exit interview conducted and report was reviewed with Director Andrea Marc. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 09/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/22/2023
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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Document Has Been Signed on 09/22/2023 05:15 PM - It Cannot Be Edited


Created By: Samantha Yip On 09/22/2023 at 02:53 PM
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: HAPPY DAYS CHILDREN'S LEARNING CENTER
FACILITY NUMBER: 444408744

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/22/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/29/2023
Section Cited
CCR
101170(e)(2)

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Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance as specified in Section 101170(f)
This requirement is not met as evidenced by:
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Deficiency was corrected during today's inspection. Director transferred fingerprints during today's inspection.
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Based on record review, S-1 was present and fingerprints were only associated to #434417012, which poses a potential health and safety risk to children in care.
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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:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 09/22/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/22/2023


LIC809 (FAS) - (06/04)
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