<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444408785
Report Date: 01/24/2025
Date Signed: 01/24/2025 02:50:47 PM

Document Has Been Signed on 01/24/2025 02:50 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:CKC CHILDREN'S CENTERFACILITY NUMBER:
444408785
ADMINISTRATOR/
DIRECTOR:		NIDYA JUAREZFACILITY TYPE:
850
ADDRESS:8005 WINKLE AVENUETELEPHONE:
(831) 475-6587
CITY:SANTA CRUZSTATE: CAZIP CODE:
95065
CAPACITY: 42TOTAL ENROLLED CHILDREN: 42CENSUS: 0DATE:
01/24/2025
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Heidi Lister & Tina BurcherTIME VISIT/
INSPECTION COMPLETED:
02:55 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
Licensing Program Manager (LPM), Joel Segura, and Licensing Program Analyst (LPA), Marilou Monico, met with Executive Director, Heidi Lister, and Preschool Site Director, Tina Burcher, at the San Jose Regional Office today for a scheduled Informal Meeting. The purpose of today's meeting is to discuss the Licensee's compliance and ability to follow the Title 22 Regulations.

This Informal Meeting is a result of the following citations:
10/16/24 - Section 101229(a)(1) - Responsibility for Providing Care & Supervision - A daycare child, C1, exited the playground unnoticed by staff and had gone out the gate. This poses an immediate risk to the health, safety, and personal rights of children in care. Since this is a repeat violation within a 12 months, $1000 civil penalty was assessed.
11/21/23 - Section 101229(a)(1) - Responsibility for Providing Care & Supervision - The Licensee did not ensure that children are visually supervised at all times as a child was left outside during a transition to inside, which poses an immediate risk to the health, safety, and personal rights of children in care. $500 civil penalty was assessed.

The facility implemented the following plan to bring the facility in compliance:
1) Frequent headcounts and confirming headcount with other staff in the classroom or yard
2) Station a staff member next to the gate. Use the smaller yard if no staff available to stay near the gate.
3) Staff training on supervision of children was conducted on October 22, 2024

Executive Director and Preschool Site Director agreed to increase supervision. Executive Director and Preschool Site Director agreed to provide ongoing staff training on care and supervision, head counting, and positioning of staff. Training agenda and proof of attendance shall be maintained at facility for Community Care Licensing review. Executive Director and Preschool Site Director agreed to conduct daily monitoring to assure staff are properly positioned and providing adequate supervision.
Continuation on next page:
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
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: CKC CHILDREN'S CENTER
FACILITY NUMBER: 444408785
VISIT DATE: 01/24/2025
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
26
27
28
29
30
31
32
LPM explained to Executive Director and Preschool Site Director that if there are continued deficiencies cited for the issues noted on this report, the Facility may be referred to legal department for possible administrative action, which could include revocation of the Facility license. The Facility will be monitored for the next 12 months at the department's discretion to ensure that the Facility is in compliance with the Department regulations.

Assembly Bill 633 (Child Care Parent Notification Requirements) and Acknowledgement of Receipt of Licensing Report (LIC9224) was also explained and provided to Executive Director and Preschool Site Director during today’s meeting.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE:

DATE: 01/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2