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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444417001
Report Date: 09/14/2022
Date Signed: 09/14/2022 03:40:41 PM

Document Has Been Signed on 09/14/2022 03:40 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
SAN JOSE-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:SPROUTS SCFACILITY NUMBER:
444417001
ADMINISTRATOR:JORDAN BEMELFACILITY TYPE:
840
ADDRESS:840 NORTH BRANCIFORTE AVENUETELEPHONE:
(831) 429-3898
CITY:SANTA CRUZSTATE: CAZIP CODE:
95062
CAPACITY: 30TOTAL ENROLLED CHILDREN: 50CENSUS: 30DATE:
09/14/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Britta LaboyteauxTIME COMPLETED:
04:00 PM
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Licensing Program Analyst's (LPA's) Mel Matos and Kassandra Medrano met with Britta Laboyteaux, Director, for an unannounced case management inspection. The Facility is currently licensed in Portable 27 for 30 school age children. Purpose of today's inspection: Facility has requested to change the room of use to Portable 26 as well as requesting a change in capacity from 30 to 50 school age children. The Facility operates a year round program and is open from: 9 AM- 6 PM during school breaks and 12:30 PM to 6 PM during the calendar school year for Santa Cruz City Schools District. An approved fire clearance was received prior to today's inspection from the Santa Cruz Fire Department, on July 26, 2022. Since the program operates at a functioning elementary school site, the facility is exempt from the indoor and outdoor square footage requirements, fencing requirements, and toilet/sink ratios and isolation area requirements. The Facility is located on the campus of Branciforte Small Schools: Monarch Elementary School.

LPA's toured Portable 26 and outdoor space and note that the Portable and outdoor space is safe and in compliance with the Tile 22 Regulations. LPA's observed sufficient chairs, tables, and cubbies/storage throughout the Facility. There is adequate equipment, furniture, and supplies for children throughout the Facility.

The Facility only provides PM snacks only for the school age children during the calendar school year. Parents provide lunches and the facility provides AM and PM snacks during full day program. There is a food preparation area within Room 26 with Hot/Cold running water, refrigerator, toaster oven, dishwasher, and microwave. Disposables dishes and utensils are used to serve snacks to the school age children. The Facility has trash cans with tight fitting lids throughout the Facility.

The program will utilize the elementary school playground areas, which they have exclusive use of after 3PM and all day during school breaks. Outdoor spaces have age appropriate climbing structures with sufficient resilient materials. Shade is provided by trees and building outdoor patio. Drinking water is provided via a combination of water fountains and water dispensers both indoors/outdoors. There is adequate equipment and supplies for children outdoors. LPA's did not observe any bodies of water during today's inspection.

Exit interview conducted and report was reviewed with the director, Britta Laboyteaux. No deficiencies issued during today's inspection. LPA's advised Britta that Portable 26 has been approved for use effective today, September 14, 2022. An updated license will be sent to the Facility within 1-2 weeks.

A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Diana Stephenson
LICENSING EVALUATOR NAME: Kassandra Medrano
LICENSING EVALUATOR SIGNATURE: DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/14/2022
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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