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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444417751
Report Date: 02/24/2025
Date Signed: 02/24/2025 11:43:42 AM

Document Has Been Signed on 02/24/2025 11:43 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:ROCHA, MARIAFACILITY NUMBER:
444417751
ADMINISTRATOR/
DIRECTOR:		ROCHA, MARIAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(831) 786-6398
CITY:WATSONVILLESTATE: CAZIP CODE:
95076
CAPACITY: 14TOTAL ENROLLED CHILDREN: 5CENSUS: 1DATE:
02/24/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Maria RochaTIME VISIT/
INSPECTION COMPLETED:
12:00 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
On February 24, 2025, Licensing Program Analyst (LPA) Darnella Barnes and Licensing Program Manager (LPM) Belinda Devall conducted an unannounced Annual Random Health and Safety Inspection. The inspection purpose was explained to the licensee, who granted access. Licensee received the Entrance Checklist (LIC 126).

The facility operates Monday through Friday, 6:00 AM to 6:00PM. The required postings were observed in a visible area. The last fire drill conducted on 2/11/25 and earthquake drill was conducted on 2/18/25 . Licensee was reminded to conduct and document the fire and disaster drill at least every six months.

Present for this inspection was one preschool and a fingerprint cleared adult living in the home. Licensee is maintaining compliance with capacity and staff ratio requirements. Licensee was reminded that staff must always be present to supervise the children. Additionally, all reportable incidents, including suspected child abuse, must be documented and reported. License was advised that children’s rights cannot be waived, even with authorized representative consent.

All adults 18 years of age and older residing in the home have fingerprint clearances and associated to the facility.

LPA and LPM toured indoor and outdoor areas. Off limit areas inside the home: bedroom 1, bedroom 2, bedroom 3 with master bathroom and attached garage. Off limit outside: left and right side yard area, bottom yard area, 2nd level deck area. LPA observed barricaded stairs in the outside deck leading to the bottom back yard area during today’s inspection.. The backyard is on a slope hillside.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE: DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/24/2025
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 5
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: ROCHA, MARIA
FACILITY NUMBER: 444417751
VISIT DATE: 02/24/2025
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
Off-limit areas were secured with doors and barriers. LPA observed no wall heaters and no fireplace in the home. Licensee was advised that licensing approval is required before using off-limit areas for daycare. Licensee has one vaccinated small dog.

Observations included a fully charged 3A-40BC fire extinguisher that was purchased in 2024. Licensee was reminded that fire extinguisher must be serviced yearly to meet the Fire Marshall standards. Also observed working smoke and carbon monoxide detectors, and a working telephone. The home was clean, well ventilated, and stocked with safe, age-appropriate toys. All poisons, detergents, cleaning compounds, medicines were stored out of children’s reach. No bodies of water were observed.

Smoking is prohibited in the daycare. Baby walkers, bouncers, jumpers and similar items are not allowed. Licensee confirmed no guns or ammunition are in the home. The licensee was reminded to notify licensing before making any changes to the house or yard.

Licensee’s CPR/First Aid certification expires on 2/18/2026. Preventive Health is on file and Mandated Reporter training expires 8/12/2025. LPA and LPM reminded Licensee of the two-year renewal requirement. Required vaccinations (MMR, Pertussis, and flu) are up to date.

The facility roster (LIC 9040) and five children’s files were reviewed, confirming all required forms were complete, including the affidavit regarding liability insurance (LIC 282). Licensee does not carry day care insurance.

Safe Sleep Information was provided. The licensee was reminded that an Individual Infant Sleeping Plan (LIC 9227) is a required for each infant up tot 12 months old, and nap checks must be documented until age two. Cribs and play yards must be free of loose items, bumper pads, and hanging objects. Licensee was reminded that mattress must fit properly, be firm and have fitted sheet.

Children showing signs of illness shall be separated from others until the parent or guardian arrives.

SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: ROCHA, MARIA
FACILITY NUMBER: 444417751
VISIT DATE: 02/24/2025
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
Licensee transports children and verified that licensee has a current valid driver’s license. LPA reminded Licensee that children cannot be left unattended in vehicles, car seats are for transportation only, and adequate booster seats and car seats must be available for safe transport

Licensee was reminded that all adults 18 and over living or working in the home, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a licensed Family Childcare Home. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPA and LPM discussed safe sleep regulations with Licensee and referenced the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-sources/safe-sleep as an additional resource. LPA and LPM also informed Licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website 1 at https://www.cpsc.gov/ and recommended registering all infant devices with the CPSC for recall notifications

Licensee was reminded 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, inspection the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care- licensing/subscribe and select the Child Care option to receive email communication.



Incidental Medical Services (IMS) policy was discussed. 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)/ (8004314-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: https://www.ada.gov/resources/child-care-centers/
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: ROCHA, MARIA
FACILITY NUMBER: 444417751
VISIT DATE: 02/24/2025
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
Licensee was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please inspection the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

During the exit interview, the Licensee confirmed no Registered Sex Offenders reside at the facility. The LPA completed the RSO profile in FAS on 12/9/24. A search of the California Attorney General-Megan’s Law website found no registered sex offenders at the facility address.


During today’s inspection, there were no deficiencies issued today.

Appeals right provided.

A notice of site inspection was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Darnella Barnes
LICENSING EVALUATOR SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5