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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434408797
Report Date: 04/25/2024
Date Signed: 04/25/2024 04:39:05 PM


Document Has Been Signed on 04/25/2024 04:39 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131



FACILITY NAME:KIDDIE ACADEMY OF MORGAN HILLFACILITY NUMBER:
434408797
ADMINISTRATOR:NAKIA CENTENOFACILITY TYPE:
830
ADDRESS:15750 MONTEREY ROAD, SUITE 150TELEPHONE:
(408) 776-6800
CITY:MORGAN HILLSTATE: CAZIP CODE:
95037
CAPACITY:20CENSUS: 12DATE:
04/25/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:NAKIA CENTENOTIME COMPLETED:
04:45 PM
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On 4/25/2024, at 1:45 PM, Licensing Program Analyst (LPA), Doni Fici, met with Nakia Centeno, Director, for an unannounced Required- 1 Year Inspection. LPA was granted access to the facility by director, and toured both indoors and outdoors during the inspection. Upon arrival, there are six (6) infants in room 0 and six (6) toddlers in room 1. LPA observed all required postings near the entrance to the facility and the hours of operation are Monday – Friday, 7:00AM-6:00PM.

The director was reminded that all adults 18 and over, 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 Child Care Center. 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 reviewed digital sign-in/out sheets on Procare application, the facility roster (LIC9040), and the fire/disaster drill log during today’s inspection. The last fire/disaster drill was conducted on 4/5/2024, which is compliant with the six month requirement for facilities. LPA observed a fully charged 2A10BC fire extinguisher (last serviced: 12/10/2021), functioning smoke detector and carbon monoxide detector. Director stated that she does currently have Incidental Medical Services on file and does administer medication at this time. There are no weapons or firearms on the premises.

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SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Liridon FiciTELEPHONE: 408-598-9250
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDDIE ACADEMY OF MORGAN HILL
FACILITY NUMBER: 434408797
VISIT DATE: 04/25/2024
NARRATIVE
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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 (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/. Director stated that the Administrator dispenses medication to children that require it.

Indoor areas of the facility were inspected by the LPA today and observed to be clean, orderly, and safe for day care infants. The infant and toddler room are physically separate from other childcare center components at the facility. LPA observed sufficient age-appropriate materials, toys, and play equipment for infants. Toys are safe and do not have sharp edges or small parts that may pose a choking hazard. The infant changing table was observed to be padded, within arms reach of a sink, in good repair and safe condition. Cots are used by the toddlers, and cribs are used by infants, which are free from loose articles, covered with a fitted sheet, and there are no objects hanging above or attached to them. The floors are clean and free of tripping hazards and waste containers have tight fitting lids.



LPA reminded director that infant Needs and Services plan shall be updated at least quarterly and shall be completed with the infants authorized representative and a representative from the facility, such as a director or lead teacher. The feeding plan is current for all infants and licensee understands that all formula and bottles provided should be labeled individually with the child’s name and date.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at

https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Liridon FiciTELEPHONE: 408-598-9250
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
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
SAN JOSE CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: KIDDIE ACADEMY OF MORGAN HILL
FACILITY NUMBER: 434408797
VISIT DATE: 04/25/2024
NARRATIVE
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The outdoor area of the facility was inspected and observed to be physically separated from space utilized by other child care center components. LPA observed that the fencing that is at least four feet tall. No outdoor bodies of water were observed during today’s inspection. LPA reminded director that shaded rest area is required for outdoor space.

Five (5) children’s files were reviewed and most required documents were present. Four (4) staff files was reviewed and LPA advised that infant staff shall have three (3) units related to the care of infants. There is at least one staff member with current First-Aid/CPR and all staff should have a mandated Reporter certificate on file in the center. LPA reminded that both shall be updated every two years.



Licensee understands she shall be on the premises during the hours the center is in operation and that infants at the center shall be visually supervised at all times. LPA reminded 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.

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.

The following type B deficiency was cited on the attached page (809-D). Licensee was informed that failure to correct the deficiency by the specified Plan of Correction (POC) Due Date may result in assessment of civil penalties in the amount of $100 per day per violation until the correction is made.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.


Exit interview conducted with director and report was reviewed and provided along with Appeal Rights.
SUPERVISOR'S NAME: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Liridon FiciTELEPHONE: 408-598-9250
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2024
LIC809 (FAS) - (06/04)
Page: 3 of 4
Document Has Been Signed on 04/25/2024 04:39 PM - It Cannot Be Edited

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: KIDDIE ACADEMY OF MORGAN HILL
FACILITY NUMBER: 434408797

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, and record review, the licensee did not comply with the section cited above by not having current Mandated Reporting Training on file, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/02/2024
Plan of Correction
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Director agreed to complete the required Mandated Reporting Training and to submit a copy of the certificate as proof to CCL by POC due date.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: Gladys KuizonTELEPHONE: (510) 566-5850
LICENSING EVALUATOR NAME: Liridon FiciTELEPHONE: 408-598-9250
LICENSING EVALUATOR SIGNATURE:
DATE: 04/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/25/2024
LIC809 (FAS) - (06/04)
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