434410817-9-6-2023-07-CC-ALOZ-CVESZH-20230906141911

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434410817
Report Date: 09/06/2023
Date Signed: 09/06/2023 02:19:23 PM

Document Has Been Signed on 09/06/2023 02:19 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:	NELLY'S CHILDCARE AND PRE-SCHOOL		FACILITY NUMBER:	434410817
ADMINISTRATOR:	GREISLYE PARADA		FACILITY TYPE:	850
ADDRESS:	202 RAILWAY AVENUE, BLDG. B		TELEPHONE:	(408) 364-1300
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 32	CENSUS: 25	DATE:	09/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Grieslye Parada		TIME COMPLETED:	12:45 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 Analyst (LPA) Ashley Lopez met with Director Greislye Parada for an unannounced Required - 1 Year inspection. LPA toured the indoor and outdoor areas of the facility with the director during today's inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan, Earthquake Preparedness Checklist, Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), Emergency Drill Log (last fire drill 8/21/23), Activity Schedule, and Menu . Days and hours of operation are Monday through Friday 7:30am - 5:30pm. The facility is licensed to serve a maximum of 32 preschool children, ages 2 years old to first grade. LPA toured the preschool classrooms and observed that the teacher/child ratio was in compliance during today's inspection. The facility has 3 classrooms, PS1, PS2, and PS3. LPA observed fully charged 3A40BC fire extinguisher in 2 classrooms. The director understands the conditions, limitations, and capacity specifications of the facility license. The director states that a child who becomes ill during the day, shall be isolated in the director’s office and they will use the staff bathroom. LPA reviewed 8 children’s files and 5 staff files during today's inspection. Children’s Records were reviewed for completeness and Inspection of required forms was made. In review of children’s records, files contain information including: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. All staff files reviewed contain the required transcripts, experience, immunization records, and Health Screening Report. All staff have current certificates of completion of the Mandated Reporter Training for Child Care Workers on file. At least one staff member has current CPR and First Aid certification on file. Director understands 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. -----------------------------------continued on page 2-----------------------------------------

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

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: NELLY'S CHILDCARE AND PRE-SCHOOL	FACILITY NUMBER: 434410817
	VISIT DATE: 09/06/2023

NARRATIVE

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LPA observed that the facility is clean, safe, sanitary, and in good repair for children and staff. The director states they have an employee that comes in after hours to cleans the facility Monday through Friday. Director understands that the facility must be kept free of flies and other insects & rodents. LPA observed that all furniture and equipment is in good condition and safe for the children. Children bring reusable water bottles and the facility provides filtered water. In the outdoor playground area there is a water fountain for children to drink from. Staff and children's bathrooms are clean, sanitary, and operable. The director states that there are no weapons or firearms on the premises. The facility has a central fire alarm/smoke detector system and working carbon monoxide detectors.

LPA observed the storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. The facility provides Breakfast, Lunch, and PM snack to the children. LPA observed that the kitchen is clean, safe, sanitary, and in good repair for staff.

The facility does administer medications. Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CC 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/.
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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: NELLY'S CHILDCARE AND PRE-SCHOOL	FACILITY NUMBER: 434410817
	VISIT DATE: 09/06/2023

NARRATIVE

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The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate and in good condition. Shade is provided by canopies and building overhang in the playground. There is sufficient resilient materials in the outdoor playground area. LPA did not observe any bodies of water.

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.

The director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care 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 visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiencies issued during today's inspection.

Exit interview conducted and report was reviewed with Director, Greislye Parada.

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

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2023

LIC809 (FAS) - (06/04)

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