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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434413022
Report Date: 10/17/2023
Date Signed: 10/17/2023 06:26:41 PM


Document Has Been Signed on 10/17/2023 06:26 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612



FACILITY NAME:DAY STAR MONTESSORI SCHOOL, INC.FACILITY NUMBER:
434413022
ADMINISTRATOR:DANAH TOPACIOFACILITY TYPE:
850
ADDRESS:215 DEMPSEY ROADTELEPHONE:
(408) 263-1618
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY:150CENSUS: 81DATE:
10/17/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Danah TopaciaTIME COMPLETED:
03:30 PM
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On Tuesday, October 17, 2023 at 1:30 pm, Licensing Program Analyst (LPA) Manel Estoesta conducted a Required One (1) Year visit. LPA met with the Director Danah Topacio and explained the nature of site visit. Present on this visit were 18 staff, 75 preschool children and 6 Toddlers. The facility operates from Monday to Friday 7:30 am to 6:00 pm.

LPA toured the facility to conduct a Health and Safety Inspection with the Director. The facility has a four Preschool Classrooms which are Dia, Luz, Luna and Estrella. The Preschool has a Toddler Program that is operating in Classroom Sol.

Facility’s License, Parents’ Rights Poster, Personal Rights, Activity Schedules, Menus and Waiver were observed to be posted. The facility is within Staff to Children ratio today. Children were engaged in various activities under the visual supervision of the teachers.

The classrooms, staff restroom, storage room, outdoor activity space and office area were inspected. Disinfectants, cleaning solutions, and other items that are dangerous to children were stored inaccessible to children. Cabinets, drawers, and rooms used for storage were locked. Furniture and equipment such as cribs, mats, cots, tables, changing tables, and chairs were age appropriate and were in god condition, free of sharp, loose, or pointed parts. Floors were clean and free from tripping hazard.

Outdoor activity space for the Toddler Program is separated from the Preschool Program. The outdoor activity spaces are fenced and play equipment were maintained in a safe condition and free of hazards. There were no bodies of water observed. Areas around and under high climbing equipment and slides were cushioned with material that absorbs falls. There were shaded rest areas for children.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:
DATE: 10/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/11/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: DAY STAR MONTESSORI SCHOOL, INC.
FACILITY NUMBER: 434413022
VISIT DATE: 10/17/2023
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Food and beverages were kept protected against contamination and spoilage. Food storage area were clean, free of litter, rubbish, and rodents/vermin. Children's lunches are brought from home and or facility's pre-selected meal option through a third party food provider (School Caterer). Trash cans for solid waste had tight-fitting covers on and were in good repair. Drinking water are arranged to be readily available to children during indoor and outdoor activities.

LPA reviewed the following with the Director;

1. Facility file which Fire and Earthquake Drills were conducted and documented on 8/24/23 and 9/6/23, respectively.
2. Staff and Children’s Sign in and Out Records for today through "Brightwheel" software application.
3. Children's checklist in each room that includes the Napping Log for the Toddler Component.
4. Staff Files. Each file includes Criminal Record and Child Abuse Index Clearance, Health Screening Report with TB Clearance, Education Qualification, records of immunization (Measles, Pertussis and Influenza or Declination Statement), and Training such as the AB1207 Mandated Reporter Certification. There are Teachers with current certification in Pediatric CPR and First Aid present at the facility during inspection.
5. Children Files. Each child’s file contains but not limited to Toddler Needs and Services Plan, Incident/Injury Report, Medication Record, Transition Notice Record, records of receipt for Parents' Rights Notice, Identification and Emergency Information, Consent for Emergency Medical Treatment form and Immunization.
6. Facility does not provide transportation for children, but the Director understands that children cannot be left alone, unattended in park vehicles.
7. Childcare Expansion Grant Program, the Santa Clara County Childcare Resource and Referral (R&R) Program 2023-2024 HEALTH AND SAFETY TRAINING REIMBURSEMENT and FREE training is available to Santa Clara County Mandated Reporters working at daycare/childcare facilities.
8. PIN 23-08-CCP - 2022 Chaptered Legislation Affecting Child Care Facilities.
9. Toddler Expansion or Capacity Change Application.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: DAY STAR MONTESSORI SCHOOL, INC.
FACILITY NUMBER: 434413022
VISIT DATE: 10/17/2023
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Director stated that facility does handle medications and does currently have children in care who requires Incidental Medical Services - IMS Epinephrine and Inhaled Medication. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information, see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

LPA discussed the safe sleep regulations with the Director 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 Director 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.

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/inspection-process.



There are no deficiencies cited on this visit.

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



Exit interview conducted and report was reviewed with the Director Danah Topacio.
SUPERVISOR'S NAME: Jason JangTELEPHONE: (510) 725-7009
LICENSING EVALUATOR NAME: Manel EstoestaTELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3