274400409-6-5-2024-07-CC-FCJO-D5XQG9-20240605120911

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274400409
Report Date: 06/05/2024
Date Signed: 06/05/2024 12:09:16 PM

Document Has Been Signed on 06/05/2024 12:09 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:	PRIMAVERA MIGRANT HEAD START		FACILITY NUMBER:	274400409
ADMINISTRATOR/ DIRECTOR:	GRACIELA GARCIA LEDESMA		FACILITY TYPE:	850
ADDRESS:	24228 LINCOLN STREET		TELEPHONE:	(831) 679-0503
CITY:	CHUALAR	STATE: CA	ZIP CODE:	93925
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 14	CENSUS: 13	DATE:	06/05/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	10:00 AM
MET WITH:	Carina Sanchez		TIME VISIT/ INSPECTION COMPLETED:	12:20 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), Fermin Campos-Jaramillo met with Carina Sanchez, lead teacher, for an unannounced annual inspection. Ms. Sanchez stated that the Site Supervisor (Ms. Margarita Camacho) will not be present today. LPA toured the Facility both indoor and outdoor areas of the Facility during today's inspection. The Facility is licensed for 45 children. Days and hours of operation are Monday through Saturday from 5:00 AM to 5:00 PM. LPA observed 13 children were in care today and three staff members were providing care and supervision to them. LPA reviewed five children's and three staff files during today's inspection. Each child's file reviewed contains the required forms. All staff files reviewed contain the required forms, including transcripts/verification of experience for all the teachers, immunization records, & Health Screening Report. All staff have current certificates of completion of the Mandated Reporter Training for Child Care Workers on file. The last fire/disaster drill was documented on 4/29/24, all the staff members present have current CPR and First Aid certifications on file. Ms. Sanchez understands that there shall be at least one person, with valid CPR and First Aid certifications, on site always or present during off-site activities (field trips). LPA observed that the teacher/child ratio was in compliance during today's inspection. Ms. Sanchez understands the conditions, limitations, and capacity specifications of the Facility license. Ms. Sanchez understands that children shall be visually supervised at all times and never left unattended. Any child(ren) who exhibit symptoms of illness including, but not limited to, fever or vomiting, are not accepted in care. Any child(ren) who become ill during the day, shall be isolated in the office which is inside the classroom (sketch room I). LPA observed that the Facility is clean, safe, sanitary, and in good repair for children, staff, and visitors. The Facility has adequate ventilation, including central air conditioning/heating. Ms. Sanchez states that the Facility has a janitor who does the cleaning of a daily basis at the end of the day when the center is closed. Ms. Sanchez 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. Napping equipment is appropriate. Drinking water is readily available for the children in the classrooms via water fountains and outdoors via water coolers and disposable cups. Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children which an isolated child can use if needed. Ms. Sanchez states that there are no weapons or firearms on the premises. The Facility has functioning carbon monoxide detectors in the Facility. *******Report dated 6/05/24 continues on page 2.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

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: PRIMAVERA MIGRANT HEAD START	FACILITY NUMBER: 274400409
	VISIT DATE: 06/05/2024

NARRATIVE

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Report dated 6/05/24 continues from page 1.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. Ms. Sanchez stated that all the food and snacks is prepared at the San Gerardo central kitchen facility and is brought to the Center. The Facility provides breakfasts, snacks and lunches for the children. The Facility has trash cans with tight fitting lids for solid waste. Cleaning supplies are inaccessible to the children and stored in high cabinets inaccessible to children. Ms. Sanchez states that there are no poisons in the Facility. LPA observed a complete First Aid kit in the Facility. Ms. Sanchez states that currently the Facility does not administer medications. Ms. Sanchez understands that smoking is not allowed on the Facility premises.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

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. There are sufficient resilient materials (natural and synthetic grass) in the playground area. Shade is provided by trees and two tarps. LPA did not observe any bodies of water. Ms. Sanchez states that the Facility provides transportation with own bus and employed driver.

Ms. Sanchez 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.

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.

Exit interview conducted and report was reviewed with teacher Carina Sanchez.
No deficiencies were issued during today's inspection.
Notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Susy Cervantes
LICENSING EVALUATOR NAME: Fermin Campos-Jaramillo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2024

LIC809 (FAS) - (06/04)

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