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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 274417062
Report Date: 09/12/2024
Date Signed: 09/12/2024 03:33:48 PM

Document Has Been Signed on 09/12/2024 03:33 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:SEASIDE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
274417062
ADMINISTRATOR/
DIRECTOR:
NITTAYA ROBINSONFACILITY TYPE:
830
ADDRESS:1450 ELM AVENUETELEPHONE:
(831) 392-3456
CITY:SEASIDESTATE: CAZIP CODE:
93955
CAPACITY: 12TOTAL ENROLLED CHILDREN: 12CENSUS: 12DATE:
09/12/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:45 PM
MET WITH:Ashley ReyesTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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Licensing Program Analyst (LPA) Andrea Cortez conducted an unannounced Required - 1 Year Inspection (care tool). The purpose of today’s visit is to ensure the Infant Site at Seaside Child Development Center (SCDC) is in compliance with Title 22 California Code of Regulations. LPA met with the Site Supervisor (SS) Ashley Reyes and explained the nature of today's inspection. LPA toured the infant room both inside and outside during today’s inspection. LPA observed the required posted materials, including the Facility License, Emergency Disaster Plan (LIC 610), Earthquake Preparedness Checklist (LIC 9148), Parents' Rights Poster (PUB 393), Personal Rights (LIC 613A), Child Car Seat Law (PUB 269), and Activity Schedule. The hours of operation are Monday - Friday, 7:30am - 5:30pm.

LPA reviewed F children's and 1 staff files during today's inspection. Each child's file reviewed contains the Information and Emergency Information form (LIC 700), immunization records, physicians report, personal rights, and parents’ rights. All staff files contain the required transcripts/verification of experience. LPA verified CPR and First Aid certifications are current. All staff have clearances through Monterey Peninsula Unified School District (MPUSD). The SS understands that there shall be always at least one person with valid CPR and First Aid certifications on site, or present during off-site activities (field trips).

SCDC staff members have background clearance through MPUSD. SS 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 the infant ratios with SS understands the conditions, limitations, and capacity specifications of the infant license. SS understands that infants shall be visually supervised at all times. LPA observed the infant room in order. Cribs are see-through with nothing hanging from the side-rails. The rooms’ layout has no hidden corner and an open floor plan for the teachers have visual site of the infants.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2024
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: SEASIDE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 274417062
VISIT DATE: 09/12/2024
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Drinking water is readily available for infants via their baby bottles. There is a refrigerator to keep formula stored. LPA observed solid waste containers with tight-fitting lids in each room. Infants changing station are in order and appear to be sanitary. SS states that there are no weapons or firearms on the premises.

LPA discussed the safe sleep regulations with and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed SS 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.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. Cleaning supplies are securely stored and inaccessible to the children. LPA observed a fully charged 2A10BC fire extinguisher and working smoke/carbon monoxide detectors. SS states that the Facility does not administer medications at this time. (no daily medication)



LPA observed all furniture and equipment is in good condition and safe for the infants. The playground area utilized by infants is surrounded by appropriate fencing. LPA observed that the outdoor equipment is age appropriate. LPA did not observe any bodies of water.

This facility provides Incidental Medical Services – IMS. 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



No deficiencies cited, exit interview conducted and report was reviewed with SS Ashley Reyes.

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

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Andrea Cortez
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2024
LIC809 (FAS) - (06/04)
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