274417136-12-12-2023-07-CC-HKAR-CYFV67-20231212150905

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 274417136
Report Date: 12/12/2023
Date Signed: 12/12/2023 03:09:28 PM

Document Has Been Signed on 12/12/2023 03:09 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:	CARMEL YOUTH CENTER		FACILITY NUMBER:	274417136
ADMINISTRATOR:	SHERILYN NAPOLI		FACILITY TYPE:	850
ADDRESS:	FOURTH AVENUE & TORRES STREET		TELEPHONE:	(831) 624-3285
CITY:	CARMEL-BY-THE-SEA	STATE: CA	ZIP CODE:	93923
CAPACITY: 12	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	12/12/2023
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:49 AM
MET WITH:	Sherilyn Napoli		TIME COMPLETED:	12:30 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 Analysts (LPAs) Harsimran Kaur and Janette Cruz conducted an announced pre-licensing inspection. LPAs met with Sherilyn Napoli, Applicant/Executive Director and explained the reason for the inspection. The purpose of this inspection: Applicant is applying for a preschool license. Applicant is applying for a capacity of 12 preschool children. The center is located in the Carmel Youth Center Gymnasium that will be used for preschoolers from Monday- Friday, 7 AM to 3 PM. There is also a school-age program on site that will operating from Monday to Friday 3PM to 6PM. Applicant advised that there should be a designated area for required postings, such as notification of parent's rights, personal rights, daily activity schedule, facility sketch, car seat law, and menu. There is working phone at the site, which is (831) 624-3285. . The following are indoor measurements and information: Preschool Program The Indoor total measurements contain a total of {2392.29} square feet, which will accommodate Applicant’s request for 12 preschoolers. Outdoor total measurements contain a total of {2271.17} square feet, which will accommodate Applicant’s request for 12 preschoolers. There are 15 chairs, 3 tables, 34 cubbies, 7 cots, 2 urinals, 5 toilets, and 5 sinks for the preschool program. There are no age appropriate toys and equipment available for children during todays inspection. LPAs reminded that all disinfectant, cleaning supplies, or other items that could pose a risk to children need to be inaccessible. LPAs also discussed that minimum temperature in the room, which is 68 degrees Fahrenheit. There is fully charged fire extinguisher, smoke detector, and carbon monoxide detector. There is a first aid kit, which has all the required items. Isolation area is in the facility office. LPAs observed that facility has theater area for viewing activities. Facility has three meeting rooms that are currently off-limits to children.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: CARMEL YOUTH CENTER	FACILITY NUMBER: 274417136
	VISIT DATE: 12/12/2023

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
26
27
28
29
30
31
32

The outdoor space is fenced. All meals and snacks will be brought by children from home. There is area to keep food warm and store any perishable food and drinks. Drinking water is provided through water bottles. LPAs discussed that they have 180 days after licensure to receive lead testing for drinking water. LPAs discussed that trash can for waste need to have a tight fitted lid.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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, available at: http://www.ada.gov/childqanda.htm.

LPAs reviewed with Applicant the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform. To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive communication.

The following item's needs to be corrected.

1) Proof of available indoor and outdoor age-appropriate toys and equipment.

2) Repair on uneven ground surface located at the outdoor yard.

3) Repair of chipped wood on bottom of storage shed located at the outdoor yard.

4) Proof of safety gate by stairs entrance located at outdoor yard.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: CARMEL YOUTH CENTER	FACILITY NUMBER: 274417136
	VISIT DATE: 12/12/2023

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
26
27
28
29
30
31
32

5) Outdoor shaded area for children.

6) Repair of damaged sink counter on girl's bathroom.

7) Proof of adequate napping equipment.

Exit interview conducted and report was reviewed with Sherilyn Napoli, Applicant/Executive Director. Copy of the report was provided. Final license determination will be made upon review by Licensing Program Manager and correction of the above issues.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

LIC809 (FAS) - (06/04)

Page: 3 of 3