<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430710229
Report Date: 09/06/2024
Date Signed: 09/06/2024 12:13:06 PM

Document Has Been Signed on 09/06/2024 12:13 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:CALIFORNIA YOUNG WORLDFACILITY NUMBER:
430710229
ADMINISTRATOR/
DIRECTOR:		ANGEL TORNOFACILITY TYPE:
830
ADDRESS:1110 FAIRWOOD AVENUETELEPHONE:
(408) 245-7285
CITY:SUNNYVALESTATE: CAZIP CODE:
94089
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 26DATE:
09/06/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Angel TornoTIME VISIT/
INSPECTION 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 Analyst (LPA), Mel Matos, met with Angel Torno, Director, for an for an unannounced Required - 3 Year inspection. LPA notes that the infant program is licensed in Rooms 1 & 2 on the campus of Fairwood Elementary School. The infant program is licensed to serve infant children, ages 6 weeks to 2 years of age. The Facility also has a preschool program (#430703885) in Rooms 3-6 and a school age program (430709874) in Rooms 7 & 8 on the same site. LPA toured the indoor and outdoor areas of the Facility with Angel 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), Menus, and Activity Schedule.

LPA reviewed five children's and seven staff files (6 teachers & 1 aide) during today's inspection. Each child's file reviewed contains the required documents; including the Information and Emergency Information form (LIC 700) immunization records, Individual Infant Sleeping Plan (LIC 9227), and Needs & Services Plans. Needs & Services Plans also include individual feeding plans for each child. Director states that the Needs & Services Plans are updated at least quarterly or sooner if needed. All staff files reviewed contain the required documents; including transcripts/verification of 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. Last fire/disaster drill was completed on August 26, 2024. Director and three staff has current CPR and First Aid certifications 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 (field trips).

LPA observed that the teacher/child ratio was in compliance during today's inspection. LPA observed five infant children with three teachers in Room 1 and 13 infant children with three teachers & one aide in Room 2 during today's inspection. LPA notes that the Facility is Title 5 funded and thus Title 5 ratios apply. Director understands the conditions, limitations, and capacity specifications of the Facility license. Angel understands that infants 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 director’s office area.

LPA observed that Rooms 1 & 2 are clean, safe, and sanitary for children, staff, and visitors. The Facility has adequate ventilation, including central air conditioning/heating. LPA observed all furniture and equipment is in good condition and safe for the children. The infant changing tables have raised sides that are at least 3 inches in height. The infant changing table(s) have a vinyl changing pad that is at least 1 inch think and in good condition. Napping equipment is appropriate (cots in Room 2 and cribs in Room 1).
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE: DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/06/2024
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 2
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: CALIFORNIA YOUNG WORLD
FACILITY NUMBER: 430710229
VISIT DATE: 09/06/2024
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
Director states that a third party cleaning service provides cleaning services Monday through Friday in the evenings. Staff and children's bathrooms are clean, sanitary, and operable. There is a separate staff stall not utilized by the children which an isolated child can use if needed. Director states that there are no weapons or firearms on the premises. The Facility has functioning carbon monoxide detectors.

The food preparation and storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. The Facility provides breakfast, snacks, and lunch for the infant children. Drinking water is readily available for the children in each room and in the outdoor playground area via water bottles, water dispensers, and sippie cups. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. The Facility has dishwashers to clean & sanitize reusable plates, cups, and utensils. LPA observed solid waste containers with tight-fitting lids in Rooms 1 & 2 and outdoors. Cleaning supplies are inaccessible to the children. Director states that there are no poisons in the Facility. LPA observed a complete First Aid kit in the Facility. Director understands that smoking is not allowed on the Facility premises.

Director states that the Facility does not administer any medications at this time. 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 infant playground utilized by children is surrounded by appropriate fencing and separate from the preschool playground. LPA observed that the outdoor equipment is age appropriate and in good condition. Shade is provided by trees, canopies, and umbrellas in the infant playground. LPA observed that the outdoor equipment is age appropriate and in good condition. There is sufficient resilient materials in the outdoor playground area (rubber surfacing). LPA did not observe any bodies of water. Director states that the Facility does not provide transportation.

Angel Torno, 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. All criminal record background checks are associated to the preschool license (#430703885).

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 the Director, Angel Torno. A notice of site visit was given and must remain posted for 30 days.
SUPERVISORS NAME: Belinda Devall
LICENSING EVALUATOR NAME: Melvin S Matos
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2024
LIC809 (FAS) - (06/04)
Page: 2 of 2