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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 430710595
Report Date: 05/01/2024
Date Signed: 05/03/2024 06:03:30 PM

Document Has Been Signed on 05/03/2024 06:03 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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:GROWING FOOTPRINTS & GROWING FOOTSTEPS-LOS GATOSFACILITY NUMBER:
430710595
ADMINISTRATOR/
DIRECTOR:		NEWTON, JAMIEFACILITY TYPE:
850
ADDRESS:16575 SHANNON ROADTELEPHONE:
(408) 356-4442
CITY:LOS GATOSSTATE: CAZIP CODE:
95032
CAPACITY: 84TOTAL ENROLLED CHILDREN: 27CENSUS: 26DATE:
05/01/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:46 PM
MET WITH:Jamie NewtonTIME VISIT/
INSPECTION COMPLETED:
01:30 PM
NARRATIVE
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On 05/01/2024 at 12:46pm, Licensing Program Analyst (LPA), Farida Raja, met with Director, Jamie Newton and explained purpose of visit. Upon arrival, LPA was admitted into the facility by Director.

During today's inspection, LPA observed children from the Yellow Room and Blue Room come into the Green Room for chapel. Two chapel staff and director were present along with 18 children. LPA observed Director leave children with chapel staff several times without fully qualified staff bring present which leaves the room out of ratio.

LPA informed Director that this report dated (05/01/2024) documents one Type A citation on the attached LIC 809-D page which shall be posted for 30 consecutive days. Civil penalties were assessed on the attached LIC 421 FC. LPA informed the Director to provide a copy of this licensing report dated 05/01/2024 that documents a Type A citation to parents/guardians of all children currently enrolled by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

As a result of today's inspection one Type A deficiency was cited. Exit interview conducted and the report was reviewed with Director, Jamie Newton.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST BE POSTED FOR 30 DAYS.
SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE: DATE: 05/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2024
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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Document Has Been Signed on 05/03/2024 06:03 PM - It Cannot Be Edited


Created By: Farida Raja On 05/03/2024 at 05:34 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: GROWING FOOTPRINTS & GROWING FOOTSTEPS-LOS GATOS
FACILITY NUMBER: 430710595

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/01/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
05/02/2024
Section Cited
CCR
101216.3(a)

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101216.3 Teacher-Child Ratio
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below.
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Director will submit a written plan of correction by POC Date of 05/02/2024.
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Based observation conducted, LPA observed 18 children left with music staff without fully qualified teachers present in the room which poses an immediate risk to the health, safety and personal rights of children in care.
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LIC9224 must be signed by all parents currently enrolled. LIC9224 and LIC9099 and 9099D must be provided to all future enrollments for the next 12 months and maintained in file.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Gladys Kuizon
LICENSING EVALUATOR NAME:Farida Raja
LICENSING EVALUATOR SIGNATURE:
DATE: 05/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/01/2024


LIC809 (FAS) - (06/04)
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