434400069-8-18-2023-07-CC-FRAA-CUTKQU-20230818080656

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400069
Report Date: 08/17/2023
Date Signed: 08/18/2023 08:07:03 AM

Document Has Been Signed on 08/18/2023 08:07 AM - 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:	SCHOLARS ACADEMY		FACILITY NUMBER:	434400069
ADMINISTRATOR:	ARSHIA ALI		FACILITY TYPE:	850
ADDRESS:	3703 SILVER CREEK ROAD		TELEPHONE:	(408) 238-2500
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95121
CAPACITY: 167	TOTAL ENROLLED CHILDREN: 72	CENSUS: 49	DATE:	08/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:40 AM
MET WITH:	Arshia Ali		TIME COMPLETED:	04:40 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	On 08/17/2023 at 10:40am, Licensing Program Analyst (LPA), Farida Raja, met with Director, Arshia Ali, for an unannounced Required 1-Year inspection. The facility is licensed to serve children ages 2 years to entry into first grade in 7 rooms. The facility has an active waiver on file for shared indoor and outdoor space between preschool and private elementary school children who are on the same campus. LPA observed the required posted materials including menus and daily activity schedule. Days and hours of operation are Monday through Friday, 6:30 am to 6:30 pm. LPA and Director toured 7 classrooms and outside play areas of the facility and observed the following ratios: Falcons A- 7 children: 1 teacher Falcons B- 7 children: 1 teacher Tigers- 8 children: 2 teachers Monkeys- 5 children : 1 teacher Unicorns- 10 children : 1 teacher Dolphins- 4 children : 1 teacher Lions 7 children: 1 teacher Facility was in compliance with teacher to children ratio requirement. The classrooms, children's restrooms, staff restrooms, kitchen and office area were inspected. Children were engaged in various activities under the visual supervision of teachers. Facility has central heating/cooling for comfort of children. Director stated that the facility is cleaned on a daily basis by house keeping staff. Director states that there are no weapons or firearms on the premises. There is a working telephone at the facility (408-238-2500). Disinfectants and cleaning products were stored on high shelves inaccessible to the children in care. Furniture and equipment were age appropriate and in good condition, free of sharp, loose, or pointed parts. Floors were clean and Continued on Page 2

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SCHOLARS ACADEMY	FACILITY NUMBER: 434400069
	VISIT DATE: 08/17/2023

NARRATIVE

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free from tripping hazards. LPA observed an appropriate changing table with vinyl changing pads that are at least 1 inch thick. Napping equipment (mats/cribs) is appropriate. LPA observed solid waste containers with tight-fitting lids in the rooms. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. LPA observed a trash can with tight fitting cover for the disposal of diapers. Staff has one separate bathroom that can be utilized by sick children if needed.

LPA observed fire extinguishers, working smoke and carbon monoxide detectors, and fire pull stations. The facility has a built-in smoke detector/ fire system. Log shows that the last Fire Drill was conducted on 08/09/2023 which is compliant with the six-month requirement for facilities.

Drinking water is readily available for children in each room and in the outdoor playground area via individual water bottles or bottled water in disposable cups. Director had not completed Water Lead Testing for the facility. Director stated that they exclusively use bottled water for drinking and for food preparation. They do not provide lunch and only provide dry snacks at this facility. LPA informed Director that the facility needed to contact Childcare Licensing to inform them and submit a facility sketch including the water outlets and state that they do not use any of them for drinking or food preparation.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For childcare center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP). LPA obtained facility sketch and letter from Director stating that they exclusively use bottled water during today's inspection. LPA observed two covered water fountains during today's inspection. LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

This facility provides snacks. The kitchen and storage area is clean and free of litter and rubbish. Snacks and beverages were stored safely to prevent contamination and spoilage. Food storage areas were observed to be sanitary. All food and beverages that require refrigeration are stored in covered containers at 45F or less. The facility offers a lunch service through Choice lunch which delivers hot lunch to children if requested and ordered by parents.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SCHOLARS ACADEMY	FACILITY NUMBER: 434400069
	VISIT DATE: 08/17/2023

NARRATIVE

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Outdoor playground and play equipment was inspected and observed to be fenced in and free of hazards. LPA observed play equipment was in good condition and age-appropriate. Areas around and under high climbing equipment and slides were cushioned with rubber resilient material that absorbs falls. Shaded rest area is provided by one large canopy and trees. There were no bodies of water observed.

Children sign in and out logs were reviewed. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed twelve (12) children's and four (4) staff files during today's inspection. Each child's file reviewed contained the required forms.

All staff files reviewed contain the required transcripts/verification of experience. At least one staff member on site has a current CPR and First Aid certification 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). All staff have the required Immunization's against Pertussis, Measles an Influenza (or statement declining influenza). LPA also observed the required Mandated Reporter Training on file for all staff. LPA reminded Director that both training's must be renewed every 2 years.

Licensee 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.

Director stated that facility does handle medications and currently has children in care who require Incidental Medical Services and LPA observed the medication is properly stored out of reach of children with the proper documentation. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Facility has an approved IMS Plan on file with San Jose Regional Office. Isolation of sick child was discussed, and Director explained that sick children will be isolated in the director's office and isolation equipment will be provided. A staff restroom which is off limits to other children is used if necessary. Child is always under visual supervision while in care of the facility.

For IMS information see PIN 22-02-CCP. 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

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

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-DAY CARE, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: SCHOLARS ACADEMY	FACILITY NUMBER: 434400069
	VISIT DATE: 08/17/2023

NARRATIVE

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(TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility does not provide transportation to children, but Director understands that children cannot be left alone, unattended in parked vehicles.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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/inspection-process

One Type B deficiency was cited today on the attached LIC 809D page. Appeal rights were printed and provided to Director.

Exit interview conducted and report was reviewed with the Director, Arshia Ali. Director will submit an updated Emergency Disaster Plan along with site relocation permission letters to LPA by 08/31/2023.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 08/18/2023 08:07 AM - It Cannot Be Edited

Created By: Farida Raja On 08/17/2023 at 04:02 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: SCHOLARS ACADEMY	FACILITY NUMBER: 434400069
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/17/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview, the licensee did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care. Director did not inform Childcare Licensing that Water Lead Testing was not completed and not required as they exclusively use bottled water for drinking and food preparation.
	POC Due Date: 08/17/2023
	Plan of Correction
1 2 3 4	Director submitted a facility sketch and letter from stating that they exclusively use bottled water during today's inspection. LPA also observed two covered water fountains. Deficiency was cleared during today's visit.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

LIC809 (FAS) - (06/04)

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