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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434400285
Report Date: 05/01/2025
Date Signed: 05/01/2025 01:55:58 PM

Document Has Been Signed on 05/01/2025 01:55 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:SAN JOSE DAY NURSERY INFANT/TODDLER PROGRAMFACILITY NUMBER:
434400285
ADMINISTRATOR/
DIRECTOR:		RIKKI LOPEZFACILITY TYPE:
830
ADDRESS:33 N. 8TH STREETTELEPHONE:
(408) 288-9667
CITY:SAN JOSESTATE: CAZIP CODE:
95112
CAPACITY: 24TOTAL ENROLLED CHILDREN: 22CENSUS: 16DATE:
05/01/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Rikki Lopez-MoralesTIME VISIT/
INSPECTION COMPLETED:
10:30 AM
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Licensing Program Analysts (LPAs) Janette Cruz and Anna Morales conducted an unannounced case management inspection following a request to increase the facility's capacity from 24 to 36 infant children ages 0 - 24 months in rooms # 6 ,7 and 8. LPAs met with Rikki Lopez-Morales, Licensee Representative, and explained to her purpose of today’s inspection. The infant program currently serves children ages 6 weeks to 24 months located in building 2 rooms 7 and 8. The facility also operates a licensed preschool program (Facility # 430700549) on the same premises. The facility received a fire safety inspection approval from the San Jose Fire Department on 03/26/25. The child care center will operate Monday–Friday 7:00AM – 6:00 PM. LPAs toured and measured the indoor and outdoor areas of the facility during today's inspection.

Infant Classroom Measurements are:

The Indoor total measurements contain a total of {1735.35} square feet, which will accommodate Licensee/Applicant’s request for 36 infants.

Infant Outdoor Play measurements were not taken during this inspection due to ongoing playground construction.

The infant care center shall be equipped with appropriate furniture and equipment including, but not limited to, cribs, cots or mats; changing tables; and feeding chairs. LPAs observed all indoor activity space with safe, age-appropriate furniture and equipment: cribs, changing tables, napping mats, and other activity supplies for the children. LPAs observed 12 cribs, 10 feeding chairs, 5 tables, 34 chairs, 6 sinks and 2 toilets available for the infant children. Infant toys are safe with no sharp edges, splinters, or points, nor made of small parts that can present a choking hazard. Drinking water is available in the classrooms through filtered water dispensers.
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/01/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: SAN JOSE DAY NURSERY INFANT/TODDLER PROGRAM
FACILITY NUMBER: 434400285
VISIT DATE: 05/01/2025
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LPAs observed all hazardous items located in locked cabinets kept inaccessible to children. When medications are on site, Licensee representative stated that they will be in high cabinets inside the facility office. There are no weapons stored in the facility premises per licensee representative.

LPAs observed changing tables available for the infant children. Sleep logs are kept in the infants room. Infant's Needs and Services Plans are kept in children's file at the infant room. LPAs advised Facility Representative that there needs to be one potty chair for every five infants. The isolation area for children who are ill will be the at the facility office.

Facility Representative stated that parents will provide food and milk bottles for infants. LPAs advised Applicants that as per Title 22 regulations, bottles and dishes provided by authorized representatives shall be rinsed and returned to authorized representatives for sanitizing at the end of each day. Lunch and snacks are prepared at the facility. LPAs observed facility has kitchen area kept clean, free of litter and inaccessible to children. LPAs observed infant rooms are equipped with fridge and bottle warmers for food storage and heating.

LPAs were unable to conduct a complete inspection of the infant outdoor area due to the ongoing construction. However, LPAs observed no bodies of water and trees provide for shade.

LPAs discussed the safe sleep regulations with Facility Representative and discussed the Child Care Licensing Safe Sleep webpage at: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep, as an additional resource. LPAs also reminded facility representative 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.

Facility Representative was advised that request for increase in capacity (36 infants) will be approved upon completion of the following items due by 06/02/25.
1. completed outdoor play space inspection by LPA after playground construction is done.
2. updated LIC999 - Facility sketch (yard)

No deficiencies issued during today's inspection. An exit interview was conducted with the above items discussed and a copy of appeal rights and this report was provided to the facility representative, Rikki Lopez-Morales. Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues.

A Notice of Site visit was given and must remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Deborah Lowe
NAME OF LICENSING PROGRAM ANALYST: Janette Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2025
LIC809 (FAS) - (06/04)
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