434404307-9-14-2023-07-CC-ALOZ-CVNR2R-20230914123846

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434404307
Report Date: 09/14/2023
Date Signed: 09/14/2023 12:38:56 PM

Document Has Been Signed on 09/14/2023 12:38 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:	CASA DI MIR MONTESSORI ELEMENTARY SCHOOL		FACILITY NUMBER:	434404307
ADMINISTRATOR:	JOY GARCIA YAP		FACILITY TYPE:	850
ADDRESS:	90 EAST LATIMER AVENUE		TELEPHONE:	(408) 370-3073
CITY:	CAMPBELL	STATE: CA	ZIP CODE:	95008
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 60	CENSUS: 52	DATE:	09/14/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Joy Yap		TIME COMPLETED:	12:50 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) Ashley Lopez met with Joy Yap, Director, for an unannounced Required - 1 Year inspection. LPA toured the indoor and outdoor areas of the facility with the director 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), and Activity Schedule. Days and hours of operation are Monday through Friday 8:00am - 6:00pm. The facility is licensed to serve a maximum of 60 of children, ages 2 1/2 to 6 years old in classrooms, Room 1 and Room 2. LPA reviewed 10 children’s and 4 staff files during today's inspection. Children’s Records were reviewed for completeness and Inspection of required forms was made. In review of children’s records, files contain information including: Name, address and telephone number of the child's authorized representative and of relatives or others who can assume responsibility for the child if the authorized representative cannot be reached when necessary. All staff files reviewed contain the required transcripts/verification of experience/immunization records, and Health Screening Report. LPA observed that not all staff records reviewed had current certificates of completion of the Mandated Reporter Training for Child Care Providers on file. All staff records reviewed had 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. LPA observed that the teacher/child ratio was in compliance during today's inspection. The director understands the conditions, limitations, and capacity specifications of the Facility license. Director understands that children shall be visually supervised at all times. The facility has a waiver for a shared bathroom, the elementary school on the same site has access to the bathroom. The director states the preschool and elementary do not commingle, and both preschool classrooms have their own bathrooms. If a child becomes ill during the day, they shall be isolated in the director’s office area and are able to use the staff bathroom.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023

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: CASA DI MIR MONTESSORI ELEMENTARY SCHOOL	FACILITY NUMBER: 434404307
	VISIT DATE: 09/14/2023

NARRATIVE

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LPA observed that the facility is clean, safe, sanitary, and in good repair for children, staff, and visitors. Director states that the facility has a third-party cleaning service that cleans the facility Monday through Friday in the evenings. Director understands that the facility must be kept free of flies and other insects & rodents. LPA observed that all furniture and equipment is in good condition and safe for the children. Children's bathrooms are clean, sanitary, and operable. There is a separate staff bathroom not utilized by the children. The facility has adequate lighting and heating/air conditioning in both rooms. Director states that there are no weapons or firearms on the premises. LPA observed a fully charged 4-A-80-BC fire extinguisher in each classroom. The facility has a central smoke/carbon monoxide detectors throughout the school and in each classroom. The facility's last fire drill was conducted on 8/30/23.

Drinking water is readily available for the children from water gallons that are provided through a water delivery service. In the outdoor playground area children bring their reusable water bottler or they are provided with a disposable cup, and water is provided from the classroom water gallon. The director states the facility only uses the water faucets to wash hands, they do not use them for drinking water or for food preparation. Storage areas are clean, free of litter & rubbish, and free of rodents and other vermin. All food and beverages that require refrigeration are stored in covered containers at 45 degrees F or less. The children bring their lunches from home. The director states that the facility designates a child daily to be "snack manager", to bring snacks for all the children, parents are given strict guidelines to follow to ensure the food is safe for the children with allergies. The facility has trash cans with tight fitting lids for solid waste in each room. Cleaning supplies are stored in high cupboards and inaccessible to the children. LPA observed a complete First Aid kit.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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 (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/. There are medications at the facility that are individually stored on an inaccessible shelf in a locked container. Medications are individually labeled with child's name and information.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023

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: CASA DI MIR MONTESSORI ELEMENTARY SCHOOL	FACILITY NUMBER: 434404307
	VISIT DATE: 09/14/2023

NARRATIVE

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The playground area utilized by children is surrounded by appropriate fencing and the outdoor surfaces are safe for the children. LPA observed that the outdoor equipment is age appropriate and in good condition. Shade for the children is provided by trees. There is sufficient resilient materials (tanbark and wood chips) in the outdoor playground area. LPA did not observe any bodies of water.

Director, Joy, 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.

The 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.

As a result of this inspection, a deficiency will be sited. Exit interview conducted and report was reviewed with director, Joy Yap.

A notice of site visit was given and must remain posted for 30 days.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Ashley Lopez
LICENSING EVALUATOR SIGNATURE:	DATE: 09/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/14/2023 12:38 PM - It Cannot Be Edited

Created By: Ashley Lopez On 09/14/2023 at 12:04 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: CASA DI MIR MONTESSORI ELEMENTARY SCHOOL	FACILITY NUMBER: 434404307
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/14/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, three staff members do not have current Mandated Training for Child Care Providers which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/29/2023
	Plan of Correction
1 2 3 4	The director states the three staff members will complete the Mandated Reporter Training for Child Care Providers and she will submit proof of the completion to licensing by the due date 9/29/23.

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:

Joel Segura

LICENSING EVALUATOR NAME:

Ashley Lopez

LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023

LIC809 (FAS) - (06/04)

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