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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434404318
Report Date: 09/19/2024
Date Signed: 09/19/2024 01:37:42 PM

Document Has Been Signed on 09/19/2024 01:37 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:AMAZING CREATIONS PRESCHOOLFACILITY NUMBER:
434404318
ADMINISTRATOR/
DIRECTOR:		SHANNON ALLARDFACILITY TYPE:
850
ADDRESS:1025 THE DALLES AVENUETELEPHONE:
(408) 730-0365
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY: 65TOTAL ENROLLED CHILDREN: 65CENSUS: 0DATE:
09/19/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Juliana BuccellatoTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
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Licensing Program Analysts (LPAs) Harsimran Kaur and Mandeep Kaur conducted an announced case management inspection in response to reactivating the child care center license and change of capacity from 53 to 48 preschool children and 12 toddlers. LPAs met with Juliana Buccellato, Director, and explained to her purpose of today’s inspection. The Preschool Program currently serves children ages 2 years to 6 years in room 1 and 2 and toddlers 18 months to 36 months in room 3. The center will be operating Monday through Friday 7:30 AM to 5:30 PM. The Facility received a fire safety inspection approval from the Sunnyvale Fire Department for the change of capacity on 08/13/2024. There is an additional program that operates on the property that is separate from this program. LPAs toured and measured the indoor and outdoor areas of the Facility during today's inspection.

Preschool Classroom measurements are:
The Indoor total measurements contain a total of {1798.39} square feet, which will accommodate Applicant's request for 48 preschool children.

Preschool Outdoor Play measurements are:
Outdoor total measurements contain a total of {8903.65} square feet, which will accommodate Applicant’s request for 48 preschool children.

Toddler Classroom measurements are:
The Indoor total measurements contain a total of {918.97} square feet, which will accommodate Applicant's request for 12 toddlers.

Toddler outdoor play measurements are:
Outdoor total measurements contain a total of {5736.18} square feet, which will accommodate Applicant’s request for 12 toddlers.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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 4
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: AMAZING CREATIONS PRESCHOOL
FACILITY NUMBER: 434404318
VISIT DATE: 09/19/2024
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LPAs observed all preschool classrooms to be clean, safe, sanitary and in good repair. A comfortable temperature for children shall be maintained at all times. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. All materials and surfaces accessible to children, including toys, shall be free of toxic substances. All play equipment and materials used by children were observed to be age-appropriate. There are 68 chairs, 10 tables, 6 sinks, 60 cubbies, 30 cots,1 changing table, 5 toilets available for preschool and toddler children. Staff have one separate bathroom that can be utilized by sick children if needed. Sick children will be isolated in the office area in classroom 2 of the facility. First aid supplies, medication, and cleaning products are stored in the upper cabinets. LPAs observed containers with tight-fitting lids for the disposal of solid waste and diapers.

LPAs observed fully charged fire extinguisher, smoke and carbon monoxide detectors at the facility. Storage areas for poisons shall be locked. LPAs observed a changing table is within arm’s reach of a sink. Diapering sink is not used for meal preparation or dishwashing.

Applicant was reminded that a child who is between 18 months and 36 months of age may participate in the toddler program with written permission from the child's authorized representative. No child in the toddler program shall be placed in the preschool program before the age of 30 months without written permission from the child's authorized representative.



LPAs observed the facility has a fully fenced outdoor playground with separate areas for toddlers and preschool children. Outdoor area for preschool children were free of hazards including, holes, broken glass dry grasses, and other debris that pose a fire hazard. Any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. The areas around and under high climbing equipment, swings, slides and other similar equipment was observed to be cushioned with tanbark. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence is at least four feet high. Applicant understands that no child(ren) shall be left without visual supervision of a teacher at any time. Outdoor shade was provided by canopy's and trees. LPAs observed no bodies of water.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: AMAZING CREATIONS PRESCHOOL
FACILITY NUMBER: 434404318
VISIT DATE: 09/19/2024
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The Applicant shall take measures to keep the center free of flies, other insects, and rodents. All containers used for storage of solid wastes, including moveable bins, shall have a tight fitting cover that is kept on. LPAs observed no fireplace or open face heaters. Facility provides snacks for the children. Parents provide lunch for kids. The facility has refrigerator, microwave and cold running water. Drinking water is readily available for the children in the facility.

Drinking water from a non-contaminating fixture or container shall be readily available both indoors and in the outdoor activity area. LPAs advised per Health and Safety Code 1597.16(a)(1) Lead Testing and PIN-21-21-CCP Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010 to test their drinking water for lead contamination between January 1, 2020 and January 1, 2023, and then every 5 years after the date of the first test.

Per Written Directive 100700(c)(1) Written Directives for Lead Testing (1) For a license issued on or after July 1, 2022, initial testing results shall be received and posted within 180 days of licensure.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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) or (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.



LPAs discussed the safe sleep regulations with Director 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 informed [applicant, licensee, or 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.

LPAs reviewed with the Applicants LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: AMAZING CREATIONS PRESCHOOL
FACILITY NUMBER: 434404318
VISIT DATE: 09/19/2024
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Applicants were informed of the MyChildCarePlan.org site, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

An exit interview was conducted and copy of appeal rights and this report was provided to the Director, Juliana Buccellato. Final license determination will be made upon review by the Licensing Program Manager

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
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