434404978-4-9-2021-07-CC-SYIP-BZWL8T-20210409083227

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434404978
Report Date: 04/08/2021
Date Signed: 04/09/2021 08:34:00 AM

Document Has Been Signed on 04/09/2021 08:34 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME:	LOS ARROYOS CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	434404978
ADMINISTRATOR:	OKSANA OKS		FACILITY TYPE:	850
ADDRESS:	885 MORO DRIVE		TELEPHONE:	(408) 843-9005
CITY:	GILROY	STATE: CA	ZIP CODE:	95020
CAPACITY: 104	TOTAL ENROLLED CHILDREN: 0	CENSUS: 39	DATE:	04/08/2021
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	10:07 AM
MET WITH:	Oksana Oks		TIME COMPLETED:	12:03 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) Samantha Yip conducted an announced Case Management- Licensee Initiated inspection. Due to COVID-19 and shelter in place, a tele-inspection was conducted via Facetime. LPA met with Site Director Oksana Oks and explained the reason for the inspection. The purpose of this inspection is facility originally requested to change capacity to 92 and add a toddler option. Facility withdrew request for toddler option and has requested a capacity of 96 in Room 1, Room 2, Room 3, and Room 5 for ages 2 to 5. There is also a infant and school-age program on site. LPA informed Site Director that a copy of this report will be emailed to her. Site Director's response to email will serve as acknowledgement that report was received. The hours of operation are Monday through Friday 7AM to 6PM. The State Preschool's hours of operation are Monday through Friday 830AM to 11:30PM. The state preschool is currently not in session due COVID. An fire clearance for 96 children was granted on 03/19/2021. Site Director guided LPA on a tour of the facility via Facetime. There has been an update to the Room 3. Measurement for Room 3 were conducted during today's inspection by Site Director Oksana Oks to reflect the changes. Indoor and outdoor measurement for Room 1, 2, 5, Preschool Yard, and SA Yard/Preschool were conducted on 10/02/2019 and 12/11/2019 by LPA Yip and LPA Rodriguez The measurements are as followed: Room 1: 29.250 x 27.250 + 21.417 x 6.417 = 941.807 minus encumbered space 1.750 x 1. 833 +2.583 x 1.667 + 2.167 x 4.083 + 1x13= 29.359 = 912.448 -----------------CONTINUES ON 809 DATED 04/08/2021 PAGE 2----------------------------------

SUPERVISORS NAME: Anthony Studebaker
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021

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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LOS ARROYOS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 434404978
	VISIT DATE: 04/08/2021

NARRATIVE

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----------------------continuation of 809 dated 04/08/2021 page 1----------------------------------

Room 2: 12.583 x 6 + 5.583 x 16.167 + 24.167 x 37.583 = 1074.026 minus encumbered space 8.333 x 1.250 + 11 x 3 + 1.083 x 2 + 4 x 2.167 + 1.750 x 1.833 + 1.333 x 2 = 60.123 = 1013.903
Room 3: 24.333 x 37.583 + 12.750 x

5.833 + 3 x 2.750 + 2.083 x 6.500 + 2 x 13 + 2 x 7.583 = 1051.832 minus encumbered space 2.417x 1.917 + 6x2 + 1.750x1.667 + 3.833x2.167 + 3.667x2.083 + 2(1.250x4.250) = 46.119 = 1005.711
Room 5: 35 x 29.333 = 1026.655 + 9.667 x 2 = 19.334 + 7.917 x 2.167 = 17.156 + 2.917 x 8 = 23.336 = 1086.481 minus encumbered space 8 x 1.250 = 10 = 1076.481

TOTAL INDOOR SPACE MEASUREMENT = 912.448 + 1013.90 + 1005.711 + 1076.481 = 4008.543 divided by 35 = 114 children

The outdoor space measurements are as followed:
SA Yard/Preschool: 20.333 x 2 + 9 x 27 + 37.833 x 25 + 17 x 7 + 13.917 x 5 + 32.333 x 15.333 minus encumbered space 1.500 x 1.667 = 2.500 = 1911.336 divided by 75= 25 children
Preschool Yard: 17.583 x 19.250 + 14 x 21.833 + 36.167 x 25 + 17 x 12.250 + 55 x 25.417 + 21.500 x 26.583 = 3726.028 minus encumbered space 2(1.583 x 1.500) = 4.749 = 3721.279 divided by 75 = 49 children
Total Outdoor Space= 25 + 49 = 74 children

LPA observed that there are nine (9) toilets, one (1) urinal, and fourteen (14) sinks for children' use and three (3) additional sinks in the yard for children to use. There is sufficient amount of chairs, tables, and napping mats/cots for the requested number of children. There is sufficient amount of age appropriate toys for children in care. There is a changing table in Room 3. Storage containers for waste have tight fitted lids. Restroom for children was observed to sanitary. Site Director stated that there are no weapons, such as firearms stored on the premise. There a fire extinguisher, smoke detector, and carbon monoxide detector.

----------------------CONTINUES ON 809 DATED 04/08/2021 PAGE 3----------------------------

SUPERVISORS NAME: Anthony Studebaker
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 05/06/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/06/2021

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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: LOS ARROYOS CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 434404978
	VISIT DATE: 04/08/2021

NARRATIVE

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--------------CONTINUATION OF 809 DATED 04/08/2021 PAGE 2---------------------------

The outdoor area is fenced. Shaded rest areas are provided through the canopy, building overhangs, and pergola. Facility does have waiver to share outdoor space with the school-age program. There were no bodies of water observed during today's inspection.

Facility does provide meals and snacks to children.

LPA informed Site Director that an updated license reflecting the change of capacity will be issued upon approval of Licensing Manager and completion of the following items:
- waiver request for outdoor square footage and outdoor usage schedule by 04/16/2021

No deficiencies were cited as a result of this inspection. An exit interview was discussed, where this report was discussed and emailed to Site Director, Oksana Oks. A Notice of Site Visit has been issued and must be posted for 30 consecutive days.

SUPERVISORS NAME: Anthony Studebaker
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2021

LIC809 (FAS) - (06/04)

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