434408783-1-30-2024-07-CC-FRAA-CZZ53Z-20240130183646

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434408783
Report Date: 01/30/2024
Date Signed: 01/30/2024 06:36:54 PM

Document Has Been Signed on 01/30/2024 06:36 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:	KIDDIE ACADEMY OF SAN JOSE		FACILITY NUMBER:	434408783
ADMINISTRATOR:	MARIE NUNEZ		FACILITY TYPE:	830
ADDRESS:	521 WEST CAPITOL EXPRESSWAY		TELEPHONE:	(408) 978-1500
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95136
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 27	CENSUS: 22	DATE:	01/30/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:22 AM
MET WITH:	Marie Nunez		TIME COMPLETED:	01:25 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 01/30/2024 at 9:22am, Licensing Program Analyst (LPA), Farida Raja, met with Director, Marie Nunez, for an unannounced Required-3 Year inspection in the Infant Program. The facility is licensed to serve children ages 6 weeks to 24 months in 3 rooms. The facility also has a preschool license (#434408781) and a school age license (#434408782) at the same location. The facility has one waiver on file for electronic sign in/ out. LPA observed the required posted materials including weekly menus and daily activity schedule in each classroom. Days and hours of operation are Monday through Friday, 7:30 am to 6:30 pm. LPA and teacher, Michelle Quevedo toured the indoor and outdoor areas of the facility during today's inspection. LPA observed the following ratios: Infant Room: 7 infants and 3 teachers Toddler 1 Room: 6 children and 2 teachers Toddler 2 Room: 9 children and 3 teachers Facility was in compliance with teacher to children ratio requirement. The classrooms, staff restrooms, and kitchen were inspected. During today's inspection, LPA observed infants and toddlers playing under the visual supervision of staff. Facility has central heating/cooling for comfort of children. Director states that there are no weapons or firearms on the premises. There is a working telephone at the facility (408- 978-1500). Disinfectants, cleaning products and medicines were observed to be stored in high cabinets inaccessible to the children in care. All cabinets and drawers used for storage were child locked. LPA observed children's formula's and items stored in labelled baskets. Furniture and equipment were age appropriate free of sharp, loose, or pointed parts. LPA noticed some paint peeling from children's chairs and cabinets. LPA advised Director to replace furniture that is not in good repair and not safe for children. Continued on Page 2

SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024

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: KIDDIE ACADEMY OF SAN JOSE	FACILITY NUMBER: 434408783
	VISIT DATE: 01/30/2024

NARRATIVE

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Floors were clean and free from tripping hazards. LPA observed appropriate changing tables that have raised sides (3 inches in height) and have vinyl changing pads that are at least 1 inch thick. Napping cribs and mats were appropriate. LPA observed solid waste containers with tight-fitting lids in the rooms for disposal of food and diapers. Restrooms and sinks for children were observed to be safe, sanitary, and in working condition. Staff has 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 01/10/2024 which is compliant with the six-month requirement for facilities. LPA observed Emergency backpacks in each classroom with a first aid kit.

Drinking water is readily available for children in each room via individually labelled bottles and refilled using the water dispenser and in the outdoor playground area via water pitcher and disposable cups. Water lead testing was completed for the facility on 08/08/2023 and no Action Level Exceedances were reported.

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 child care 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 verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. LPA obtained a copy of the LIC 9275, LIC 9276, facility sketch including the outlets tested and water lead report during today's inspection. LPA observed drinking water fountains in the hallway which were not tested as per the report. Director stated that there is no water supply to the drinking water fountains and are not used by children. LPA referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Foods and beverages were stored safely to prevent contamination and spoilage. Food storage and preparation areas were observed to be sanitary. All food and beverages that require refrigeration are stored in covered containers and LPA observed a refrigerator and freezer log. The facility provides breakfast, lunch and two afternoon snacks and parents have the option to provide meals and snacks as well.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024

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

FACILITY NAME: KIDDIE ACADEMY OF SAN JOSE	FACILITY NUMBER: 434408783
	VISIT DATE: 01/30/2024

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 age-appropriate, and has sand as resilient material to absorb falls. Areas around and under high climbing equipment and slides were cushioned with resilient material. Shaded rest area is provided by canopies and trees. There were no bodies of water observed.

Children sign in and out procedures and logs were reviewed. Children's roster was reviewed, and a copy was provided to the LPA. LPA reviewed ten (10) children's files during today's inspection. Each child's file reviewed contained the required forms. Needs & Services Plans were on file and updated at least once per quarter or more often if needed. Facility was in compliance with the Safe Sleep regulations/requirements, including the Infant Sleeping Plan (LIC 9227) and 15 minute nap checks.

LPA 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. LPA also informed Director 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.

Five (5) staff files were reviewed. 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/ statement declining influenza vaccine. LPA observed the required Mandated Reporter Training on file for all staff.

Director 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.

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SUPERVISORS NAME: Gladys Kuizon
LICENSING EVALUATOR NAME: Farida Raja
LICENSING EVALUATOR SIGNATURE:	DATE: 01/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024

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

FACILITY NAME: KIDDIE ACADEMY OF SAN JOSE	FACILITY NUMBER: 434408783
	VISIT DATE: 01/30/2024

NARRATIVE

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Director stated that facility does handle medications and but currently has no children in care who require Incidental Medical Services. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. Isolation of sick child was discussed, and Director explained that sick children will be isolated in the director's office or in an area in the classroom 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. LPA provided Director with a copy of the PIN during today's visit. When any IMS is provided, an updated 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 are available at: https://www.ada.gov/resources/child-care-centers/.

Facility does not provide transportation to children. 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

Exit interview conducted and report was reviewed with Director, Marie Nunez.

As a result of today's inspection, there were no deficiencies cited.

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: 01/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2024

LIC809 (FAS) - (06/04)

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