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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434410818
Report Date: 12/07/2022
Date Signed: 12/07/2022 01:11:19 PM

Document Has Been Signed on 12/07/2022 01:11 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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:NELLY'S CHILDCARE AND PRESCHOOLFACILITY NUMBER:
434410818
ADMINISTRATOR:GREISLYE PARADAFACILITY TYPE:
830
ADDRESS:202-B RAILWAY AVENUETELEPHONE:
(408) 364-1300
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY: 10TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
12/07/2022
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:08 AM
MET WITH:Ludmila ParadaTIME COMPLETED:
10:30 AM
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Licensing Program Analysts (LPAs) James Santos and Marilou Monico met with General Manager, Ludmila Parada, today and conducted a Case Management Inspection. The facility submitted an application for a change of capacity for their infant license from 10 to 8 infants, switching rooms from Room 2 to Infants Room (Previously Room 1). Fire clearance was approved on October 28, 2022. LPAs toured the facility and measured the indoor and outdoor areas during today's inspection.

The following are the classroom measurements and information:

Infants Room: 28.417 x 11.000 = 312.587 minus 26.986 (encumbered space) = 285.601
TOTAL INFANT INDOOR SPACE = 285.601 sq. ft. divided by 35 sq. ft. = 8 children

The infant room has 1 sink and 1 diaper changing table within arm's reach of a sink. The sink only has cold running water. There are 10 chairs, 1 table, 4 cribs, 9 cots, 12 cubbies and 4 hooks available for the children.

There is a staff bathroom next to the Preschool Children's Bathroom. The staff bathroom is clean, sanitary and operable. Sick children will be isolated in the office and isolation equipment will be provided. The facility has containers with tight-fitting lids for the disposal of solid waste. There is also a separate container with tight fitting cover for the disposable of diapers. The facility has fire extinguisher, fire alarm system, smoke/carbon monoxide detectors.

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SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE: DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/07/2022
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 2
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: NELLY'S CHILDCARE AND PRESCHOOL
FACILITY NUMBER: 434410818
VISIT DATE: 12/07/2022
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The facility is providing snacks and lunch to the children. There is a kitchen at the facility for food preparation. The kitchen is equipped with refrigerators, oven, stove, dishwasher, and a sink with hot and cold running water.

The following are outdoor measurements and information:

Infant Playground: 45.250 x 15.917 = 720.244

TOTAL INFANT OUTDOOR SPACE: 720.244 sq. ft. divided by 75 sq. ft. = 9 children

LPA observed the playground is fully fenced which meet the height requirements. Shade is provided by materials called "Solar Shade Sails" and a tree. No bodies of water observed.

LPAs discussed the safe sleep regulations with Ludmila and discussed the Child Care Licensing Safe Sleep web page at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource.

LPAs also informed Ludmila 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 she registers all infant devices with the CPSC to be notified of any recalls on her purchased equipment.

Exit interview conducted and report was reviewed with General Manager, Ludmila Parada LPAs advised Ludmila that a license for 8 infants will be granted upon manager's review and approval.

There were no deficiencies cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.

SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: James G Santos
LICENSING EVALUATOR SIGNATURE:

DATE: 12/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/07/2022
LIC809 (FAS) - (06/04)
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