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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417158
Report Date: 04/30/2024
Date Signed: 04/30/2024 12:15:06 PM

Document Has Been Signed on 04/30/2024 12:15 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:CREC PRESCHOOL IN CAMPBELLFACILITY NUMBER:
434417158
ADMINISTRATOR/
DIRECTOR:
ZANZHU CHENFACILITY TYPE:
860
ADDRESS:65 WEST HAMILTON AVENUETELEPHONE:
(408) 593-7777
CITY:CAMPBELLSTATE: CAZIP CODE:
95008
CAPACITY: 60TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
04/30/2024
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:Gin JuTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On 4/30/24 Licensing Program Analyst (LPAs) Harsimran Kaur and Janette Cruz met with Applicant representative, Gin Ju, The purpose of the visit was an announced pre-licensing inspection at the facility to ensure that health, safety and personal rights as required by Title 22 and Health and Safety Regulations governing California Child Care Centers will be met. There were no children present during this inspection. This is an application for 33 children, ages 2 to 6 years old. The child care center will operate Monday – Friday 8:00 am - 6:00 pm. The fire clearance was approved on 03/04/2024.

LPAs toured and measured the on-limits areas and classrooms located at the facility.

Classroom measurements are:

The Indoor total measurements contain a total of 1604.03 square feet, which will accommodate Applicant’s request for 33 children.

Outdoor Play measurements are:

Outdoor total measurements contain a total of 866.27 square feet, which will not accommodate Applicant’s request for 33 children.

Indoor/Children’s Area:

The facility was observed to be clean, safe, sanitary and in good repair to ensure the safety and well-being of children, employees and visitors. 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. There are 45 chairs, 14 tables, 48 cubbies, 60 cots, 3 toilets, and 5 sinks for the preschool program. There are age-appropriate fixture and equipment available for children during today’s inspection. The Applicant shall ensure that each child has an individual permanent or portable storage space for his/her clothing, personal belongings and/or bedding. Off limit areas to children indoors are the following classrooms, 105 and 105A. There is fully charged fire extinguisher, smoke detector, and carbon monoxide detector.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE: DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/30/2024
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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CREC PRESCHOOL IN CAMPBELL
FACILITY NUMBER: 434417158
VISIT DATE: 04/30/2024
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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.

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.

Disinfectants and cleaning solutions are located in high cabinets inaccessible to children. Storage areas for poisons shall be locked. LPAs advised that Applicant maintains the following first-aid supplies in a location accessible to staff but inaccessible to children: current edition of a first-aid manual, sterile first-aid dressings, bandages or roller bandages, adhesive tape, scissors, tweezers, thermometer, and antiseptic solution. First aid supplies were not available during time of inspection.

The isolation area shall be located in the facility office to afford easy supervision of children by center staff. The isolation area shall be equipped with a mat, cot, couch or bed for each ill child. The Applicant shall be responsible for ensuring that children with obvious symptoms of illness including, but not limited to, fever or vomiting, are not accepted.

Applicant was reminded that all child care centers shall have working telephone service on the premises.

LPAs advised that smoking is prohibited on the premises of a child care center as specified in Health and Safety Code Section 1596.795(b). All toilets, hand washing and bathing facilities shall be maintained in safe and sanitary operating condition. LPAs observed hot and cold water available, Applicant was advised hot water temperature maintained of not less than 105 degrees F (40.5 degrees C) and not more than 120 degrees F (48.8 degrees C). Hand washing fixtures shall not be required to deliver hot water. A separate staff bathroom is available that can be used as isolation area for a sick children to use bathroom.

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

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CREC PRESCHOOL IN CAMPBELL
FACILITY NUMBER: 434417158
VISIT DATE: 04/30/2024
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Outdoor:

LPAs observed outdoor area is fenced and free of hazards. The playground is enclosed by a fence at least four feet high to protect children and to keep them in the outdoor activity area. Shade was provided by trees. The areas around and under high climbing equipment and slides had resilient material (rubber matting) that can absorb falls. LPAs observed no bodies of water.

Health Related Services:

Medications shall be kept in a safe place inaccessible to children. A refrigerator shall be used to store any medication that requires refrigeration.

Food Service:

All food shall be safe and of the quality and in the quantity necessary to meet the needs of the children. Lunch will be provided by the parents while snacks will be prepared and provided by the facility. Drinking water is available via mounted filtered water refill station. Food-preparation and storage areas was observed to be clean and free of litter and rubbish; and measures shall be taken to keep all such areas free of rodents and other vermin.

The following items were discussed:

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

LPAs discussed the safe sleep regulations with Applicant 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 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.

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

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: CREC PRESCHOOL IN CAMPBELL
FACILITY NUMBER: 434417158
VISIT DATE: 04/30/2024
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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 reviewed with Applicant the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant was 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.

The following corrections are needed before a licensure will be considered. Corrections are due by 05/14/2024:


1 Waiver for shared playground use.
2 Proof of available first aid kit with adequate supplies.
3 Updated LIC999 facility sketch (floor plan).
4.Final review of application packet.

An exit interview was conducted with the above items discussed and a copy of appeal rights and this report was provided to the Applicant Representative: Gin Ju. Final license determination will be made upon review by the Licensing Program Manager and correction of the above issues.

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

DATE: 04/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/30/2024
LIC809 (FAS) - (06/04)
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