<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434417302
Report Date: 06/20/2024
Date Signed: 06/20/2024 05:20:21 PM

Document Has Been Signed on 06/20/2024 05:20 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:7 MAGIC FLOWERS BILINGUAL MONTESSORI PRESCHOOLFACILITY NUMBER:
434417302
ADMINISTRATOR/
DIRECTOR:		CHINLAN WANGFACILITY TYPE:
850
ADDRESS:1321 MILLER AVENUETELEPHONE:
(408) 493-3574
CITY:SAN JOSESTATE: CAZIP CODE:
95129
CAPACITY: 80TOTAL ENROLLED CHILDREN: 80CENSUS: 70DATE:
06/20/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:01 PM
MET WITH:Li-Fan "Lily" Mock and Chin-Lan "Gina" WangTIME VISIT/
INSPECTION COMPLETED:
03:55 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 unannounced Case Management-Other inspection. LPA met with Director Gina and Licensee Li-Fan "Lily" Mock and explained the reason for the inspection. The purpose of this inspection is to discuss fingerprint clearance for staff.

During today's inspection, LPA observed that S-1 and S-2 were present at the center. S-1 and S-2 have cleared criminal record and child abuse index. Their fingerprints are associated to Licensee's other facility (facility #434415153); however, not associated to this facility. Facility transferred S-1 and S-2 fingerprints during today's inspection. Licensee 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.

LPA observed that there were 22 toddlers. LPA reviewed the pre-licensing inspection; facility was licensed for 28 toddlers children. LPA discussed with Licensee that the maximum group size for toddlers is 12 toddler with one fully qualified teacher and one aide. LPA also discussed that the groups need to be physically separated. LPA discussed with Licensee about submitting capacity reduction.

Facility will submit the following by 07/05/2024:
- updated LIC 200A with change of capacity fee
- updated LIC 999

As a result of this inspection, one Type B citation was issued. A civil penalty of $200 was assessed for caregiver background check. Exit interview conducted and report was reviewed with Licensee Lily and Director Gina. A notice of site visit has been issued and must remain posted for 30 days.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Samantha Yip
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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 2
Document Has Been Signed on 06/20/2024 05:20 PM - It Cannot Be Edited


Created By: Samantha Yip On 06/20/2024 at 11:40 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131

FACILITY NAME: 7 MAGIC FLOWERS BILINGUAL MONTESSORI PRESCHOOL
FACILITY NUMBER: 434417302

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/20/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/21/2024
Section Cited
CCR
101170(e)(1)

1
2
3
4
5
6
7
Criminal Record Clearance. All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1596.871 shall prior to working, residing or volunteering in a licensed facility: Request a transfer of a criminal record clearance...
This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Deficiency correct during today's inspection. Facility transferred S-1 and S-2 fingerprints during today's inspection.
8
9
10
11
12
13
14
Based on record review, S-1 and S-2's has cleared criminal record and child abuse index. S-1 and S-2's fingerprints are associated to Licensee's other facility, but not to this facility. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7
8
9
10
11
12
13
14
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Joel Segura
LICENSING EVALUATOR NAME:Samantha Yip
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2