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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 435700747
Report Date: 10/08/2024
Date Signed: 10/08/2024 02:29:59 PM

Document Has Been Signed on 10/08/2024 02:29 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:COMMUNITY FIRST SCHOOLFACILITY NUMBER:
435700747
ADMINISTRATOR/
DIRECTOR:		TRAN, THAOFACILITY TYPE:
830
ADDRESS:1171 EAST CALAVERAS BOULEVARDTELEPHONE:
(408) 739-2022
CITY:MILPITASSTATE: CAZIP CODE:
95035
CAPACITY: 22TOTAL ENROLLED CHILDREN: 22CENSUS: 5DATE:
10/08/2024
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Director / Administrator Thao TranTIME VISIT/
INSPECTION COMPLETED:
03:00 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 10/8/2024 at 10:30 am, Licensing Program Analyst (LPA) Manel Estoesta conducted a Complaint Investigation. LPA met with the Director / Administrator Thao Tran and explained the nature of the visit. The facility operates from Monday to Friday, 7 am to 6 pm.

The facility is a combination center with an infant component. The infant component operates in Waddler Room. The preschool component operates in Rooms 1, 2 and 3. Room 4 is currently not being in used.

Present on this visit were 5 Staff and 26 preschool children in the preschool component rooms, and 2 Staff and 5 infants in the infant component room.

As part of the Complaint Investigation Report dated 10/8/2024 which included a Type B Citation. The Licensee was in violation of Section 101416.3 Infant Care Aide Qualifications and Duties (b) an infant care aide shall work under the direct supervision of the director, the assistant director or a fully qualified teacher. S2 was supervising the Waddler Room (Infant Room) without a direct supervision of the director, the assistant director or a fully qualified teacher. S2 is an infant care aide and deficient on three of the units required related to the care of infants or shall contain instruction specific to infants.

Due to S2 units required related to the care of infants or shall contain instruction specific to infant deficiency, the Waddler Room (Infant Room) was out of Ratio when S2 was supervising the Waddler Room (Infant Room) without a direct supervision of the director, the assistant director or a fully qualified teacher.


As per Section 101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants; and (B) Each aide is responsible for the direct care and supervision of a group of no more than four infants.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE: DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/08/2024
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 3
Document Has Been Signed on 10/08/2024 02:29 PM - It Cannot Be Edited


Created By: Manel Estoesta On 10/08/2024 at 10:33 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
, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: COMMUNITY FIRST SCHOOL
FACILITY NUMBER: 435700747

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/08/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/15/2024
Section Cited
CCR
101416.5(1)(A)

1
2
3
4
5
6
7
Section 101416.5 Staff-Infant Ratio (b) There shall be a ratio of one teacher for every four infants in attendance. (1) An aide may be substituted for a teacher when all of the following conditions are met: (A) There is a fully qualified teacher directly supervising no more than 12 infants; and............
1
2
3
4
5
6
7
The Director / Administrator Thao Tran submitted an Exception for S2 received at the Regional Office (RO) on Friday, September 20, 2024 7:14 PM via email. The Director / Administrator Thao Tran will update the facility's Staffing Plan and will submit a POC proof to the RO on or by the POC due date.
8
9
10
11
12
13
14
This requirement is not met as evidenced by record review on 9/6/2024, due to S2 units required related to the care of infants or shall contain instruction specific to infant deficiency, the Waddler Room (Infant Room) was out of Ratio when S2 was supervising the Waddler Room (Infant Room) without a direct supervision of the director, the assistant director or a fully qualified teacher. This poses a potential risk to the health, safety or personal rights to children in care.
8
9
10
11
12
13
14
LPA advised the Director / Administrator Thao Tran to conduct a Staff Meeting and include a reminder on Ratio and Supervision. The Director / Administrator Thao Tran agreed and will submit a proof of the minutes of meeting as part of the POC.

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Jason Jang
LICENSING EVALUATOR NAME:Manel Estoesta
LICENSING EVALUATOR SIGNATURE:
DATE: 10/08/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/08/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: COMMUNITY FIRST SCHOOL
FACILITY NUMBER: 435700747
VISIT DATE: 10/08/2024
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
26
27
28
29
30
31
32
LPA Estoesta informed the Director / Administrator Thao Tran, that this report dated 10/8/2024 included a Type B Citation which can be posted as there is a potential risk to the health, safety, or personal rights of children in care.

For Child Care Transparency Website (Licensing Facility Inspection Reports), please follow the links below;


https://cdss.ca.gov/inforesources/community-care-licensing/facility-search-welcome
https://www.ccld.dss.ca.gov/carefacilitysearch/

A notice of site visit was given and must remain posted for 30 days.

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed Director / Administrator Thao Tran.
SUPERVISORS NAME: Jason Jang
LICENSING EVALUATOR NAME: Manel Estoesta
LICENSING EVALUATOR SIGNATURE:

DATE: 10/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3