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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444416884
Report Date: 04/17/2024
Date Signed: 04/17/2024 12:36:39 PM

Document Has Been Signed on 04/17/2024 12:36 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 CC RO, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:COAST REDWOODS MONTESSORIFACILITY NUMBER:
444416884
ADMINISTRATOR/
DIRECTOR:		ALYSSA NUNEZFACILITY TYPE:
860
ADDRESS:255 MOUNT HERMON ROAD, SUITE BTELEPHONE:
(831) 461-9330
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY: 53TOTAL ENROLLED CHILDREN: 53CENSUS: DATE:
04/17/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:09 AM
MET WITH:Alyssa NunezTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On 04/17/24, Licensing Program Analysts (LPAs), Janette Cruz and Harsimran Kaur conducted an unannounced pre-licensing inspection and met with Mindy Gillen, and Alyssa Nunez, Applicant Representative. The purpose of the visit was an unannounced pre-licensing inspection to add a toddler component. The facility has an existing preschool program Facility # 444403546 with a capacity of 63 preschool children and infant program Facility #444403545 with a capacity of 8 infants which will be converted to a single license upon completion of the inspection process. Applicant is requesting to be licensed for 33 preschoolers (ages 2.5-6 years) in preschool classroom; 12 toddlers (ages 18-36 months) in toddler classroom and 7 infants (ages 6 -24 months) in infant classroom. Hours of operation will be Monday to Friday 7:30AM to 5:30PM. Fire clearance was granted on 01/29/2024.

This report was referenced from inspection conducted on 2/05/24 by LPAs Nelson and Bongardt and the following measurements were taken.

INDOOR MEASUREMENTS ARE AS FOLLOWS:
Toddler Room:
1/2(1.75+4.25) x 3.167 = 9.501
12.167 x 47.583 = 578.942 - 20.299 (encumbered) = 558.643
Total: 568.144 / 35 SQ ft = 16 Toddlers

Preschool Room:
58.500 x 13.250 = 775.125 - 27.836 (encumbered) = 747.289
23.167 x 13.750 = 318.546 - 7.039 (encumbered) = 311.507
4.000 x 23.000 = 92.000 - 9.108 (encumbered) = 82.892
(1/2) 4.000 x 4.000 = 8.000
1.083 x 14.000 = 15.162
Total: 1164.85 / 35 SQ ft = 33 Preschool
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE: DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/17/2024
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: COAST REDWOODS MONTESSORI
FACILITY NUMBER: 444416884
VISIT DATE: 04/17/2024
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LPAs Cruz and Kaur continued to tour the facility and measured the following indoor and outdoor activity space.
Infant classroom measurements are:
The Indoor total measurements contain a total of {266.70} square feet, which will accommodate Applicant’s request for 7 infants.

Infant Outdoor Play measurements are:
Outdoor total measurements contain a total of {650.38} square feet, which will accommodate Applicant’s request for 7 infants.

Preschool Outdoor Play measurements are:
Outdoor total measurements contain a total of {5724.34} square feet, which will accommodate Applicant’s request for 33 preschool children. Outdoor space has sufficient space for the capacity requested for 33 preschool and 12 toddlers, however, facility has not designated a separate toddler outdoor space at this time.

Applicant agreed that a separate toddler outdoor play space shall be designated and submitted to Licensing for approval prior to licensure. Applicant also stated that a walking pathway shall be designated for toddlers' access to the preschool yard allowing no commingling of toddlers to preschool children.

LPAs reviewed with Applicant Section 101216.4 Preschool Program with Toddler Component. Toddlers may be enrolled into the program starting at age 18 months to a maximum of 36 months. LPAs advised that children enrolled into the toddler program cannot be placed in the preschool program before the age of thirty (30) months without the written permission from the child's authorized representatives. LPAs additionally advised that the toddler program shall be conducted in areas physically separated from those used by the preschool and infant program and commingling shall not be permitted between components.

LPAs advised that toddlers enrolled into the toddler component shall follow infant regulations, including nap check documentation and Infant Safe Sleep requirements, until they turn twenty four (24) months of age.
SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
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: COAST REDWOODS MONTESSORI
FACILITY NUMBER: 444416884
VISIT DATE: 04/17/2024
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LPAs observed facility has one infant room. LPAs observed a diaper changing table placed within arms reach to the sink. LPAs observed one potty chair available for infants. Applicant stated parents will provide food and milk bottles for infants. First aid supplies, medications, sleep logs and Infant Needs and Services plans are kept in the infant's room.

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).

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.

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 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. LPA also informed [applicant, licensee, or facility representative] 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: Janette Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
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: COAST REDWOODS MONTESSORI
FACILITY NUMBER: 444416884
VISIT DATE: 04/17/2024
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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 due by 4/30/24 and needed prior to the issuance of a license.
1. Designation of separate toddler outdoor play space.
2. Designation of walking pathway toddlers' access to the preschool yard.
3. Infant yard padding over concrete area.

No deficiencies were cited during this inspection. An exit interview was conducted and copy of appeal rights were provided to Mindy Gillen, Applicant. Final license determination for a single license will be made upon review by the Licensing Program Manager.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Janette Cruz
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2024
LIC809 (FAS) - (06/04)
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