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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 444417084
Report Date: 01/04/2024
Date Signed: 01/04/2024 03:24:00 PM

Document Has Been Signed on 01/04/2024 03:24 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:JAIME ALLEN / HIDDEN TREASURESFACILITY NUMBER:
444417084
ADMINISTRATOR:JAIME ALLENFACILITY TYPE:
850
ADDRESS:4401 SCOTTS VALLEY DRIVETELEPHONE:
(831) 430-8725
CITY:SCOTTS VALLEYSTATE: CAZIP CODE:
95066
CAPACITY: 15TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
01/04/2024
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
09:04 AM
MET WITH:Jaime AllenTIME COMPLETED:
03:34 PM
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Licensing Program Analyst (LPA), Cortney Nelson, met with Applicant, Jaime Allen, to conduct announced pre-licensing inspection to confirm the facility is in compliance with Title 22 CA Code of Regulations. The Applicant has applied for a child care center license for 15 preschool-age children and the facility will operate Monday-Friday from 8:30AM-3:00PM serving children ages three to five years old.

LPA toured and measured the indoor and outdoor areas of the facility with Jaime during today's inspection.

INDOOR MEASUREMENTS ARE AS FOLLOWS:

Dress-Up Rm: 11.667 x 10.583 = 123.472
Reading Rm: 8.000 x 12.000 = 96.000
Open Middle Rm: 19.000 x 29.583 = 562.077
10.167 x 12.250 = 124.546
17.167 x 6.583 = 113.010
12.167 x 3.917 = 47.658
3.667 x 3.917 = 14.364
861.655 - encumbered (74.515) = 787.14
Cubby Rm: 10.583 x 11.667 = 123.472 - encumbered (3.917) = 119.555

Total Indoor Space: 1126.167/ 35 SQ feet= 32 children

OUTDOOR MEASUREMENTS ARE AS FOLLOWS:

Outside Yard: 40.583 x 24.833 = 1007.798
Side yard: 24.083 x 7.917 = 190.665

Total Outdoor Space: 1198.463/ 75 SQ feet= 15 children
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE: DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/04/2024
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: JAIME ALLEN / HIDDEN TREASURES
FACILITY NUMBER: 444417084
VISIT DATE: 01/04/2024
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There is one sink (15) and one toilet (15) available for the preschool children. There is hot water (less than 120 degrees F) available in the children's sink. LPA observed soap dispenser and paper towels are located in the bathroom. There is one separate staff bathroom, located next to the children's restroom, that will be utilized by sick children if necessary. Sick children will be isolated in the office and isolation equipment will be provided. The facility does not plan to offer potty training.

The 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.

LPA observed two wall heaters, located in the main classroom and near the kitchen, that are properly barricaded and inaccessible to children. LPA advised that the minimum temperature for a child care center is 68 degrees. The facility has appropriate indoor lighting and toys/materials for the children that are age-appropriate and in good/safe condition for use. The first aid kit is currently stored in the cubby room, inaccessible to the children, and Jaime states she is planning to create fanny packs for staff to bring outside as well. The Director, Jaime, has completed 15 hours of Health and Safety Training, including nutrition and lead components. The facility is equipped with two fully charged 2A10BC fire extinguishers, functioning smoke detector and carbon monoxide detector.

The facility plans to administer non-prescription and prescription medication to children. Incidental Medical Services will be administered as needed for children with EpiPens and Inhalers. LPA reviewed proper storage of medication and related Licensing documentation with the Applicant. IMS Medications (Inhalers and EpiPens only) and other prescription/non-prescription medications will be stored in the kitchen cabinet, inaccessible to children. LPA advised that IMS medication is not locked.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: JAIME ALLEN / HIDDEN TREASURES
FACILITY NUMBER: 444417084
VISIT DATE: 01/04/2024
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There are 10 tables, 15 chairs, and 16 cubbies available for the preschool children. Jaime states that she is planning to purchase nap mats, sheets, and hooks for the preschool. There is adequate equipment, supplies and toys for the children in the facility. Drinking water will be provided indoors via water jug and water bottles the children bring from home. Jaime states that she does not plan to use any of the faucets for drinking water or food prep and LPA advised the steps to take for required water lead testing at licensed child care centers. LPA additionally advised that water lead testing is required within 180 days of receiving a license. There is a working telephone at the site (831) 430-8725. Jaime states that there are no firearms or weapons on the premises. Sign-in/out will be completed via paper sheets and LPA advised retaining copies of sign-in/out for review during annual inspections and that parents shall use their full legal signature.

The food preparation area (kitchen) is functional and has hot and cold running water, sink, refrigerator, and storage space for food supplies. The facility does not currently plan to serve food to children and parents will be required to send their child with lunch and snack. LPA advised that any lunch/snack foods that are perishable shall be refrigerated until children are ready to eat and that all food shall be labeled with the child's name and date.

LPA observed that the outdoor space is surrounded by fencing and has a grass area with toys for children. LPA advised that fence for outdoor spaces shall be at least four feet tall. LPA advised that the current fence is too short and that the gap under the fence shall also be filled in. Jaime states that she is planning to purchase a sandbox, playhouse, and additional materials for the outside area. LPA advised that any climbing structures or playgrounds installed shall have sufficient resilient materials, such as tanbark, underneath. Shade is provided by the building overhang and pop up tent. Jaime states she is planning to add additional canopies as needed for shade. Drinking water will be provided via children's water bottles and there will be a water filter outside to refill as needed. LPA did not observe any bodies of water during today's inspection. Transportation will not be provided by the facility.

Jaime Allen has obtained the Criminal Record and Child Abuse Index clearances. Jaime has met the education and experience qualification requirements and has current Pediatric First Aid/CPR Certification on file. Proof of completion of Preventative Health Practices and vaccination records for MMR, Tdap, and Influenza are also on file.

LPA reviewed with the Applicant the LIC 311A, Records to be Maintained at the Facility for child’s records, personnel records, administrative records, and documents to be posted.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
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
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME: JAIME ALLEN / HIDDEN TREASURES
FACILITY NUMBER: 444417084
VISIT DATE: 01/04/2024
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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.

LPA discussed "zero tolerance" related regulations with Jaime and advised of the assessment of an immediate $500 per day civil penalty for any violation of a "zero tolerance" related regulation. An ongoing civil penalty of $150 per day continues until the violation(s) is corrected. For discipline strategies, Jaime states that she plans to utilize tools to work together with the children and encourage learning experiences. She further states that she does not plan to use time-out and will instead utilize positive discipline and the reading corner for calming down. LPA advised that corporal punishment is not allowed.

Exit interview conducted and the report was reviewed with the Applicant, Jaime Allen.

LPA advised that a license for a child care center will be issued, pending manager review and approval and the following corrections:
-Obtain fire clearance for the facility from Scotts Valley Fire Department
-Outdoor fence needs to be four ft tall and the gap under the fence shall be filled in
-Proof of purchase for children's nap mats and sheets
-Mount barriers around wall heaters securely to the wall
-Children's bathroom door needs to be removed with added baby gate or door shall become half door for visual supervision. Add lock to staff restroom.
-Water dispenser to be set-up and photo submitted
-Hooks and additional cubbies to be purchased (storage of napping materials)
-Required postings to be hung up
-Add baby gate or half door in between check-in area and dress up room
-Complete rolling wall for separation of kitchen from main open room of the preschool
-Submit copy of IMS plan
-Submit revised Admission Agreement with refund policy and "30 days notice of rate change"
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Cortney Nelson
LICENSING EVALUATOR SIGNATURE:

DATE: 01/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4