444417180-7-11-2024-07-CC-HKAR-D73R8F-20240711124751

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 444417180
Report Date: 07/11/2024
Date Signed: 07/11/2024 12:48:16 PM

Document Has Been Signed on 07/11/2024 12:48 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:	FREEDOM MIGRANT & SEASONAL HEAD START		FACILITY NUMBER:	444417180
ADMINISTRATOR/ DIRECTOR:	ANGELICA RENTERIA		FACILITY TYPE:	860
ADDRESS:	37 HOLLY DRIVE		TELEPHONE:	(831) 728-6808
CITY:	FREEDOM	STATE: CA	ZIP CODE:	95019
CAPACITY: 44	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	07/11/2024
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Jose Rocha & Maria Cortes		TIME VISIT/ INSPECTION COMPLETED:	01:25 PM

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On 07/11/2024, Licensing Program Analysts (LPAs) Harsimran Kaur and Janette Cruz met with Applicant Representatives, Jose Rocha (interim director) and Maria Cortes (Child Development Coordinator). The purpose of the visit was an announced pre-licensing inspection to add an infant and toddler program. This facility has an existing preschool program facility # 440710333 which will be converted to a single license upon completion of the inspection process. Facility is operating in an elementary school site, Freedom Elementary School. Facility requested to be licensed for 8 infants (ages 0 - 24 months), 11 toddlers (18 months - 36 months) and 23 preschool children ( 2 years - entry to 1st grade). The child care center will operate Monday–Friday 6AM - 6PM. The fire clearance was approved on May 15, 2024.

This report was referenced from inspection conducted on 07/09/24 by LPAs Nelson and Beehler and the following measurements were taken.

Preschool Classroom

13.000 x 24.167 = 314.171 - 10.209 (cubbies) = 303.962
28.833 x 16.583 = 478.138 - 32.114 (built in cabinets) = 446.024
7.083 x 9.500 = 67.289
Total: 817.275 / 35 SQ ft per child = 23 children

Outdoor Playground
64.000 x 15.250 = 976.000
64.000 x 8.833 = 565.312
29 x 53.500 = 1551.500 - 31.661 (storage space) = 1519.839
42.917 x 36.917 = 1584.367
21.167 x 36.917 = 781.422
67.000 x 63.333 x 31.667 (triangle eq) = 994.131
Total: 6421.071 / 75 SQ ft per child = 85 children

The preschool classroom is equipped with twenty-eight (28) chairs, twenty-four (24) cubbies, twenty-four (24) cots, five (5) tables, two (2) toilets, and three (3) sinks.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

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: FREEDOM MIGRANT & SEASONAL HEAD START	FACILITY NUMBER: 444417180
	VISIT DATE: 07/11/2024

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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 {369.19} square feet, which will accommodate Applicant’s request for 8 infants.

Toddler Classroom measurements are:

The Indoor total measurements contain a total of {403.35} square feet, which will accommodate Applicant’s request for 11 toddler children.

Infant Outdoor Play measurements are:

Outdoor total measurements contain a total of {623.70} square feet, which will accommodate Applicant’s request for 8 infants.

Toddler Outdoor Play measurements are:

Outdoor total measurements contain a total of {1505.31} square feet, which will accommodate Applicant’s request for 11 toddler children.

Facility has one infant and one toddler classroom. LPAs observed two infant changing tables within arms reach to the sink . Applicant stated that parents will provide food and milk bottles for infants. LPAs advised Applicants that as per Title 22 regulations, bottles and dishes shall be rinsed for sanitizing using facility dishwasher at the end of each day. There are 16 chairs, 4 feeding chairs, 6 tables, 4 cribs, 24 cubbies, 4 sinks, 1 toilet available for infants and toddlers.

Applicant was reminded that a child who is between 18 months and 36 months of age may participate in the toddler program with written permission from the child's authorized representative. No child in the toddler program shall be placed in the preschool program before the age of 30 months without written permission from the child's authorized representative. 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: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

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: FREEDOM MIGRANT & SEASONAL HEAD START	FACILITY NUMBER: 444417180
	VISIT DATE: 07/11/2024

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All classrooms are observed to be clean, safe, sanitary and in good repair. 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. All materials and surfaces accessible to children, including toys, shall be free of toxic substances. All play equipment and materials used by children were observed to be age-appropriate. Staff and children's bathrooms are clean, sanitary and in working order. Isolation area for sick children is located at the parent's center room. First aid supplies and medications are stored in the locked cabinets in the infant and toddler room. LPAs observed containers with tight-fitting lids for the disposal of solid waste and diapers. LPAs observed fully charged fire extinguisher, smoke and carbon monoxide detectors at the facility. The Applicants shall take measures to keep the center free of flies, other insects, and rodents. LPAs observed no fireplace or open face heaters. Storage areas for poisons shall be locked. Food is provided through PVUSD Food and Nutrition Department for the children in care and the facility provides breakfast, lunch, and AM/PM snack. LPA's observed facility has refrigerator, microwave and food warmers in kitchen area. Drinking water is readily available for the children from filtered water fountains located inside the classrooms.

Outdoor area for infants and toddler children were free of hazards including, holes, broken glass dry grasses, and other debris that pose a fire hazard. Outdoor activity spaces are physically separate for each child care center components. Any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. The areas around infant and toddler outdoor space was observed to have resilient materials (poured rubber and mats) to absorb a fall. The playground is enclosed by a fence to protect children and to keep them in the outdoor activity area. The fence is at least four feet high. Shade was provided by trees and canopies. LPAs observed no bodies of water.

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.

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.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

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: FREEDOM MIGRANT & SEASONAL HEAD START	FACILITY NUMBER: 444417180
	VISIT DATE: 07/11/2024

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LPAs discussed the safe sleep regulations with Director 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 Applicants 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.

LPAs reviewed with the Applicants LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicants were 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.

An exit interview was conducted with the above items discussed. This report was provided to Jose Rocha and Maria Cortes, Applicant Representatives. Final license determination will be made upon submission of complete documents and review by the Licensing Program Manager.

SUPERVISORS NAME: Deborah Lowe
LICENSING EVALUATOR NAME: Harsimran Kaur
LICENSING EVALUATOR SIGNATURE:	DATE: 07/11/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2024

LIC809 (FAS) - (06/04)

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