St Elizabeth Seton Little Saints

STATE OF CALIFORNIA- HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FACILITY EVALUATION REPORT (Cont) CCLD Regional Office, 2580 N FIRST STREET, STE. 300 SAN JOSE, CA 95131 FACILITY NAME: ST. ELIZABETH SETON UTILE SAINTS PRESCHOOL FACILITY NUMBER: 434413367 VISIT DATE: 08/21/2013 NARRATIVE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 Outdoor measurements: Playground 1 1/2 (25.249)(29.498) = 372.397 48.664 X 7.083 = 344.687 10.83 X 5.664 = 61 .341 9.83 X 10.415 = 102.379 Playground 1 total= 880.806 minus 15.747 (encumbered space)= 865.057 Playground 2 90.000 x 65.000 = 5850 TOTAL OUTDOOR SPACE: 6715.057 sq ft divided by 75 = 89 children . The preschool program has the sole use of playground 1. The preschool children will be sharing playground 2 with the elementary school children (Kindergarten to 4th grade) at different times. Waiver request to share playground 2 was submitted during the visit. Shade is provided by building overhang in playground 1 and several trees in playground 2. The center will not provide transportation for the children . Drinking water outdoors will be provided by pitchers and cups . There is a working telephone which is (650) 326 9004. The Fire Marshal granted the fire clearance on August 15, 2013. LPA Monico discussed the requirements of AB 633, new car seat law, and healthy beverages in child care with Site Director and Assistant Director. A review of staff records on 08/20/13 indicates that all individuals are cleared and those that need exemptions have the exemption. LPAs also reminded Site Director and Assistant Director of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts : $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period. 23 24 25 26 27 28 Pending the receipt of the following items, a license for 30 preschool children will be granted : 1) Photos showing that Pre-K Room is fully set-up with tables and chairs. 29 30 2) Photos showing that playground 1 has toys/equipment for the children. 31 3) Print out of the parent handbook with all revisions . 32 4) Completed financial verification form coming from the bank. TELEPHONE: (408)324-2148 SUPERVISOR'S NAME: Sandy Knight LICENSING EVALUATOR NAME: Marilou Monico TELEPHONE: (408)334-8549 LICENSING EVALUATOR SIGNATURE: ~~·Jri-d~ DATE: 08/21/2013 I acknowledge receipt of this form and understand my appeal rights as explained and received . FACILITY REPRESENTATIVE SIGNATURE: ;; ~ }v, LIC809 (FAS) - (06/04) ~'----' DATE: 08/21/2013 Page : 2 of 2 STATE OF CALIFORNIA- HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION FACILITY EVALUATION REPORT CCLD Region al Office, 2580 N FIRST STREET, STE. 300 SAN JOSE, CA 95131 FACILITY NAME: ST. ELIZABETH SETON UTILE SAINTS PRESCHOOL ADMINISTRATOR: EVELYN M. ROSA ADDRESS: 1095 CHANNING AVENUE CITY: PALO ALTO STATE: CA CAPACITY: 30 CENSUS: 0 TYPE OF VISIT: Prelicensing ANNOUNCED MET WITH: Evelyn Rosa , Giuliana Defilippis & Harriet Geraci 1 2 3 4 434413367 FACILITY NUMBER: FACILITY TYPE: TELEPHONE : ZIP CODE : DATE: TIME BEGAN : TIME COMPLETED: 850 (650) 326-9004 94301 08/21/2013 10:40 AM 03:15PM NARRATIVE Licensing Program Analysts (LPAs) Marilou Monico and Rita Palacios met with Principal , Evelyn Rosa , Site Director, Giuliana Defilippis , and Assistant Director, Harriet Geraci for a prelicensing visit. LPAs toured the facility both inside and out as well as measured the space available for the children . The center is located in the St. Elizabeth Seton Elementary School site. Indoor measurements are as follows: 5 6 PRE-K 59.83 x 25.166 = 1505.681 minus 237.462 (encumbered space)= 1268.219 7 TOTAL PRESCHOOL INDOOR SPACE: 1268.219 sq. ft. divided by 35 36 children. 8 9 There are 3 sinks (45) and 2 toilets (30) available for the children. Only cold water is available in the 10 children's sinks. There is a staff bathroom located across the gym inside St. Elizabeth Elem . School which is 11 labeled "Ladies." The sick child will use the staff bathroom if needed. The sick child will be isolated in the 12 Director's Office located in the Pre-K Room and isolation equipment is provided . The sick child will be 13 supervised by a teacher. The children's bathrooms are located in the Pre-K Room . First Aid supplies are 14 stored in the director's office inaccessible to children. The center will be administering medication and the 15 medication lock box will be stored in the director's office. Parents are responsible for bringing lunches for 16 their children . Snacks will be provided by the center and will be prepared in the kitchen located in the 17 elementary school building. Disposable dishes and utensils are available for the children . Sanitation shall be 18 ensured through hand washing. LPAs observed a trash can with tight-fitting lid in the classroom for the 19 disposal of solid waste. Cleaning products will be stored in the upper cabinet in the classroom . There are 36 20 chairs , 30 cubbies and 30 cots available for the children. Drinking water indoor will be provided by water 21 fountain . Site Director and Assistant Director understand that children must be supervised at all times . 22 23 24 [Facility Evaluation Report dated 08/21113 is continued on the following page]: 25 SUPERVISOR'S NAME: Sandy Knight TELEPHONE: (408)324-2148 = LICENSING EVALUATOR NAME: Marilou Monico TELEPHONE: (408)334-8549 LICENSING EVALUATOR SIGNATURE: DATE: 08/21/2013 I acknowledge receipt of this form and understand my licensing appeal rights as explained and received . FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2013 This report must be available at Child Care and Group Home facilities for public review for 3 years. LIC809 (FA$) - (06/04) Page : 1 of 2