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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213000682
Report Date: 06/26/2019
Date Signed: 06/26/2019 12:09:52 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:HEIDI'S KINDERHAUSFACILITY NUMBER:
213000682
ADMINISTRATOR:ACHERMANN, MARCELLEFACILITY TYPE:
850
ADDRESS:799 PLAZA LINDATELEPHONE:
(415) 899-0029
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:46CENSUS: 18DATE:
06/26/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Marcelle AchermannTIME COMPLETED:
12:45 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
Licensing Program Analyst (LPA) Farhan Bashir-Tariq met with the Director Marcelle Achermann to conduct an Annual Random inspection on 6/26/19. The purpose of the inspection was explained . Present there were 18 preschool aged children in care with the Licensee and a Staff Jennifer Holm. Both Staff and the Director working in the preschool have fingerprints clearance on file. Facility is operating within the capacity and ratio limit as of today 6/26/19.The hours of operation are M-F, 7AM-6PM. Facility provides Breakfast and 2 snacks.
LPA inspected inside and outside of the facility for Health and Safety Hazards. Areas inspected were the classrooms, and two outdoor play yards.
Per director there are no firearms or weapons on the premises. Director states, there are no bodies of water on the premises. Cleaning supplies and chemicals were locked in the kitchen cabinet inaccessible to children. Medications are locked in a cabinet, currently no enrolled children require medication. The facility is equipped with a carbon monoxide detector and fully charged fire extinguishers that meet minimum size requirements. The classroom was clean and orderly. LPA observed a sufficient amount of learning materials and age appropriate furniture in well repair that were available to the children. The bathrooms appeared clean and sanitary. The kitchen appeared clean and sanitary and the food was orderly and properly stored. Food menus for the week were posted. The outdoor play yards were fully fenced all around and free from hazards. LPA observed sufficient cushioning around the play structures.
Children records did have admission agreements available for review as well as current immunization records. Parents’ rights notifications slip, and personal rights slips were signed and contained in the file. Facility have a couple of fish tanks and birds in the cages.
Continuation on next page...
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HEIDI'S KINDERHAUS
FACILITY NUMBER: 213000682
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/26/2019
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/26/2019
Section Cited
HSC
1596.8662(D)(3)
1
2
3
4
5
6
7
1596.8662 (D)(3)...On and after January 1, 2018, a person who becomes an administrator or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a) within the first 90 days that he or she is employed at the facility and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
1
2
3
4
5
6
7
All child care staff shall complete the mandated child abuse reporting training as complaint with AB 1207.
This training can be obtained at: www.mandatedreporterca.com
8
9
10
11
12
13
14
This requirement is not met as evidenced by records review and interview.
Facility does not have the required mandated child abuse training as mandated by AB 1207.
This poses a potential Health and Safety risk to the children in care.
8
9
10
11
12
13
14
Director will submit the proof of completion for herself and all the staff to the Department by 07/26/19.
Type B
07/26/2019
Section Cited
CCR
102416(c)
1
2
3
4
5
6
7
102416(c) Personnel Requirements. The licensee and other personnel as specified shall complete training on preventive health practices, including pediatric cardiopulmonary resuscitation and pediatric first aid, pursuant to Health and Safety Code Section 1596.866.
This requirement is not met as evidenced by records review.
1
2
3
4
5
6
7
Director will register for a CPR training course. Certificate of completion will be submitted to the Department by 7/26/19.
8
9
10
11
12
13
14
Based on records review and observation Director and staff failed to obtain the valid CPR card.

This poses a potential Health and Safety or Personal Rights risk to the children in care.
8
9
10
11
12
13
14
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: Garfield LeungTELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
LIC809 (FAS) - (06/04)
Page: 3 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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HEIDI'S KINDERHAUS
FACILITY NUMBER: 213000682
VISIT DATE: 06/26/2019
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
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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
LPA did not observe valid current first aid/CPR certification on file for the Director or the teacher present on this day. All personnel files contained proper education units and signed employee rights slips.
LPA reminds the Director that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles. LPA observed the record of immunization of present staff.
LPA reviews AB 1207 with the Director. As of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. Facility staff have not completed the training.
LPA encourages the Director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Facility can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

> Type B deficiencies were cited today under Title 22 Division 12 of the California Code of Regulations.
This report and rights to comment and appeal were discussed with Licensee. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit.
Licensee was advised for any additional questions to call Office, M-F, 8AM-5PM at 650-266-8800 . For Rules and Regulations, visit the Website: www.cdss.ca.gov
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
LIC809 (FAS) - (06/04)
Page: 2 of 3