213003521-8-24-2020-05-CC-LGOZ-BST2LG-20200824172932

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 213003521
Report Date: 08/24/2020
Date Signed: 08/24/2020 05:29:36 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:	MARIN ENRICHMENT-SCHOOL-AGE/BACICH		FACILITY NUMBER:	213003521
ADMINISTRATOR:	SANDERS, SUSAN		FACILITY TYPE:	840
ADDRESS:	699 SIR FRANCIS DRAKE BLVD.		TELEPHONE:	(415) 461-4395
CITY:	KENTFIELD	STATE: CA	ZIP CODE:	94904
CAPACITY:	108	CENSUS: 0	DATE:	08/24/2020
TYPE OF VISIT:	Case Management - Licensee Initiated	ANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Director, Caitlin Schmitt		TIME COMPLETED:	04:05 PM

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THE FOLLOWING INSPECTION WAS CONDUCTED VIA TELE-INSPECTION DUE TO THE COVID-19 EMERGENCY HEALTH ORDER.

On 8/24/2020 at 2:30P.M., Licensing Program Analyst (LPA), Luis J. Gomez met director, Caitlin Schmitt. Purpose of the inspection was explained and is for a Case Management for a Room Change. Present is the director and no children or staff. Director stated facility will be re-opening, 8/25/2020. Facility is located at Anthony G. Bacich Elementary School. School-age program will be moving from Classroom (Portables) #1 and #2 and into Classrooms #33, #35, #36 and Gymnasium (limited use only). Outdoor play areas will remain the same. Classrooms #35 and #36 will be shared with the facility’s preschool program. Facility will have exclusive use of the classrooms and the outdoor space during operating hours. Days and hours of operations are Monday – Friday, 7:00 A.M – 8:00 A.M; 2:00 P.M – 6:15 P.M. Program follows the school district calendar. Facility has a functioning cell phone and land line. LPA inspected the indoor and outdoor areas with director for health and safety hazards.

At 2:35P.M., LPA observed the following: Day-care area is clean and has a variety of age appropriate books, equipment and supplies for the children. There are several cubbies, tables and chairs that are in proper repair. Drinking water is readily available with use of water fountains. Program as use a total of 5 restrooms, with 5 toilets and 5 sink fixtures. All facility bathrooms are clean with adequate supplies. Each bathroom is one child- per -use, with a lockable door. Staff will use bathrooms in the primary building. Isolation of an ill child will be director’s office. Director stated children will bring their own snacks and the facility will provide health snack options as well. LPA reminded director that Fire/ Disaster drills must be conducted once every six months. There is a fully stocked first aid kit available in classroom #35. Outdoor area has adequate shading and age appropriate equipment. Facility has an electronic sign-in waiver and all the required postings. Cleaning supplies are kept inaccessible to day-care children.

(Continuation on page 809-C)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2020

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, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MARIN ENRICHMENT-SCHOOL-AGE/BACICH	FACILITY NUMBER: 213003521
	VISIT DATE: 08/24/2020

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During inspection, LPA discussed the following:

*(IMS) Incidental Medical Services Policy

On 8/13/2020, CCL received facility fire clearance from Kentfield Fire Department.

On 8/24/2020, Facility will be recommended for Licensure, pending Supervisor’s Approval

No deficiencies were cited against the facility under CCR, Title 22. 12 Ch. 1.

This report must be available in the facility for public review. Notice of site visit was observed being posted. Licensee was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2020

LIC809 (FAS) - (06/04)

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