213004841-3-8-2024-05-CC-HLEG-D37275-20240308160809

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 213004841
Report Date: 03/08/2024
Date Signed: 03/08/2024 04:08:22 PM

Document Has Been Signed on 03/08/2024 04:08 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 BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	ABBEY MONTESSORI CHILDREN'S CENTER - INFANT		FACILITY NUMBER:	213004841
ADMINISTRATOR:	COSTELO, ELIZABETH		FACILITY TYPE:	830
ADDRESS:	138 N. SAN PEDRO ROAD		TELEPHONE:	(415) 479-8865
CITY:	SAN RAFAEL	STATE: CA	ZIP CODE:	94903
CAPACITY:	12	CENSUS: 7	DATE:	03/08/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	01:06 PM
MET WITH:	Lourdes Anca		TIME COMPLETED:	04:10 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	On March 8, 2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced required visit to the child care center listed above. This facility also operates a preschool-aged program under license number 213004840. During today’s visit, the LPA met the facility representative, Lourdes Anca. The LPA informed the facility representative of the reason for today's visit. During today's visit, seven infants were present in the center. Present in the center with fingerprint clearance included the facility representative and two staff members. The center is operating within its capacity and in accordance with the required ratio of staff to children. The LPA and the facility representative conducted an inspection to identify any potential health and safety hazards. The LPA observed that the center maintains a paper record of the children’s attendance, with corresponding parental signatures, and all enrolled children are accounted for during the day. The LPA observed that a fully stocked first aid kit was available during today’s visit. The LPA observed that the classrooms had age-appropriate toys, furniture, and educational materials. The LPA identified that the equipment and furniture in the outdoor playground appeared to be in excellent condition. The LPA found that the center did not have any pools, spas, or other types of bodies of water of any kind. All cleaning and washing products, along with any other harmful materials, are kept out of children's reach. The center has smoke detectors, carbon monoxide detectors, fire extinguishers, centralized smoke alarms, and operational phones. According to the facility representative, no firearms or other weapons are kept in the center. The LPA observed that the children bring their own bottles, and each of them is properly labeled with their names. The LPA observed that the stairs inside the center were properly secured with a safety gate. The LPA observed that a divider was present between the two programs. The LPA observed a designated area for children to sleep or rest quietly. The area includes sleeping playpens, sleeping mats, and blankets for each child. The LPA also observed one diaper-changing station in the center, which was clean and safe for the children. Baby wipes and diapers were available for the children in care. See Page 2

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

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 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ABBEY MONTESSORI CHILDREN'S CENTER - INFANT	FACILITY NUMBER: 213004841
	VISIT DATE: 03/08/2024

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

Page 2
The LPA observed that all required documents, such as the facility license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities, were displayed in the center. The center conducted its most recent emergency drill on November 17, 2023, which was properly documented and reviewed by the LPA.

The LPA reviewed the records of both the children and staff members. The LPA reviewed the five children's records and found that all five files contained all necessary documents, including their Immunization Record, Admission Agreement, Personal Rights Identification and Emergency Information, Physician's Report, Notification of Parents' Rights, and Consent for Emergency Medical Treatment. The LPA reviewed the sleeping records of the five children under two and determined that the data was properly recorded. The LPA reviewed the records of the three staff members and confirmed that all three were current with their Pediatric First Aid/CPR certification. The LPA confirmed that two staff members completed their twelve units for Early Childhood Education, qualifying them as teachers. The LPA informed the facility representative that all three staff members were not current with their Mandated Reporter training.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

The facility representative was reminded that all adults 18 and over, 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 discussed the safe sleep regulations with the facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed the facility representative 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.
See Page 3

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ABBEY MONTESSORI CHILDREN'S CENTER - INFANT	FACILITY NUMBER: 213004841
	VISIT DATE: 03/08/2024

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

Page 3
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 are available at: https://www.ada.gov/resources/child-care-centers

Facility representative was informed of the MyChildCarePlan.org website; 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-carelicensing/subscribe and select the Child Care option to receive email communication.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Please refer to LIC 809D for today’s citation.

A copy of today’s report and the center’s appeal rights were given to Lourdes Anca.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Lourdes Anca.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

LIC809 (FAS) - (06/04)

Page: 3 of 4

Document Has Been Signed on 03/08/2024 04:08 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ABBEY MONTESSORI CHILDREN'S CENTER - INFANT	FACILITY NUMBER: 213004841
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/08/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, 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), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 04/08/2024
	Plan of Correction
1 2 3 4	The director must provide the department with current certificates of mandated reported training by the deadline of 4/8/2024.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2024

LIC809 (FAS) - (06/04)

Page: 4 of 4