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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213005255
Report Date: 01/17/2020
Date Signed: 01/17/2020 12:11:09 PM

COMPREHENSIVE INSPECTION
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 DAY SCHOOLS-EDNA MAGUIRE CAMPUSFACILITY NUMBER:
213005255
ADMINISTRATOR:GAMBOA, KARLAFACILITY TYPE:
840
ADDRESS:80 LOMITA DR. RM A/22TELEPHONE:
(415) 381-2231
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY:65CENSUS: 0DATE:
01/17/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
11:32 AM
MET WITH:Director, Karla GamboaTIME COMPLETED:
12:20 PM
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Licensing Program Analyst (LPA) Kassandra Medrano conducted an Annual/Random inspection and met with Director, Karla Gamboa. The purpose of the inspection was explained. Facility operates in Room "A" and Room 17, Monday- Friday, 7:30 am-8:45am and 1:30pm-6:30pm. The center offers after school care for children in transitional kindergarten through fifth grade. There were no staff and children present during the inspection. Children are expected to arrive at a later time due to school release time. Facility was inspected indoors and outdoors for health and safety hazards. Cleaning products and Toxins are maintained inaccessible to children. Restrooms are maintained clean, in good repair and with adequate supplies. Staff use separate restroom. Cubbies are located inside the classroom. LPA observed that the center is equipped with a sufficient amount of learning materials and furniture that are in good repair. Kitchen and bathroom surfaces are sanitary and free from clutter. Floors are clean and safe, trash receptacles are covered with tight fitting lids. Drinking water is readily available both indoors and outdoors. Outdoor play area is clean, free of debris and in safe condition. Facility provides snacks and menu is posted in the kitchen. Children records were reviewed and contained medical assessment and staff records are up to date containing health screening report. LPA reviewed 3 children and 3 staff files. Facility is providing IMS - LPA reviewed storage of medication and equipment supplies and reviewed children's, personnel, and administrative records. For IMS information see Evaluator Manual-Regulation interpretations and Procedures for Child Care centers sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ)/ (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
The following items need to be completed and returned to Licensing by 02/17/2020:
-PERSONNEL REPORT (LIC 500)
-EMERGENCY DISASTER PLAN (LIC 610)

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Chap.***
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2020
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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