213005582-8-27-2019-05-CC-FBTQ-BFFRZ9-20190827132735

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 213005582
Report Date: 08/27/2019
Date Signed: 08/27/2019 01:27:45 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:	MISS SANDIE'S SCHOOL - INFANT		FACILITY NUMBER:	213005582
ADMINISTRATOR:	DECKER, PAM		FACILITY TYPE:	830
ADDRESS:	2001 CENTER ROAD		TELEPHONE:	(415) 892-2712
CITY:	NOVATO	STATE: CA	ZIP CODE:	94947
CAPACITY:	42	CENSUS: 22	DATE:	08/27/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Kent Grady		TIME COMPLETED:	11:45 AM

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 owner, Kent Grady, to conduct an Annual Inspection on 8/27/19. Purpose of the inspection was explained. Present, there were 22 infants in care with 6 staff. Facility is operating within the capacity and is following staff child ratio on this day. Facility operates day care from Monday to Friday between 7:30 AM to 5:30 PM. Infant program consists of Infants room and toddlers’ room. Play space is available on both sides for infants and toddlers. Facility provides breakfast and two snacks to the toddlers’ room only. LPA inspected the day care areas with the owner. Per Owner, there are no pools, spas or other bodies of water at the facility. Facility has multiple smoke detectors, carbon monoxide detectors and fully charged fire extinguishers in the Kitchen and along the hallway. Working telephones are also available at the facility . Facility appears clean and sanitary with a sufficient amount of learning materials and furniture in well repair. Diaper changing table surfaces were clean and sanitary. Trash receptacles had tight fitting lids and are in good repair. Both classrooms have a sufficient amount of napping furniture. Bottles and food were labeled for each child and menus were posted. LPA reviewed the facility records. LPA reviewed 8 random children's and 4 staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Each child's record contains the record immunization. Multiple staff members have record of valid CPR card in file. LPA reviewed the educational qualification of all the teachers. Facility has a log for emergency drills being conducted. Per log, last emergency drill was conducted on August 23 , 2019.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

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: MISS SANDIE'S SCHOOL - INFANT	FACILITY NUMBER: 213005582
	VISIT DATE: 08/27/2019

NARRATIVE

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>No 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. 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 Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/27/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2019

LIC809 (FAS) - (06/04)

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