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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002312
Report Date: 01/25/2023
Date Signed: 01/25/2023 11:07:54 AM

Document Has Been Signed on 01/25/2023 11:07 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:KANGAROOS PRESCHOOL IIFACILITY NUMBER:
384002312
ADMINISTRATOR:FLORES, ANGELINAFACILITY TYPE:
850
ADDRESS:298 MONTEREY BLVD.TELEPHONE:
(415) 333-4452
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94131
CAPACITY: 39TOTAL ENROLLED CHILDREN: 43CENSUS: 35DATE:
01/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Angelina Flores & Natella ShternTIME COMPLETED:
11:15 AM
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On January 25, 2023 at approximately 8:15am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with director, Angelina Flores, and explained the purpose of the inspection.

At start of LPA's arrival was drop off and signing in period for enrolled children. Facility is a multi-level building that includes 4 classrooms that are currently in use: Joeys, Wallabies, Koalas, and Kangaroos. Hours of operation are Monday to Friday 7:30am to 5:30pm.

At approximately 8:30am licensee, Natella Shtern, arrived to facility. Present during LPA's visit included licensee, director, 5 staff members and 35 enrolled children. Facility is operating within capacity limits and ratio during LPA's visit.

LPA inspected entire facility, indoors and outdoors, for health and safety hazards. Children ages 3 years to 5 years attend classrooms on the second floor of the building while children ages 2 years to 3 years attend program on the first floor of the building. Second and first level of the building have separate entrances for enrolled children. Each level of facility also includes additional rooms that are utilized for art classes or staff purposes. Facility includes a staircase that are made inaccessible with child safety gates.

All classrooms have proper temperature and ventilation. LPA observed each classroom to be equipped with age appropriate toys and materials. Storage for children's belongings are located either inside or outside the classrooms, labeled with each child's individual names. Mats are utilized for napping children, which are appropriately stored and maintained. LPA observed each classroom to have garbage cans with tight fitting lids. Facility is equipped with multiple, working carbon monoxide detectors and fully stocked first aid kits.

First and second level of facility include multiple bathrooms that children have access to. LPA observed bathrooms to be in proper working condition with appropriate sanitation products. LPA observed cleaning products, poisons and hazardous materials to be made inaccessible in high shelves and/or behind child safety locked cabinets.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/25/2023
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
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KANGAROOS PRESCHOOL II
FACILITY NUMBER: 384002312
VISIT DATE: 01/25/2023
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Outdoor area includes 2 separate playgrounds. Upper level playground is utilized for older enrolled children while lower level playground is utilized for younger enrolled children. LPA observed playgrounds to be equipped with a variety of outdoor materials that were in good working condition. Water is made available to children indoors and outdoors with each child's individual water bottles that are refilled at center with filtered pitchers.

Facility maintains an outdoor waiver that is properly posted. Children are signed in and out of facility by children's authorized representatives' written signatures. LPA observed licensing documentation to be properly posted and available for review.

LPA reviewed facility records that included 5 children's records and 5 staff records. LPA observed children's and staff's records to be complete and properly maintained. Staff have proof of required immunizations that were made available for review. Multiple staff members have a valid CPR certificate. Director's CPR and First Aid certificate is current and will expire 11/2023. All staff on site have a completed Mandated Reporter certificate on file.

Last emergency drill was conducted 10/22/2022. Emergency drills are conducted at least once every 6 months and are properly logged and documented.

Facility was informed 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 or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Director and licensee were reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.
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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC809 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
PENINSULA CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: KANGAROOS PRESCHOOL II
FACILITY NUMBER: 384002312
VISIT DATE: 01/25/2023
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This facility provides Incidental Medical Services – 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) 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

No deficiencies were issued under CCR, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days. Failure to maintain posting requirements shall result in an immediate civil penalty of $100 a day.

Exit interview conducted and report was reviewed with director, Angelina Flores, and licensee, Natella Shtern.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 01/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2023
LIC809 (FAS) - (06/04)
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