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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004272
Report Date: 10/23/2023
Date Signed: 10/23/2023 01:29:50 PM

Document Has Been Signed on 10/23/2023 01:29 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:CASA DEI BAMBINI SCHOOL, INC.FACILITY NUMBER:
384004272
ADMINISTRATOR:BALZARETTI, DESIREEFACILITY TYPE:
850
ADDRESS:2401 TARAVAL STREETTELEPHONE:
(650) 521-1313
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 13DATE:
10/23/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Desiree BalzarittiTIME COMPLETED:
01:45 PM
NARRATIVE
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On October 23, 2023, Licensing Program Analysts (LPAs) Tso and Van met with Director Desiree Balzaretti for an unannounced mandatory 1-year random inspection. LPAs explained the objective of the inspection and was granted access to the facility. Today, 13 children are present, supervised by two teachers. The facility staff-to-child ratios are met. The Center is a Montessori Program. The hours of operation are Monday- Friday, 8:00 am- 5:00 pm.

LPAs assessed the Center for Health and Safety Hazards with the Director. Per Director, there are no firearms or weapons present at the Center, nor changes in the existing physical plant. The Center operates in a large classroom on the lower level. The large classroom is sectioned into several smaller areas using removable shelves. The Center provides an electronic sign-in/out system for parents or authorized representatives using a transparent classroom app; sign-in/out codes are issued to parents. All parent signatures were accounted for and matched the number of children present. The classroom environment appeared clean and organized, with appropriate heating, lighting, and ventilation. The Center also provided age-appropriate toys, furnishings, changing tables, and equipment. The furniture looks to be stable and in good condition. The facility is equipped with fully charged fire extinguishers, and workable telephones, carbon monoxide and fire alarm combination detectors. Designated cubbies are available for children to store their belongings. All emergency supplies are kept in a secure location. Per Director, the Center currently does have a child with prescribed medications. The Center does have a medication storage bag with appropriate labeling and is kept out of the reach of children. First aid products are fully stocked and ready for use by children. All cleaning solutions, poisons, and other hazardous chemicals are kept in a place out of reach of children. LPAs observed electronic outlets are covered, except there is an outlet connected to an electronic appliance that the wire not covered. LPA reminded the Director to cover and make inaccessible to children. There is sufficient sleeping equipment and cots for each child, and all mats and bedding are kept in the appropriate location.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2023
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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Document Has Been Signed on 10/23/2023 01:29 PM - It Cannot Be Edited


Created By: Man Tso On 10/23/2023 at 12:28 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CASA DEI BAMBINI SCHOOL, INC.

FACILITY NUMBER: 384004272

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 10/23/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above in which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/23/2023
Plan of Correction
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The facility will send appointment confirmation for Lead Water Testing with the results on the set due date of 11/23/2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Ali Zebila
LICENSING EVALUATOR NAME:Man Tso
LICENSING EVALUATOR SIGNATURE:
DATE: 10/23/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/23/2023


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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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: CASA DEI BAMBINI SCHOOL, INC.
FACILITY NUMBER: 384004272
VISIT DATE: 10/23/2023
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The Center has two toilets and three sinks for children. All toilets and hand washing facilities are in good operational condition and adequately sanitized, and all solid waste storage containers have tightly fitted lids. All cleaning materials and potentially hazardous objects are kept out of reach of children. The staff bathroom, lounge, and offices are located on the facility's second level which are separate from children. The outdoor play area is in good condition, sanitary and completely fenced for supervision. Outdoor play structures are appropriate for the age group, in great shape, and clear of loose components. Climbing structures are securely anchored, and all play structures have comfortable padding beneath them to absorb any accidental falls. The facility has several water pitchers available to children both indoors and outdoors.

The facility has an outdoor waiver approved by the Department that allows no more than 17 children combined in program at one time.LPA observed a water pipe was loosely put on the outdoors areas. LPA reminded the Director to move to the off-limits areas. LPA also observed that the outdoor back gate could be opened by adult without awareness of the staff. LPA reminded the Director to install a bell on the gate to let the staff aware of someone open the gate (Please refer to Technical Violation). LPAs reminded the Director should ensure the sand box is clean before use everyday. LPAs do not observe any no bodies of water on the property.

Per the Director, the Center serves only morning and afternoon snacks. LPAs also observed that the food preparation site is clean, organized, and inaccessible to children. All solid waste storage containers within the Center have an appropriate tight-fitting cover.

LPA reviews 2 personnel and 5 children's records at the facility. A sample of children's files was found to contain comprehensive information such as medical assessments, and signed admission agreements. The staff files were also well-organized and thorough, with proof of educational credentials, and Mandated Reporter Training Certificate (AB1207) valid until 5/24, except S#2 whose expired in 5/23 (Please refer to Technical Violation). Multiple staff members were observed to have valid CPR/First Aid cards (valid until 1/24) and vaccine proofs for Measles, Pertussis, and Influenza in their files. Additionally, the facility had posted the required documents, including the license, menus, waivers, Notification of Parental Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan.

Per the Director, the fire and earthquake drills are conducted monthly, with the most recent fire drill being held on 10/20/23. The isolation location for an unwell child is in the bathroom, and personnel will observe and supervise the child until parents are notified to come and pick up the child .(Continued on page 3..)
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: CASA DEI BAMBINI SCHOOL, INC.
FACILITY NUMBER: 384004272
VISIT DATE: 10/23/2023
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LPA discussed the safe sleep regulations with the Director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed the Director 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.

LPA reminded the Director that as of September 1, 2016. A person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles.

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of “medication and equipment/supplies and reviewed children’s, personnel, and administrative records.

For IMS information, see PIN 22-02-CCP. 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/.

The Director 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.

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.

CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE and LPAs referred the Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. Per CFO of the facility, there is no lead test is done. LPAs also searched on the webpage of Child Care Center Lead Sampling and Reporting Tool on 10/22/23, no record was found. Type B citation was issued. (Please refer to LIC809D)

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: CASA DEI BAMBINI SCHOOL, INC.
FACILITY NUMBER: 384004272
VISIT DATE: 10/23/2023
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The Director was informed about Mandated Reporter training available on the CCLD website. In addition to AB1207 training required to be completed every two years by all staff hired a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com. Also, the Director was reminded of Pesticide training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare

The Director 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.

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/process.

During the inspection, LPA requested Director to provide Mandated Reporter Training certificate, and Basic Pest Management Training. All requested documents will be submitted to Licensing by November 8, 2023.

One Type B deficiency was issued under CCR, Title 22, Division 12. Rights of Appeal was provided to the Director.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Desiree Balzaretti.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
LIC809 (FAS) - (06/04)
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