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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410500593
Report Date: 03/24/2022
Date Signed: 03/24/2022 05:12:55 PM


Document Has Been Signed on 03/24/2022 05:12 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:ST. ANDREW'S PRESCHOOLFACILITY NUMBER:
410500593
ADMINISTRATOR:MCLAUGHLIN, JEANNEFACILITY TYPE:
850
ADDRESS:1600 SANTA LUCIA AVETELEPHONE:
(650) 273-4415
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY:52CENSUS: 18DATE:
03/24/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Jeanne MclaughlinTIME COMPLETED:
05:15 PM
NARRATIVE
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On March 24, 2022, Licensing Program Analyst (LPA), Leong, conducted an unannounced annual random inspection with Jeanne McLaughlin. LPA explained the inspection’s purpose to the director. All staff at the facility have fingerprint clearance. LPA observed eight teachers supervising eighteen children. The hours of operation are Monday to Friday, 7:30 a.m. to 5:30 p.m.
LPA and the Director inspected the facility for potential health and safety hazards. In all classrooms, toys, furniture, and learning materials are age appropriate. The furniture and play structures appeared to be in good shape. LPA noticed that each child has a cubby labeled with their name. Per the director, cots are available for older children to use for napping. If a child falls ill, the child will isolate in the director’s office until the parent arrives.

All cleaning products, poisons, and other hazardous chemicals have been kept out of children's reach. The outdoor play structures are age-appropriate and well-kept. The facility has rubberized cushions beneath all play structures to absorb accidental falls. The facility has no bodies of water on the premises, The facility has a carbon monoxide detector, a centralized smoke alarm, a fully charged fire extinguisher,and working telephones. According to the director, there are no firearms or weapons in the facility. All solid waste storage containers have a proper tight-fitting cover.

*** See Page 2 for continuation***
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/24/2022
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 3


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: ST. ANDREW'S PRESCHOOL
FACILITY NUMBER: 410500593
VISIT DATE: 03/24/2022
NARRATIVE
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LPA observed that the facility had posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities).

LPA reviewed the children's records during the inspection. All required forms were in the children’s file. The program uses an electronic app for authorized individuals to sign their children in and out. Children have access to drinking water via water fountains. Children are required to bring their own lunches.

A review of the facility's records revealed that the names, addresses, and phone numbers of each child's authorized representative are kept on file. A review of staff records revealed that five staff members have valid CPR and First Aid certifications.

According to the Director, the Center simulates fire and earthquake drills every six months. LPA reminded the director fire and earthquake drills must be recorded and documented.

Licensee was 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.



*** See Page 3 for continuation***
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ST. ANDREW'S PRESCHOOL
FACILITY NUMBER: 410500593
VISIT DATE: 03/24/2022
NARRATIVE
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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.

LPAs encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

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

Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted, and report reviewed with Jeanne McLaughlin

SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3