410501179-2-6-2023-05-CC-LTMO-CNSPLK-20230206102452

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410501179
Report Date: 02/06/2023
Date Signed: 02/06/2023 10:25:12 AM

Document Has Been Signed on 02/06/2023 10:25 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:	ROBERTS SCHOOL, INC., THE		FACILITY NUMBER:	410501179
ADMINISTRATOR:	ELISA BARRETT		FACILITY TYPE:	850
ADDRESS:	641 COLEMAN AVE		TELEPHONE:	(650) 322-3535
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY:	50	CENSUS: 15	DATE:	02/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Director, Elisa Barrett		TIME COMPLETED:	10:40 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	On February 6th, 2023 at 8:30AM, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced required annual inspection. LPA met with center director, Elisa Barrett, and explained the purpose of the inspection. Present in the facility are Director and one other staff and a total of 15 preschool age children. All adults working in the facility are fingerprint cleared and associated. Facility is currently operating within teacher to child ratio on this date. Program operates in 3 classrooms: Front Building: Rainbow, Dinosaurs, and Back Building:Dragon.As of today Dragon classroom is closed, but will reopen. Hours of operation are Monday to Friday 8:00am to 5:30pm, year round school. LPA observed each classroom to be clean and equipped with age appropriate toys and materials. Storage for children's belongings are located inside the classrooms, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system throughout the building as well as multiple fully charged, fire extinguishers. Each classroom has a smoke and carbon monoxide detector installed as well as emergency kits with first aid materials and emergency contact information. Medication is stored appropriately, inaccessible to enrolled children and maintained with proper documentation. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children in off limit areas or facility's high shelves. Facility is not offering food services at this time, parents bring in children's snacks and lunch. Water is available to children indoors and outdoors with children's water bottles. Facility has had water lead testing. Outdoor area appears to be clean and orderly. There are a variety of outdoor equipment that are in good working condition. Play structures have resilient padding. Children are signed in and out of facility by facility. Facility has license documentation and information properly posted and available for review. LPA reviewed facility records that included 5 children's records, 2 staff records. LPA observed children's and staff's records to be complete. Teachers have valid CPR certificates that expire November 2023. Staff have valid Mandated Reporter training certificates that expire 09/2023. Last emergency drill was conducted 01/2023. Emergency drills are conducted at least once every month and are properly logged and documented. Continued on Page 2..

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2023

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: ROBERTS SCHOOL, INC., THE	FACILITY NUMBER: 410501179
	VISIT DATE: 02/06/2023

NARRATIVE

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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 is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Directors 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.

This facility currently is not providing Incidental Medical Services – IMS. There is a plan in place for storage of medication and equipment/supplies, and for 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

Based on today's inspection, deficiencies were not observed, according to California Title 22, Health and Safety Code of Regulations.

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

Exit interview conducted and report was reviewed with center director, Elisa Barrett.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2023

LIC809 (FAS) - (06/04)

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