410501367-4-22-2020-05-CC-MROZ-BFAT42-20190822142312

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410501367
Report Date: 08/22/2019
Date Signed: 04/22/2020 03:07:47 PM

COMPREHENSIVE INSPECTION

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:	STEPPING STONE		FACILITY NUMBER:	410501367
ADMINISTRATOR:	THOMAS, TERESA		FACILITY TYPE:	850
ADDRESS:	1421 PALM DRIVE		TELEPHONE:	(650) 343-3362
CITY:	BURLINGAME	STATE: CA	ZIP CODE:	94010
CAPACITY:	33	CENSUS: 18	DATE:	08/22/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Teresa Thomas		TIME COMPLETED:	02:35 PM

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) Marie Rodriguez made an unannounced Annual Random inspection. LPA met with Director Teresa Thomas and explained purpose of inspection. Present at the care center were the Director, 3 teachers, and 18 children. Facility is operating within capacity and in compliance with child to staff ratio. All staff members have criminal record clearances on file. The care center operates from Monday to Friday from 7:30am to 6pm. LPA inspected the facility with the Director. The facility is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good repair and free of any hazards. Facility has age appropriate toys and equipment. Bathroom, toilets, and sinks are clean and sanitized. All storage containers for solid waste have a proper lid. All cleaning products and toxins are stored inaccessible to children. There is a working carbon monoxide and smoke detector, a fully charged fire extinguisher, and a working telephone available at the facility. Kitchen is clean and free of any debris. Facility provides lunch and snacks. All food is properly stored to avoid contamination. The play yard is in good repair and free of any hazards. The play structure is safe and in good repair with the appropriate amount of cushion material underneath the structure. There is drinking water available inside the facility and outside in the play yard. All required postings are properly posted in the porch. This facility provides Incidental Medical Services (IMS) but there are no children in care with a need for medication storage at this time. Last emergency drill was conducted in May 2019. Emergency drills are conducted quarterly and properly logged. (Continued on Page 2)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) -26-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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: STEPPING STONE	FACILITY NUMBER: 410501367
	VISIT DATE: 08/22/2019

NARRATIVE

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(Continued from Page 1)

Children records reviewed were complete. During review of staff records, LPA observed Staff S1 did not have Mandated Reporter training certificate in file. Per Director, S1 completed the training but had a copy of the certificate at home. LPA also observed Staff S5 did not have health screening report and immunization record in file. Per Director, forms were received by S5 but may have been misplaced in the wrong file. All other staff records were complete.

During Inspection:

Director was reminded about having all Staff and Volunteers provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption.
Director was reminded about Mandated Reporter Training available on CCLD website

(www.ccld.ca.gov or www.mandatedreporterca.com)

Director was advised of Pesticides training. For More information about changes to the Healthy Schools Act, templates, articles, and required training you can inspect the DPR website at: https://apps.cdpr.ca.gov/schoolipm/childcare/training/main.cfm
Director was reminded about the Provider Information Notices (PINs) on CCLD website.

Deficiency cited today under California Code of Regulations, Title 22, Division 12, Chapter 1, follows on LIC 809D.

This report was reviewed and discussed with Teresa Thomas. Appeal Rights given. A copy of report was provided.

This report must be available in the facility for public review. Notice of site visit was observed being posted and shall remain posted for 30 days.

The following forms are to be updated and submitted to CCLD by September 5, 2019:
LIC 308 – Designation of Administrative Responsibility
LIC 610A – Emergency Disaster Plan

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) -26-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

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: STEPPING STONE	FACILITY NUMBER: 410501367
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 08/22/2019

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 09/05/2019 Section Cited	1 2 3 4 5 6 7	Personnel Records All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review. This requirement has not been met as evidenced by:
	8 9 10 11 12 13 14	Based on personnel records review, Staff S1 did not have Mandated Reporter training certificate in file and S5 did not have health screening report and immunization record in file. Licensee failed to ensure all personnel records were maintained and available to licensing agency for review which poses a potential health and safety risk to children in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7
	1 2 3 4 5 6 7

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: Alma Malig	TELEPHONE: (650) -26-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/22/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019

LIC809 (FAS) - (06/04)

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