410501367-7-18-2022-05-CC-BVAN-CGBQSX-20220714122615

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410501367
Report Date: 07/14/2022
Date Signed: 07/18/2022 08:20:32 AM

Document Has Been Signed on 07/18/2022 08:20 AM - It Cannot Be Edited

Document is an Amendment of Original Document on 07/18/2022 08:17 AM

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

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	This is an amended report to remove expired Medication Technical Violation issued On July 14, 2022, Licensing Program Analyst (LPA) Van met with Director Teresa Thomas for an unannounced annual random inspection. The purpose of the inspection was explained and granted entry to the facility by the Director. Present today are 17 children supervised by a teacher and Director. The facility complies with the staff-children ratios today. At approximately 11 am, another teacher arrived. All staff members have criminal record clearances on file. The days and operations hours are Monday - Friday from 7:30 am to 6:00 pm. LPA toured and inspected the physical plant for any health and safety hazards. The facility has a record of sign-in/out of children.At 9:15 am, a review of the sign-in/out record indicated that only 14 children's parents signed in, and three children's parents were not. Per Director, there were no changes in the physical plant. The facility is in good repair and has proper temperature and ventilation. Classrooms have age-appropriate toys and learning materials. Furniture appears steady and in good repair. The facility has multiple carbon monoxide detectors, a centralized smoke alarm, fully charged fire extinguishers, and working telephones. LPA observed that each child has their cubbies available with their name labeled. Medications are appropriately labeled and stored out of reach of children. All cleaning solutions, poisons, and other dangerous chemicals are stored in an area inaccessible to children. The children's bathroom was inspected, and all toilets and handwashing sinks are in good working condition with proper sanitation. LPA observed no bodies of water on the premises. The outdoor play area is completely fenced, clean, and in good repair. Outdoor play structures are age-appropriate, in good condition, and free of loose parts. Climbing structures are securely anchored, and soft cushioning is underneath all play structures to absorb accidental falls. Sandbox is observed to be free of hazards.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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: 07/14/2022

NARRATIVE

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The facility had posted the required forms. (i.e., License, waivers, Notification of Parent's Rights, Car Seat Law, Emergency Disaster Plan, and Daily activities). The only form missing was Children Personal Rights, LIC 613A. A technical violation was issued. The menu is observed posted. The food preparation area is adequately equipped, clean, and free of hazards; this area is made inaccessible to children. The facility has water readily available for children indoors and outdoors. All storage containers for solid waste within the Center have a proper tight-fitting cover.
The Director stated that the Center conducts fire and earthquake drills at least once every six months; the last drills were conducted in June but did not recall the exact date as the Center did not document or log it.
Random children's records and personnel records were reviewed during the inspection. Records review showed the facility has records of each child's authorized representative's names, addresses, and telephone numbers. In addition, each child's immunization record, medical assessment, and admission agreement can be located in each child's file. Staff records indicate that all staff or individuals who require caregiver background checks have received criminal records and child abuse index clearances or exemptions. All staff maintained immunization records. Several staff did not have mandated child abuse reporting training as compliant with AB1207 completed, or the Certificate had expired. LPA reviewed the educational qualification of the Director and staff, and all staff had the required ECE units. Director Pediatric FirstAid CPR is valid until 11/9/23.
The Director 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.
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

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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: 07/14/2022

NARRATIVE

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The Director was informed about Mandated Reporter training. In addition to AB1207 training required to complete every two years by the Licensee and 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 Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare
LPA encouraged the Director to visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Director can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

During the inspection, LPA requested the following documents to be sent to Licensing office by August 5, 2022; Emergency Disaster Plan (LIC 610), Personnel Report (LIC 500), and the Designation of Administrative Responsibility (LIC 308), Incidental Medical Services Plan (IMS), Mandated Reporter Training Certificates and Basic Pest Management Training Certificate for Director and all staff, Fire and Earthquake drills log, and Pediatric FirstAid CPR Certification.

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.
See 809D for deficiencies cited today. An exit interview was conducted, and the report was reviewed with the Director, Teresa Thomas. Today's report, July 14, 2022, and notice of site visit, deficiencies, and appeal rights will be sent to the Director by email by the close of business on July 14, 2022. Confirmation of receipt is required. LPA informed the Director that the site visit notice must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 07/14/2022 12:27 PM - It Cannot Be Edited

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: 07/14/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101174(d)(2)

Disaster and Mass Casualty Plan

(d) Disaster drills shall be conducted at least every six months. (2) The drills shall be documented. This documentation shall be kept in the child care center for at least one year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record reivew, the Center does not have proof that fire drills are being conducted and documented at least once every six months. Not conducting fire drills could present immediate health and safety risks to the children.
	POC Due Date: 08/05/2022
	Plan of Correction
1 2 3 4	Director must ensure that Fire and Earthquake drills are conducted at least once every six months and document the drills. Director will provide LPA evidence of completed emergency disaster drill no later than August 5, 2022, by 5:00 pm.

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on records review of facility files. Director Teresa Thomas and teacher Maria Tamacas do not have the required child abuse training mandated by AB 1207. This is a potential health and safety risk to the children.
	POC Due Date: 08/05/2022
	Plan of Correction
1 2 3 4	Director will ensure she and all staff complete the online mandated reporter training course and send copies of the training certificate received upon completion of the training. Training certificates will be sent to Licensing by the plan of correction due date of August 5, 2022. Director was reminded that this training must be completed every two years.

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: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 07/14/2022 12:27 PM - It Cannot Be Edited

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: 07/14/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229.1(b)

Sign In and Sign Out

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the Center did not comply with the section cited above in 14 out of 17 signed in, and 3 parents did not, which poses/posed a potential health, safety, or personal rights risk to persons in care.
	POC Due Date: 08/05/2022
	Plan of Correction
1 2 3 4	Director states she will ensure that the person who signs the child in/out shall use his/her full legal signature, record the time of day effective immediately, and have staff checking the sign-in sheet throughout the day.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

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