410503124-5-1-2023-05-CC-MOLN-CREUPG-20230501154531

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410503124
Report Date: 05/01/2023
Date Signed: 05/01/2023 03:45:45 PM

Document Has Been Signed on 05/01/2023 03:45 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	OPEN GATE NURSERY SCHOOL		FACILITY NUMBER:	410503124
ADMINISTRATOR:	CALCAGNO, KRISTI		FACILITY TYPE:	850
ADDRESS:	2124 BREWSTER AVENUE		TELEPHONE:	(650) 369-6833
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY:	25	CENSUS: 1	DATE:	05/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:28 PM
MET WITH:	Andrea Chatelain		TIME COMPLETED:	04:05 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	On May 3, 2023, Licensing Program Analyst (LPA) Olguin-Leon conducted an unannounced inspection at the Old Gate Nursery Preschool. LPA met with teacher Andrea Chatelain and purpose of visit was explained. Facility operates a preschool program in the Unitarian Fellowship Church. Preschool program operates Monday – Friday 8:30 – 3:15 PM. Due to covid, facility is only operating the morning preschool from 9-11:45 AM and offering extended care in the afternoon. Present for today’s visit was Teacher and 1 child. Teacher and children capacity ratio requirements were observed to be in compliance today. LPA and Site Staff toured the facility for health and safety hazards. Facility consists of 3 classrooms: Game room, Art room, and block room. All classrooms are clean with proper ventilation. There are plenty of age-appropriate toys, furniture and learning materials all in good repair. Children cubbies are available in the Art room for children to store personal items and belongings. There are two children’s restrooms in the block room, with working toilets and sinks for hand washing. There is separate bathroom for staff usage on site. Outdoors is equipped with several play structures with slides, tires and climbing equipment and is cushioned with wood chip tanbark to cushion falls. Outdoor flooring is cement and small areas of artificial grass. There are no pools, spas, or other similar bodies of water. LPA observed a sharp piece of wooden protruding from a bench, deficiency cited. Per staff, there are no firearms or weapons on site. Children bring their own lunches and snacks from home. Children bring their own labeled water bottles to use inside or outside. Facility offers filtered water to refill water bottles. All cleaning supplies and toxins are properly stored in storage closet and inaccessible to children. No record of lead water testing was available, deficiency cited. LPA was unable to review children or staff files, as they were inaccessible to staff. Director was unavailable and no administrative responsibility for absence of Director was available, technical violation issued. Facility has posted the required forms (i.e., License, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law (updated), and Emergency Disaster Plan). Isolation for sick children is in the Lounge room on sofa. Cont. Page 2...

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: OPEN GATE NURSERY SCHOOL	FACILITY NUMBER: 410503124
	VISIT DATE: 05/01/2023

NARRATIVE

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Incidental Medical Services were discussed with Staff and LPA observed medication to be properly stored, labeled, and inaccessible to children. LPA reminded staff keep consent of medication directions with medication. There are first aid kits available in the classroom with plenty of medical supplies. Last emergency drill was conducted on February, 2023. LPA observed sign-in/out records with full signature of authorized pickup person. Classrooms have a fully charged fire extinguisher, carbon monoxide detector and smoke detector. Facility has cell phones and working landline telephone available in each classroom.

Staff was reminded that all adults 18 and over living or working in the facility 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 licensed Family Child Care Home. 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.

Staff was informed 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 or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA encouraged staff member to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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.

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 was reviewed with the Site Supervisor, Andrea Chatelain,

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 05/01/2023 03:45 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: OPEN GATE NURSERY SCHOOL	FACILITY NUMBER: 410503124
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/01/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238.2(d)(2)

Outdoor Activity Space

(d) The surface of the outdoor activity space shall be maintained: (2) Free of hazards including, but not limited to, holes, broken glass and other debris, and dry grasses that pose a fire hazard. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the licensee did not comply with the section cited above in one out of one count. Bench has a protruding piece of sharp wood which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/15/2023
	Plan of Correction
1 2 3 4	Bench will be replaced.

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
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above in one out of one counts water lead testing, which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/15/2023
	Plan of Correction
1 2 3 4	Facility will have water tested for lead following CCL guidelines.

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	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

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