410506032-3-22-2023-05-CC-MOLN-CQ6PLG-20230322112444

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410506032
Report Date: 03/22/2023
Date Signed: 03/22/2023 05:14:00 PM

Document Has Been Signed on 03/22/2023 05:14 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:	REDWOODS INTERNATIONAL MONTESSORI, THE		FACILITY NUMBER:	410506032
ADMINISTRATOR:	LILES, ANNAGI S.		FACILITY TYPE:	850
ADDRESS:	2000 WOODSIDE ROAD		TELEPHONE:	(650) 366-9859
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY:	48	CENSUS: 25	DATE:	03/22/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Janice Morimoto		TIME COMPLETED:	11:40 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 March 22, 2023 at 8:45 AM Licensing Program Analyst (LPA) Maria Olguin-Leon met with Site Supervisor, Janice Morimoto for required annual inspection. Purpose of inspection was explained. Present today, Site Supervisor, 3 teachers and 26 preschoolers, Facility is operating within the capacity and in compliance with staff child ratio. Facility operates preschool program from Monday to Friday 7:30AM to 5:30PM. LPA and Site Supervisor toured the facility for health and safety hazards. Facility is in United Methodist Church in rooms #1, #2, #3, and #4. Facility is clean with proper temperature and ventilation. There are plenty of age-appropriate toys, furniture and learning materials all in good repair. Storage Cubbies are available for children to store personal items and belongings. Facility has two children’s restroom located in room #1 and #3 equipped with working toilets and sinks with no hot water. There is a separate bathroom for staff usage available. All trash containers in bathroom and in classroom have fitted lids. All cleaning products, chemicals and toxins are stored and locked in cabinet and inaccessible to children. Children bring sleeping bags for napping and are sent home weekly for washing. There are two outdoor areas with plenty of play toys and a playground structure, all in good condition. Playground flooring is cushioned with sand and surrounded with cement. Playground is surrounded with a 5 ft. fence. There are no pools or bodies of water. Per Site Supervisor, there are no weapons or firearms on the premises. Children bring lunch and snacks from home and are stored in cubbies. Labeled water bottles with children’s names are brought from home for use indoors and outdoors. First aid kit is fully stocked with medical supplies. Incidental Medical Services were discussed. Isolation area for sick children will be in room #1 near restrooms. 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: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

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: REDWOODS INTERNATIONAL MONTESSORI, THE	FACILITY NUMBER: 410506032
	VISIT DATE: 03/22/2023

NARRATIVE

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LPA reviewed sign in/out sheet which is available outside entrance door. Facility is equipped with a fully charged fire extinguisher, two combo smoke detectors/carbon monoxide detector (church replaces batteries around daylight saving time), and landline phone available on site.

LPA reviewed 5 children’s records 4 staff record. All the children's records were complete. Staff mandated reporting certificates have expired, technical assistance cited. All staff are current with CPR/First aid. The facility has all necessary paperwork posted, Facility License, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan. Last emergency drill was conducted on March 13, 2023.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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
Facility has IMS policy on file with Regional Office.

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.

Director 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.

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 encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

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: REDWOODS INTERNATIONAL MONTESSORI, THE	FACILITY NUMBER: 410506032
	VISIT DATE: 03/22/2023

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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/inspection-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.

No deficiencies were issued today.

Exit interview conducted and report was reviewed with the Site Supervisor, Janice Morimoto.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023

LIC809 (FAS) - (06/04)

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