410509027-3-20-2023-05-CC-MOLN-CQ4UAU-20230320152518

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410509027
Report Date: 03/20/2023
Date Signed: 03/20/2023 03:25:29 PM

Document Has Been Signed on 03/20/2023 03:25 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:	SEQUOIA CHILDREN'S CENTER		FACILITY NUMBER:	410509027
ADMINISTRATOR:	ALMA ORTEGA		FACILITY TYPE:	830
ADDRESS:	1234 BREWSTER AVENUE		TELEPHONE:	(650) 369-5277
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY: 16	TOTAL ENROLLED CHILDREN: 14	CENSUS: 11	DATE:	03/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Alma Ortega		TIME COMPLETED:	03:35 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	On March 20, 2023 @ 1:15 PM, Licensing Program Analyst (LPA), Maria Olguin-Leon conducted an unannounced annual inspection at the Sequoia Children’s Center (Infant Program), LPA met with Director, Alma Ortega and purpose of visit was explained. Facility is a preschool program center with a toddler option and Infant Center. Present for today’s visit was Director, 11 infants and 5 staff teachers. All teachers are qualified and have fingerprint clearance. Children's capacity ratio requirements were observed to be in compliance today. Hours of operation are Monday-Friday 7:00 AM-5:45 PM LPA and Director toured the facility for health and safety hazards. Facility classroom is clean with proper ventilation. Large classroom is divided into 4 infants’ areas. Classroom has age-appropriate washable toys, furnishings, padded cushions all in good condition. There are three changing table that are kept clean, sanitized and in good repair. Children’s diapering supplies are maintained in changing table cabinet. Sleeping cots and six cribs are available for napping. Potty chairs are available for children’s usage. There is a bathroom for staff in the classroom. Parents provide formula, baby food, snacks and are properly labeled and stored with children’s names. Classroom is equipped with a smoke and carbon monoxide detector and a fully charge fire extinguisher. Emergency Disaster drill is conducted monthly. Classroom has a fully equipped first aid kit. Children have their own labeled water bottles to use inside or outside. All cleaning supplies and toxins are properly stored and inaccessible to children. All storage containers for solid waste have proper tight-fitting lids. Working telephone is available on site. Outdoor play area is free from dangerous conditions, play equipment is in good repair and age appropriate. Play area is properly fenced with locked gates. No pools or bodies of waters were observed. Cont. Page 2...

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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: SEQUOIA CHILDREN'S CENTER	FACILITY NUMBER: 410509027
	VISIT DATE: 03/20/2023

NARRATIVE

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LPA reviewed 5 children’s records and 5 staff records. All children's records were complete and include sleeping logs, needs & service plan, and infant sleep plans. 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). All staff have current with mandated reporter and First Aid/CPR certification. Isolation area for sick children is near cribs or butterfly classroom area. Sign in/out sheet was observed in classroom.

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.

Safe Sleep
Safe sleep was discussed and webpage provided: https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Director Alma Ortega of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

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.

Cont. Page 3...

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

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: SEQUOIA CHILDREN'S CENTER	FACILITY NUMBER: 410509027
	VISIT DATE: 03/20/2023

NARRATIVE

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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 Director, Alma Ortega.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2023

LIC809 (FAS) - (06/04)

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