410509197-2-24-2025-05-CC-MZAA-DE7RUV-20250224122035

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410509197
Report Date: 02/24/2025
Date Signed: 02/24/2025 12:20:42 PM

Document Has Been Signed on 02/24/2025 12:20 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	PENINSULA TEMPLE SHOLOM PRESCHOOL		FACILITY NUMBER:	410509197
ADMINISTRATOR/ DIRECTOR:	STECKLEY, ALLISON		FACILITY TYPE:	850
ADDRESS:	1655 SEBASTIAN DRIVE		TELEPHONE:	(650) 697-2279
CITY:	BURLINGAME	STATE: CA	ZIP CODE:	94010
CAPACITY: 164	TOTAL ENROLLED CHILDREN: 164	CENSUS: 114	DATE:	02/24/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Director, Allison Steckley		TIME VISIT/ INSPECTION COMPLETED:	12:40 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 February 24, 2025, at approximately 9:00 AM, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, annual inspection. LPA met with the director, Allison Steckley, and explained the purpose of the visit. Peninsula Temple Sholom Preschool is a childcare center. Childcare center is a preschool age program. Preschool program is licensed for a total of 11 rooms, but 9 rooms are currently being occupied. Preschool program operates in RM 1, TK , “Giraffes class”, RM 2, TK, “Elephants”. RM 4, 3yrs old, “Kangaroos”, RM 6, 3yrs old, “Bears”, RM 7, 2yrs old, “Zebras”, RM 8, 3 yrs old, “Owls”, RM 9, 2yrs old, “Ducks”, RM 10 2 yrs old, “ Bunnies”, RM 11, 2yrs old, “Flamingos”, and the Napping Room (multi-purpose room). Hours of operation are Monday through Friday 8:00am to 6:00pm. Present during LPA's visit was the director, 114 preschool age children, and 19 teachers. Program is operating within capacity limits and ratio during LPA's visit. All staff present have fingerprints and background check on file. LPA inspected facility, indoors and outdoors, for health and safety hazards. Classrooms includes a variety of toys and materials that were in good condition. LPA observed classroom to have age-appropriate furniture, equipment, and materials. LPA observed cleaning materials to be stored in high shelves, locked, inaccessible to children in care. Per director, children nap while they are in preschool, and sleep in the napping room. Per director, children sleep in cots. LPA observed labeled bedding for each individual child. Per director, cots are wiped down daily. Per director, the parents provides the sheets and blankets. Per director, sheets and blankets are taken home weekly for wash. The facility is equipped with a fully charged fire extinguisher and first aid kits. LPA observed Carbon monoxide detectors and smoke detectors in the classrooms. Carbon monoxide detector and smoke alarm was unable to get tested due to alarm being wired with the entire building. Storage for children's belongings is outside the classroom. Children's cubbies are labeled with children's individual pictures and names on it. LPA did not observe any accessible poisons or chemicals in the classrooms. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: PENINSULA TEMPLE SHOLOM PRESCHOOL	FACILITY NUMBER: 410509197
	VISIT DATE: 02/24/2025

NARRATIVE

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There are two bathrooms in the facility for the children to use. Bathrooms for children were observed to be clean. The first bathroom was observed to have 1 changing table, 6 toilet stalls, and 5 sinks. The second bathroom was observed to have 1 changing table, 2 urinals, 5 sinks, and 4 stalls. The sinks and toilet were in working condition. Bathrooms were equipped with appropriate sanitation products. LPA observed bathrooms to have a storage closet with extra diapers, with different diaper sizes. LPA observed trash can bins with a tight fitted. LPA observed no cleaning solutions, poisons, and other hazardous materials for to be stored in bathroom.

Program does not provide a food service. Per director, children bring snack and lunch from home. Per director, children eat their lunch inside the classroom. LPA observed children’s lunch bags and water bottles to be labeled with each child's names on it. Per director, children bring water bottles from home, and refill them in the classroom.

Outdoor area is entirely enclosed and fenced. LPA observed outdoor play area to have installed roof sunshades. LPA observed a play structure to have cushion flooring. LPA observed a sandbox outside. Per director, sandbox sand is rotated 5x a year. LPA observed outdoor toys and material to be in good conditions.

Program uses an app, “Remini” , for parents to sign in and out for their sign in/sign out system. Children were properly signed in during LPAs’ visit. LPA observed licensing posters and required documents to be properly posted. Program’s last disaster drills was conducted on February, 2025.

LPA reviewed 10 facility staff records. LPA reviewed 6 children facility records which were complete and had all required documents. Children's records have emergency information on file. All staff on site have a current CPR/First Aid certification and mandated reporter certification. Staff records also include required immunizations that were made available for review.

Director was reminded all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

LIC809 (FAS) - (06/04)

Page: 2 of 3

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: PENINSULA TEMPLE SHOLOM PRESCHOOL	FACILITY NUMBER: 410509197
	VISIT DATE: 02/24/2025

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Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

Water quality was tested on 01/07/2023 and results complied.

LPA's discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed director 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.

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 PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

There are no deficiencies cited today.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the director, Allison Steckley.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 02/24/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025

LIC809 (FAS) - (06/04)

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