410509660-5-17-2023-05-CC-MOLN-CRWSEU-20230517134921

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410509660
Report Date: 05/17/2023
Date Signed: 05/17/2023 01:49:28 PM

Document Has Been Signed on 05/17/2023 01:49 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:	TRINITY PRESBYTERIAN PRESCHOOL		FACILITY NUMBER:	410509660
ADMINISTRATOR:	WADDELL, JENNY		FACILITY TYPE:	850
ADDRESS:	1106 ALAMEDA DE LAS PULGAS		TELEPHONE:	(650) 593-0770
CITY:	SAN CARLOS	STATE: CA	ZIP CODE:	94070
CAPACITY:	64	CENSUS: 45	DATE:	05/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:03 AM
MET WITH:	Jennifer Waddell		TIME COMPLETED:	02:20 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 17, 2023, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced annual inspection in conjunction with delivering the complaint findings at Trinity Presbyterian Preschool. LPA met with Director Jenny Waddell and purpose of visit was explained. Facility operates a preschool program at the Trinity Presbyterian Church in two buildings (Trinity House & Church Classroom). Present for today’s visit was Director, Program Manager, 6 staff, 6 volunteer parents and 45 preschool children. Teacher and children capacity ratio requirements were observed to be in compliance. Preschool Program operates Monday -Friday from 9:00 AM-4:00 PM. LPA and Director toured the facility for health and safety hazards. Classrooms are clean with proper ventilation. There are plenty of age-appropriate toys, furniture and learning materials all in good repair. There is restrooms in each classroom with working toilet and sinks for hand washing with no running hot water. There is a separate bathroom for staff usage near the classrooms. There is a large outdoor age-appropriate play structure behind Trinity house classroom with plenty of play activities, shade and cushioned with sand and tanbark. Trinity house has a front yard with grass area and patio equipped with play/learning activities. There is a separate outdoor patio play area located behind Church classroom with sand area and age-appropriate activities. All outdoor areas are completely enclosed with a 5 ft. fence and concrete wall. There are no pools, spas, or other similar bodies of water on the premises. Per Director, there are no firearms or weapons on site. Children bring their own meals from home. Classrooms are equipped with a sink and refrigerator. Children have their own labeled water bottles to use inside or outside. All cleaning supplies and toxins are properly stored in kitchen area and locked in cabinets and inaccessible to children. Classroom has sufficient sleeping mats for all children, facility provides sheets that are washed weekly by staff. Cont. on 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: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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: TRINITY PRESBYTERIAN PRESCHOOL	FACILITY NUMBER: 410509660
	VISIT DATE: 05/17/2023

NARRATIVE

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LPA reviewed 5 children’s records and 5 staff records. All children's and staff records were complete with all required documents. 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). Last emergency drill was conducted on 04/07/2023 and is properly documented. Water lead testing has been completed and submitted to regional office.

Incidental Medical Services were discussed with Director. LPA observed medication is properly stored with original prescription in kitchen area. There are several first aid kits available in the classroom with plenty of medical supplies. Isolation area for sick children is in office. LPA reminded Director that all storage containers for solid waste must have a tight-fitting lid. Classroom has a complete record of sign-in/out sheets with full signatures of authorized drop off/ pickup person. Classrooms have a fully charged fire extinguisher and working carbon monoxide detector. Trinity house has a working smoke detector and Church classroom has a smoke detector that is maintained through the Church. Classroom is equipped with a telephone landline and cell phones are available on site.

Director 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.

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.

Cont page 3...

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

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: TRINITY PRESBYTERIAN PRESCHOOL	FACILITY NUMBER: 410509660
	VISIT DATE: 05/17/2023

NARRATIVE

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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 the Site Supervisor 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.

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.

As of today, no deficiencies were issued under CCR, Title 22, Division 12.

Exit interview conducted and report was reviewed with the Director, Jenny Waddell

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023

LIC809 (FAS) - (06/04)

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