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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410509784
Report Date: 08/16/2019
Date Signed: 08/16/2019 11:59:18 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SACRED HEART PRESCHOOL AND KINDERGARTEN (PSK)FACILITY NUMBER:
410509784
ADMINISTRATOR:HUSSAIN, NASREENFACILITY TYPE:
850
ADDRESS:50 EMILIE AVENUETELEPHONE:
(650) 473-4061
CITY:ATHERTONSTATE: CAZIP CODE:
94027
CAPACITY:96CENSUS: 0DATE:
08/16/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Principal, Francesca Brake; Site Supervisor/Teacher, Michele Turchetti; and Site Supervisor/Teacher, Anna Reitman (Moorman)TIME COMPLETED:
12:15 PM
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Licensing Program Analysts (LPAs), Cindy Interiano and Marie Rodriguez, conducted an Annual/Random inspection this day and met with Principal, Francesca Brake; Site Supervisor/Teacher, Michele Turchetti; and Site Supervisor/Teacher, Anna Reitman (Moorman). Purpose of the inspection is explained. No children were present during the inspection. First day of school is scheduled for 08/22/19. Facility operates M-F, 7:45a-2:15p following the School calendar. Facility operates on the Sacred Heart School campus. The Preschool program operates in the PreK/Kindergarten Building: Rooms #1, #2 ,#3 and in the Spieker Building: Room #608. Classrooms have age appropriate toys and equipment that are in good repair. Lockers with cubbies and hooks are used to store children’s belongings. Napping equipment is properly stored in each classroom. Classrooms have an industrial fire alarm and carbon monoxide detector, and a fully charged fire extinguisher. Classrooms have proper ventilation and sufficient lighting. Each classroom is equipped with two restrooms, each with a toilet and a sink. Restrooms are maintained clean, in good repair, and with adequate supplies. There are separate staff restrooms, which are maintained off limits to children. Medications are stored in the office and/or in the classroom, inaccessible to children. Medication is maintained up-to-date with a Doctor’s prescription, Guardian consent form, and a log. First Aid kit is fully equipped and properly stored in each classroom. All cleaning products and toxins are stored inaccessible to children. Program provides AM snack and children bring their own meals. There are no bodies of water, firearms or other dangerous weapons on the premises. Outdoor play area is divided into the Preschool playyard and the Kinder Play yard. Play structures, toys and equipment on the Preschool play yard are age appropriate and are kept in good repair. Outdoor play area is maintained free of debris and dangerous conditions. A daily sweep of the outdoor play area is conducted by staff prior to children going out for outdoor play. Outdoor playarea is completely fenced in. Sandbox is covered daily and inspected throughout the day. LPAs reminded Principal and Site Supervisors about no co-mingling of the PreK children with the Private School children, unless on special occasions. Drinking water is readily available indoors and outdoors. Emergency drills are conducted monthly and are properly logged. All required postings are properly posted in the main Hallway. All staff have required immunization and Mandated Reporter training certificate on file.

See Page 2. . .
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: SACRED HEART PRESCHOOL AND KINDERGARTEN (PSK)
FACILITY NUMBER: 410509784
VISIT DATE: 08/16/2019
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Page 2. . .

During inspection,
*Incidental Medical Services (IMS) policy was discussed.
*Principal and Site Supervisors was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption.
*Principal and Site Supervisors was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare.
*Principal and Site Supervisors was reminded about Mandated Reporter Training available on CCLD website
(www.ccld.ca.gov or www.mandatedreporterca.com)
*Principal and Site Supervisors was reminded about the Provider Information Notices (PINs) on CCLD website.

LPAs reviewed Site Supervisors’ files and are up to date. LPAs received copies of updated Personnel Report (LIC 500) and Designation of Facility Responsibility (LIC 308).

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report and rights to comment and appeal were discussed with Principal and Site Supervisors. This report must be available in the facility for public review. Notice of site inspection was posted. Principal and Site Supervisors was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2019
LIC809 (FAS) - (06/04)
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