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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517412
Report Date: 09/13/2019
Date Signed: 09/13/2019 10:40:02 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:OUR LADY OF MOUNT CARMEL SCHOOLFACILITY NUMBER:
410517412
ADMINISTRATOR:MAUREEN GALLAGHER-ARNOTTFACILITY TYPE:
850
ADDRESS:601 KATHERINE AVENUETELEPHONE:
(650) 366-6587
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY:30CENSUS: 22DATE:
09/13/2019
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME BEGAN:
08:10 AM
MET WITH:Maureen ArnottTIME COMPLETED:
10:40 AM
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Licensing Program Analyst's (LPA's) Kaur and Glenn Schnell met with director Maureen Arnott. Explained the purpose of visit. This facility has 2 programs, one is preschool age 2 to 3 yrs. Hours of operation for the preschool are 8:30 AM to 1:00 PM. The other program is transitional kindergarten (TK) program 4 to 5.5 yrs old. Hours of operation for the TK are 7:53 AM to 3:00 PM. LPAs inspected the facility building and grounds, conducted an evaluation of the physical plant, care and supervision and reviewed children, staff and facility records. A review of staff records during today’s visit indicates that all staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

Classroom has age appropriate toys and equipment that are in good repair. Cubbies are located inside the classroom. Facility has sufficient napping equipment for children in TK program. Napping mats are disinfected weekly and sheets and blankets are sent home every Friday for laundering by parents.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
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 3
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: OUR LADY OF MOUNT CARMEL SCHOOL
FACILITY NUMBER: 410517412
VISIT DATE: 09/13/2019
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Cleaning products and toxins and medications are inaccessible to children. Restrooms are maintained clean, in good repair and with adequate supplies. Staff use a separate restroom located in the hallway. The isolation area for ill children is the hallway supervised by one staff while waiting for their parents for pick up.
Solid waste containers have tight-fitting covers on and are in good repair. Drinking water is readily available; Indoors via pitcher and cups and outdoors by water fountain. Facility has 2 fire extinguisher that meets the minimum requirements, a smoke and a carbon monoxide detector. Facility uses the elementary school playground for Outdoor activity space. Surface is maintained in a safe condition and is free of hazards. Playground equipment is in safe condition.
Emergency supplies are available and maintained. First Aid Kit is properly maintained and kept inaccessible to children. Director was advised that at least one person that has been trained in CPR and Pediatric First Aid must be always present at the facility or at offsite activities. Classroom has appropriate postings. Last Emergency Drill was conducted in May 2019 and is properly logged. Children bring their own lunch. Facility provides snack food. Children and staff files were reviewed.Director is been advised that parents student handbook should include TK program information as well. Updated handbook to be sent to licensing when completed.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: OUR LADY OF MOUNT CARMEL SCHOOL
FACILITY NUMBER: 410517412
VISIT DATE: 09/13/2019
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The following items were reviewed as part of today's visit: Care and Supervision of the Children, Child Discipline Procedures, Emergency Evacuation Procedures, Medication Policies, Isolation of Sick Children, Napping Requirements, Food Service, Transportation-none provided, Parents Rights, and Reporting Requirements. Posting requirements for site visits were also discussed as well as AB 633 requirements. Current forms and Title 22 Regulations can be obtained through the internet at www.ccld.ca.gov. Staff immunization are on file. Director was reminded that as of September 1, 2016, a person may not be employed or volunteer at a child care 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. Influenza Declarations were also reviewed. Director was advised of Pesticides training. For More information about changes to the Healthy Schools Act, templates, articles, and required training you can inspect the DPR website at: https://apps.cdpr.gov/schoolipm/childcare/training/main.cfm.
This facility does not provide incidental medical plan ( IMS). LPA's discussed completing an IMS plan and the requirements. A copy of guidelines for completing the plan were reviewed.

"NOTICE OF SITE VISIT" DOCUMENT WILL BE POSTED ADJACENT TO THE MAIN ENTRY DOORWAY AND VISIBLE TO PARENTS.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/13/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2019
LIC809 (FAS) - (06/04)
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