410518278-9-6-2019-05-CC-MROZ-BFRNXX-20190906105153

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410518278
Report Date: 09/06/2019
Date Signed: 09/06/2019 10:52:01 AM

COMPREHENSIVE INSPECTION

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:	SOUTH HILLSBOROUGH PRESCHOOL		FACILITY NUMBER:	410518278
ADMINISTRATOR:	PRISE, TAMMY		FACILITY TYPE:	850
ADDRESS:	300 EL CERRITO AVE., RM. 3 & 4		TELEPHONE:	(650) 343-3689
CITY:	HILLSBOROUGH	STATE: CA	ZIP CODE:	94010
CAPACITY:	25	CENSUS: 12	DATE:	09/06/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Tammy Price		TIME COMPLETED:	11:05 AM

NARRATIVE

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Licensing Program Analyst (LPA) Marie Rodriguez made an unannounced Annual Random inspection. LPA met with Site Director Tammy Price and explained purpose of inspection. Present at the care center was the Site Director, 1 teacher, and 12 children. Facility is operating within capacity and in compliance with child to staff ratio. The care center operates Monday to Friday from 8:30am to 3:15pm.

LPA inspected Room 4 with Site Director. The wall between Room 3 and 4 was removed to combine both rooms together. There are no bodies of water on the premises. There are no firearms or weapons in the center. The center is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good repair. Bathrooms, toilets, and sinks are clean and well sanitized. Preschool has age appropriate toys and equipment. A first aid kit and first aid backpack are available in the room. All cleaning products and toxins are inaccessible to children. The center has an outdoor play area. The outdoor area is fenced for supervision. The play structure and outdoor equipment are age appropriate and in good condition. Foam cushioning is used for soft padding underneath the play structure.

All required postings are properly posted by the door. Menu is posted one week in advance. Last emergency drill was conducted in June 2019. Emergency drills are conducted monthly and are properly logged. Sign-in/out sheets are located by the door. The center has a complete record of sign-in/out sheets by authorized pickup person. There are a working smoke and carbon monoxide detectors, a fully charged fire extinguisher, and a working telephone available. Center only provides snacks and children bring their own lunches. Food preparation area is clean and free of any toxins or contamination. All food is properly stored to avoid contamination. All storage containers for solid waste have a proper lid.

Records of five children reviewed were complete. All children have a record of emergency identification information on file. Records of two staff reviewed were complete. All staff members have a criminal record clearance on file. All staff have a current Pediatric First Aid/CPR certificate on file.

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SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) -26-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SOUTH HILLSBOROUGH PRESCHOOL	FACILITY NUMBER: 410518278
	VISIT DATE: 09/06/2019

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(Continued from first page)

During inspection,

Site Director was reminded all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.
Site Director was reminded about Mandated Reporter Training available on CCLD website. Training must be completed every 2 years. (www.ccld.ca.gov or www.mandatedreporterca.com)
Site Director was reminded about the Provider Information Notices (PINs) on CCLD website.

No deficiencies cited today.

This report was reviewed and discussed with Site Director Tammy Price. A copy of report was provided.

This report must be available in the facility for public review. Notice of site visit was observed being posted and shall remain posted for 30 days. Any additional questions, call CCLD Office, Monday - Friday, 8am - 5pm, (650) 266-8800 or 1 (844) 538-8766. Website: www.cdss.ca.gov.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) -26-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/06/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019

LIC809 (FAS) - (06/04)

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