410518990-9-16-2024-05-CC-JGIL-D96Q28-20240916114642

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410518990
Report Date: 09/16/2024
Date Signed: 09/16/2024 11:46:51 AM

Document Has Been Signed on 09/16/2024 11:46 AM - 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:	SAN MATEO-FOSTER CITY SCHL DIST - GEORGE HALL		FACILITY NUMBER:	410518990
ADMINISTRATOR:	CRISTINA HALEY		FACILITY TYPE:	850
ADDRESS:	130 SAN MIGUEL		TELEPHONE:	(650) 312-7533
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	48	CENSUS: 16	DATE:	09/16/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Cristina Haley		TIME COMPLETED:	12:20 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 September 16, 2024, at approximately 9:10 AM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with lead teacher, Sophia Porras Castillos, and explained the purpose of the inspection. Lead teacher is designated with facility responsibility. At approximately 10:00 AM. Director Cristina Haley arrived at the facility. Preschool program operates on George Hall Elementary School. Program is licensed to operate in portable classroom #24 and classroom #2. On date of LPA's visit, program is operating out of classroom #2 only. Present during inspection included 16 enrolled children, lead teacher, teacher's assistant, and director. All staff members working in preschool program are fingerprint cleared through SMFCSD. Preschool program currently operates Monday through Friday 8:30 AM to 3:00 PM. LPA, lead teacher, and principle inspected preschool program, indoors and outdoors, for health and safety hazards. Classroom has a working telephone, carbon monoxide detector and fire extinguisher in classroom. Entire facility has smoke and fire alarm system implemented by school district. LPA observed cleaning solutions, poisons and other chemicals are stored inaccessible to children in classroom's high shelves. Per lead teacher, classroom only has cleaning wipes in the classroom because they have janitorial services. Storage for children's belongings are located inside the classroom. Storage areas are labeled with each child's individual names. Classroom has age-appropriate furniture and materials that are in working condition. Classroom has proper temperature and is properly ventilated. LPA observed classroom has two accessible children's sinks. LPA observed bathrooms to be clean and in proper working condition. Enrolled children bring their own snack/lunch to the facility from home. Lunch bags are labeled and kept in bin near the front entrance of classroom. Enrolled children have option to receive lunch form School District. Children's items are properly stored in individual cubbies. Drinking water is available to children, indoors and outdoors, with children's individual drinking bottles. Continue on Page 2....

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet Gil	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024

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: SAN MATEO-FOSTER CITY SCHL DIST - GEORGE HALL	FACILITY NUMBER: 410518990
	VISIT DATE: 09/16/2024

NARRATIVE

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LPA observed classroom has enough sleeping mats available for children in the program. Sleeping sheets/blankets are separated and labeled. Sheets are taken home by families weekly to wash.

Preschool program shares outdoor area with elementary school. Facility has an active outdoor waiver. LPA observed outdoor area to have age-appropriate materials in working condition. Padding is located under climbing structure.

LPA observed preschool program to use paper sign in/out system. All children were correctly signed in at the time of inspection. Classroom has license and all other required documents posted and visible for the public. Preschool program conducts monthly disaster drills with George Hall Elementary School. Last conducted disaster drill was on 08/20/2024.

LPA reviewed 8 children's files and 3 staff files. Children's files were complete with a record of emergency identification information on file. Principle was reminded to have all enrolled children's Physician Reports in each file available for review. Lead teacher has a valid CPR/First Aid certificate that will expire 04/2025. Teachers' also has proof of required immunization that were made available for review. District requires all staff to take annual Mandated Reporter Training through Vector Solutions.

Facility 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.

The Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate on al files except one(S2). LPAs encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet Gil	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024

LIC809 (FAS) - (06/04)

Page: 2 of 4

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: SAN MATEO-FOSTER CITY SCHL DIST - GEORGE HALL	FACILITY NUMBER: 410518990
	VISIT DATE: 09/16/2024

NARRATIVE

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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/.

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.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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

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.

Facility failed to test for lead water before January 1st, 2023. Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D.

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

Exit interview conducted and report was reviewed with director, Cristina Haley.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet Gil	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/16/2024 11:46 AM - It Cannot Be Edited

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: SAN MATEO-FOSTER CITY SCHL DIST - GEORGE HALL	FACILITY NUMBER: 410518990
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/16/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in having licensed facility test for lead contamination levels before January 1.2023 which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 09/16/2024
	Plan of Correction
1 2 3 4	Facility tested for lead on 4/3/2024, and has all results below 5.5 pbp.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet Gil	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024

LIC809 (FAS) - (06/04)

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