414000158-3-7-2023-05-CC-MOLN-CPPT6P-20230307132729

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000158
Report Date: 03/07/2023
Date Signed: 03/07/2023 01:27:49 PM

Document Has Been Signed on 03/07/2023 01:27 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:	HAPPY CAMPERS PRESCHOOL DAYCARE		FACILITY NUMBER:	414000158
ADMINISTRATOR:	AUDRA TSIVIKAS		FACILITY TYPE:	850
ADDRESS:	510 LAUREL STREET		TELEPHONE:	(650) 678-8244
CITY:	SAN CARLOS	STATE: CA	ZIP CODE:	94070
CAPACITY:	106	CENSUS: 62	DATE:	03/07/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:43 AM
MET WITH:	Audra Tsivikas		TIME COMPLETED:	01:44 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 March 7, 2023 at 9:43am. Licensing Program Analyst Olguin-Leon met with Director, Audra Tsivikas for required annual inspection. Purpose of inspection was explained. Present today, Director, 12 staff and 62 preschoolers. Faciltiy is operating within the capacity and in compliance with staff child ratio. Facility operates daycare/preschool from Monday to Friday 8:00AM to 5:30PM. LPA and site director toured the facility for health and safety hazards. Currently there are 5 classrooms; Dragonflies, Monarchs, Grasshoppers, Fireflies and Caterpillars. Facility is clean with proper ventilation. There are plenty of age-appropriate toys, furniture and learning materials all in good repair. Cubbies are available for children to store personal items and belongings. There are two children’s restrooms with toilets, urinals and sinks available for washing hands. There is no hot water in children’s sinks. There is a separate bathroom for staff usage on the premises. All trash containers have fitted lids. Facility has sufficient sleeping mate for all children. Parents provide sheets for mats and are sent home for washing. The outdoor play area is fenced for supervision with age-appropriate toys and equipment in good condition. Outdoor flooring consists of artificial grass and poured rubber. Children bring their own snacks and parents purchase hot lunches. Children have their own labeled water bottles to use inside or outside. There are first aid supplies available in each classroom. Incidental Medical Services were discussed and LPA observed to be properly labeled and stored in locked cabinet. Isolation area for sick children is in the office. All cleaning products, chemicals, and toxins are inaccessible to children. Last emergency drill was conducted on February 14, 2023. School has an electronic sign-in/out system. There is a working fire alarm system, 2 fully charged fire extinguisher, a smoke and carbon monoxide detector, and a working telephone available on site. LPA reviewed 5 children’s records and 5 staff records. All the children's records were complete. 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). Staff persons are current with First Aid/CPR certification. Sleeping Logs were observed via Brightwheel app.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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: HAPPY CAMPERS PRESCHOOL DAYCARE	FACILITY NUMBER: 414000158
	VISIT DATE: 03/07/2023

NARRATIVE

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Director was reminded that all adults 18 and over living or working in the home, 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.

The Director was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee 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. LPA reviewed AB 1207 with the Licensee. 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 Director 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.

A 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.

No deficiencies were issued today.

Exit interview conducted and report was reviewed with the Site Director, Audra Tsivikas
.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC809 (FAS) - (06/04)

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