414000219-10-8-2019-05-CC-CINO-BGRR3R-20191008124023

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000219
Report Date: 10/08/2019
Date Signed: 10/08/2019 12:40:35 PM

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:	LITTLEST ANGELS		FACILITY NUMBER:	414000219
ADMINISTRATOR:	STINSON, KATHY		FACILITY TYPE:	850
ADDRESS:	1075 CLOUD AVENUE		TELEPHONE:	(650) 854-4973
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY:	102	CENSUS: 63	DATE:	10/08/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Director Kathleen O'Malley		TIME COMPLETED:	01:00 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	Licensing Program Analyst (LPA), Cindy Interiano conducted an Annual/Random inspection and met with Director, Kathleen O'Malley. Purpose of the inspection was explained to Director. Program operates in 5 classrooms: in the Bethany Lutheran Church Building basement: Bunnies and Bees classrooms; in the Parish Hall/Family Center: Bears, Lions, and Tigers classrooms. The ‘Ride Toy Room’ (in between the Bunnies and Bees classroom), the ‘Fireside Room’ and the ‘Family Center’ are currently being used as ‘multipurpose’ rooms. Program operates M-F, 7:30a-5:30p, year-round with periodic breaks throughout the year. Present during the inspection was Director and 12 staff supervising 63 PreK children. Program is in compliance with Staff-Child ratios. LPA and Director inspected facility indoors and outdoors for Health and Safety Hazards. Classrooms have age appropriate toys and equipment. Cubbies, hooks, and bins are used to store children’s belongings. Classrooms share restrooms: In the Church basement, there is one restroom with 3 toilets, three changing tables, and 1 sink with 3 faucets; In the Parish Hall, there are two restrooms (girls and boys), each with 2 toilets, two changing tables, and 1 sink with 2 faucets. Additional sinks are in the classrooms. Restrooms are kept clean, in good repair, and maintained with adequate supplies. Staff use separate restrooms, which are maintained ‘off limits’ to children. Program provides snacks and children bring their own meals. Facility has a fully supplied Emergency Kit and Emergency supplies, in each classroom, which are maintained inaccessible to children. Medications are maintained in the child’s assigned classroom and is kept with Guardian consent form, Doctor’s prescription and a log (when administered). Classroom has an industrial fire alarm system, multiple smoke and carbon monoxide detectors, and fully charged Fire Extinguishers. Last Emergency Disaster drill was conducted on 07/15/19 and is properly logged. Discipline policy is mainly redirection. Napping equipment is properly stored. See Page 2. . .

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

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: LITTLEST ANGELS	FACILITY NUMBER: 414000219
	VISIT DATE: 10/08/2019

NARRATIVE

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Page 2. . .

Outdoor play area is kept clean and free of debris and hazardous items. Sand box is covered daily. Staff conduct a daily sweep prior to the children going out for outdoor play. All outdoor toys and equipment are age appropriate and in good repair. A schedule is maintained for outdoor play for all classrooms. Facility periodically close off a section of the parking lot and use it for outdoor play. Construction in one section of the parking lot is secured and maintained with minimal disturbance to the program. Drinking water is readily available outdoors and indoors. All mandatory postings are posted in each classroom and near the main office. Sign in out sheets were reviewed and are complete and up-to-date. Staff and children’s files were reviewed and are complete and up-to-date. All staff have required immunization and current CPR card on file.

During inspection, LPA and Director discussed unusual incidents:
First incident occurred on 02/08/19 in which Child #1 fell, injuring elbow. First Aid was immediately administered and Guardians were contacted. Child #1 was taken to the Hospital and Doctor determined Child #1 had a broken elbow. Child returned to Preschool after a few days of rest.
Second incident occurred on 05/20/19 in which Child #2 fell during outdoor play, injuring mouth, getting a wiggly tooth. First Aid was administered and Guardians were contacted. Child #2 was taken to their dentist. Child#2 later returned to the Preschool.
Third incident occurred on 09/24/19, in which a Guardian contacted Director alleging that her Child#3 was being mistreated, bullied, and verbally abused by staff and other children, due to the color of their skin. The Guardian requested immediate termination of the contract, as well as full refund. Director spoke to Guardian and advised her that the contact will be terminated. Director advised Guardian that an internal investigation was going to be conducted, since the allegations were very serious. Director states she and Pastor conducted an internal investigation and found no personal rights being violated. Child #3 has since been disenrolled.

See Page 3. . .

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

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: LITTLEST ANGELS	FACILITY NUMBER: 414000219
	VISIT DATE: 10/08/2019

NARRATIVE

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Page 3. . .

Director states that any form of abuse, verbal or physical, is never tolerated from any Staff/Adult. If a Staff is being aggressive with a child, then the Director and/or Pastor meet with the Staff and if it is reasonable, an arrangement is made, and if not then Staff’s employment may be terminated. When a child acts aggressively to other children or staff/adults, the Program works with the child and their families and help in finding the support the Family may need. Director states the Program tries to maintain low ratios and works with the children to remind them of what is safe/gentle play. Director states she keeps in close communication with the Guardians to keep them informed on their child’s progress. Guardians are reassured that their children are safe at the facility.

Also during the inspection,
*Incidental Medical Services (IMS) policy was discussed.
*Director was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption.
*Director was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare.
*Director was reminded about Mandated Reporter Training available on CCLD website (www.ccld.ca.gov or www.mandatedreporterca.com)
*Director was advised of the new Lead Bill (effective 01/01/19), requiring Facilities to distribute a two-page flyer to Guardians with information on lead poisoning facts
*Director was reminded about the Provider Information Notices (PINs) on CCLD website.

***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 Director. This report must be available in the facility for public review. Notice of site inspection was posted.
Director 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 Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/08/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/08/2019

LIC809 (FAS) - (06/04)

Page: 3 of 3