414000614-9-15-2021-05-CC-LTMO-C6VTGX-20210915144352

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000614
Report Date: 09/15/2021
Date Signed: 09/15/2021 02:44:55 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:	IHSD, INC-EAST PALO ALTO HEAD START CENTER		FACILITY NUMBER:	414000614
ADMINISTRATOR:	MATTIE CRAMER		FACILITY TYPE:	850
ADDRESS:	1385 BAY ROAD		TELEPHONE:	(650) 323-2949
CITY:	EAST PALO ALTO	STATE: CA	ZIP CODE:	94303
CAPACITY:	64	CENSUS: 20	DATE:	09/15/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Lucia Alvarez		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) Tapia-Mandujano met with Site Supervisor, Lucia Alvarez, for a random, annual inspection. Purpose of the inspection was explained. Present and caring for the children are 7 staff and 20 children. Facility is operating within its capacity and is in compliance with staff/child ratio on this day. Facility operates day care from Monday - Friday 7:45am-4:15pm. LPA and Site Supervisor inspected the preschool classrooms and outside play yard for health and safety hazards. Facility has 4 classrooms (3 are currently operating). Storage for children's belongings are in each classroom, labeled with each child's names. LPA observed facility has a carbon monoxide detector, fire alarm system implemented, fully charge fire extinguishers, and fully equipped first aid kits. All cleaning solutions, poisons and other chemicals are stored in the classroom with a child safety lock, inaccessible to children. Facility has age appropriate furniture. There were a variety of age appropriate toys and materials available for children in care. There is three toilets and two sinks shared for Room A and Room B and Room C1 and Room C2. Shared bathroom for Room C1 and C2 also has a changing table. Bathrooms were observed to be in good working condition with appropriate sanitation products. No hot water is used throughout the facility. Facility serves Breakfast, Lunch, and snack that is brought in daily by Chefables. All food is stored and prepared properly to avoid contamination. Facility has a sufficient amount of sleeping mats available in each classroom. Laundering and sanitization was discussed. There is containers of water in each classroom with plastic cups available for drinking water. Containers of water were also observed outside. Sick policy was discussed. Isolation Area for ill children is in the office or in the quiet area in each classroom (depending on staffing). Facility uses electronic sign in and sign out. At time of inspection, all children were properly signed in to program. Facility has license and all other required documents posted and visible for the public in each classroom. Facility has an emergency drill log in each classroom. Last emergency drill was logged August 24th, 2021. LPA reviewed the facility records. LPA reviewed children's files and staff's files. All records are complete. Continued on Page 2...

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: (650) 350-2554
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

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 2

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: IHSD, INC-EAST PALO ALTO HEAD START CENTER	FACILITY NUMBER: 414000614
	VISIT DATE: 09/15/2021

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
26
27
28
29
30
31
32

Page 2 Continued...

Facility was informed 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.

Site Supervisor 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 file. LPA encourages the teachers to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Incidental Medical Services (IMS) policy was discussed. Program is providing IMS at this time. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

During today's visit, LPA received a director packet for Lucia Alvarez.

>No deficiencies were cited today under CCR, Title 22, Division 12, Chapter 3.

After the inspection, an exit interview was conducted with Site Supervisor. Report was reviewed and signed by Site Supervisor. Today’s report dated September 14th, 2021 and notice of site visit will be emailed LALVAREZ@IZZIEARLYED.ORG to by close of business. Site Supervisor was advised to acknowledge receipt of report. Site Supervisor was reminded that a site notice shall be posted in a prominent place in facility for 30 days during the hours of operation. Failure to maintain postings as required will result in a civil penalty of $100.

This report is public and can be reviewed. This report must be available in the facility for public review. Site Supervisor was advised to contact San Bruno Regional Office for any additional questions, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: (650) 350-2554
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2