414000854-7-6-2022-05-CC-CQUO-CG3RH5-20220706130144

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000854
Report Date: 07/06/2022
Date Signed: 07/06/2022 01:02:30 PM

Document Has Been Signed on 07/06/2022 01:02 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	IHSD, INC-MOONRIDGE CHILD DEVELOPMENT CENTER		FACILITY NUMBER:	414000854
ADMINISTRATOR:	BARBARA DONNELLY		FACILITY TYPE:	850
ADDRESS:	2001 MIRAMONTES POINT ROAD		TELEPHONE:	(650) 712-8729
CITY:	HALF MOON BAY	STATE: CA	ZIP CODE:	94019
CAPACITY:	47	CENSUS: 13	DATE:	07/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Ines Morales		TIME COMPLETED:	01:15 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 July 6, 2022 at approximately 11:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with site supervisor, Ines Morales, and explained the purpose of the inspection. Present during inspection included 13 children and 4 staff members (including site supervisor). Facility is operating within capacity requirements and ratios at time of LPA's inspection. Facility is a combination center with a preschool and infant license. Hours of operation are Monday to Friday 7:30am to 4:00pm. Preschool program operates out of preschool classroom #1 only. LPA observed classroom to be clean, equipped with age appropriate toys, materials and furniture. Storage for children's belongings are located inside the classroom, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system throughout entire building. Classroom has multiple smoke/carbon monoxide detectors, a fully charged fire extinguisher and a fully stocked first aid kit. All poison, cleaning solutions and hazardous materials are stored inaccessible to children behind child safety locked cabinets and/or facility's high shelves. LPA observed bathrooms used for day care use to be clean and in proper working condition. Children's sinks do not provide water that is warmer than 120 degrees Fahrenheit. Garbage cans have tight fitting lids. Facility currently provides a food service that includes breakfast, lunch and afternoon snack. LPA observed food prep area to be clean and orderly. Water is available to children indoors and outdoors with water pitchers with disposable cups. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022

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: IHSD, INC-MOONRIDGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 414000854
	VISIT DATE: 07/06/2022

NARRATIVE

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Outdoor area was observed to be equipped with age appropriate materials that were in good working condition. Preschool program has exclusive use over preschool playground. LPA observed play structures to have resilient padding underneath.

Children are signed in and out of facility by their authorized representatives' written signatures. Facility has license documentation and information properly posted and available for review in main entrance of facility.

LPA reviewed facility records that included 10 children's records, 3 staff records (whom were present during inspection). LPA observed children's and staff's records to be complete. All staff members in preschool classroom have a valid CPR certificate that will expire 03/2023.

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 are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completed certificate on file. LPA encourages site supervisor to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Site supervisor was reminded that all adults 18 and over, 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 Child Care Center. 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.

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/inspection-process.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022

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: IHSD, INC-MOONRIDGE CHILD DEVELOPMENT CENTER	FACILITY NUMBER: 414000854
	VISIT DATE: 07/06/2022

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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 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

No deficiencies were issued under CCR, Title 22, Division 12.

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

Exit interview conducted and report was reviewed with site supervisor, Ines Morales.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/06/2022

LIC809 (FAS) - (06/04)

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