414000987-7-6-2022-05-CC-CQUO-CG3PMW-20220706112700

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000987
Report Date: 07/06/2022
Date Signed: 07/06/2022 11:27:40 AM

Document Has Been Signed on 07/06/2022 11:27 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	IHSD, INC-MOONRIDGE INFANT CENTER		FACILITY NUMBER:	414000987
ADMINISTRATOR:	INES MORALES		FACILITY TYPE:	830
ADDRESS:	2001 MIRAMONTES POINT ROAD		TELEPHONE:	(650) 712-9684
CITY:	HALF MOON BAY	STATE: CA	ZIP CODE:	94019
CAPACITY:	9	CENSUS: 7	DATE:	07/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Ines Morales		TIME COMPLETED:	11:30 AM

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 9:10am, 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 7 infants and 3 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. Infant program operates out of Infant classroom 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 and pictures. Diaper changing tables are within arm's reach of an adult sink. 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. Per site supervisor, all children currently enrolled are only using diapers. Potty chairs are available for children potty training. Sinks children use do not provide water that is warmer than 120 degrees Fahrenheit. Facility currently provides a food service that includes breakfast, lunch and afternoon snack. LPA observed food prep area to be clean and orderly. All food is stored and prepared properly to avoid contamination. Infants' bottles are individually labeled with children's names and stored in classroom. Classroom refrigerator is available if needed. Water is available to children indoors and outdoors with children's water bottles, labeled with child's individual names and/or 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)

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: IHSD, INC-MOONRIDGE INFANT CENTER	FACILITY NUMBER: 414000987
	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. Infants have a separate playground from preschool playground that infants have exclusive use over. Outdoor area has appropriate cushioning for crawling and walking infants.

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 7 children's records, 3 staff records (whom were present during inspection). LPA observed children's and staff's records to be complete. Multiple staff members have a valid CPR certificate that will expire 03/2023.

Facility maintains safe sleep logs and documentation for each napping infant. Safe sleep logs document 15 minute time checks of when napping infant was last check on as well as napping infants' sleeping position. Emergency drills are conducted monthly and are properly logged and documented. Last emergency drill was conducted 05/23/2022.

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 INFANT CENTER	FACILITY NUMBER: 414000987
	VISIT DATE: 07/06/2022

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LPA discussed the safe sleep regulations with site supervisor and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed site supervisor of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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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