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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000987
Report Date: 09/19/2024
Date Signed: 09/20/2024 10:16:33 AM


Document Has Been Signed on 09/20/2024 10:16 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:IHSD, INC-MOONRIDGE INFANT CENTERFACILITY NUMBER:
414000987
ADMINISTRATOR:INES MORALESFACILITY TYPE:
830
ADDRESS:2001 MIRAMONTES POINT ROADTELEPHONE:
(650) 712-9684
CITY:HALF MOON BAYSTATE: CAZIP CODE:
94019
CAPACITY:9CENSUS: 5DATE:
09/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maria Arcelia RuizTIME COMPLETED:
02:40 PM
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On 9/19/2024 at approximately 9am Licensing Program Analysts (LPAs) Alvarado and Medrano arrived at the Facility. LPAs were greeted by (S1) and introduced themselves and the purpose of the inspection. LPAs met with Site Supervisor Arcelia Ruiz and stated the purpose of todays inspection which was for an annual licensing inspection. Present in the Infant Facility were Site supervisor Arcelia, (S1), two teachers supervising 1 infant and 4 toddlers in the classroom.

The facility has one large classroom that has age appropriate toys and materials, Classroom is clean and in orderly condition. Hours of operation are Monday-Friday 7:30-4:00pm and every second and fourth Wednesday of the month the hours are 7:30am-1:15pm. On site the facility also has a preschool license:IHSD, INC-MOONRIDGE CHILD DEVELOPMENT CENTER (414000854). Classroom is an Infant Facility that has first aid kits, Last emergency drill was conducted on 8/28/24.

Facility provides formula and baby food for infants. Facility has lunch provided by a food program Chefables. Facility provides sheets for children and are washed twice a week. LPAs inspected infant/ toddler room and the outdoor space. LPAs observed facility has combined smoke/fire and carbon monoxide detector, a fully charged fire extinguisher model 3A40BC located in each classrooms. The facility has a working telephone on site.

All cleaning solutions, poisons, and other chemicals dangerous to the children are stored inaccessible to the children. Facility has age-appropriate furniture. Facility floor and rugs are in good repair and free of any hazards. LPAs observed a sleep sack hanging on a crib, but not in use. The site supervisor was advised that sleep sacks are not permitted.

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SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 730-4140
LICENSING EVALUATOR NAME: Diana AlvaradoTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/19/2024
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: IHSD, INC-MOONRIDGE INFANT CENTER
FACILITY NUMBER: 414000987
VISIT DATE: 09/19/2024
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LPAs reviewed the facility records. LPAs reviewed 5 children's files during the visit. During review of children's files, it was observed that facility did not maintain the lic 9227. LPAs reviewed 3 staff files with qualifying requirements such as ECE Units, CPR and Mandated Reporter Training. During record record review, LPAs observed that the infants did have sleep logs for 15-minute checks.

There are first aid supplies available in the classroom. The bathroom is in working condition, LPAs checked sinks and toilets. Individual items provided by the parents are labeled and stored appropriately. Per Aracelia, the facility provides foods for children 1 years old and above through Chefables program. Water is provided through filtered water dispensers, refilled as needed. All food is stored properly to avoid contamination. LPA observed that there are toys and manipulative for the children to play and interact with.

LPA observed outdoor areas and age appropriate play structures are free from health and safety hazards. The outdoor area has shaded areas for the children to rest. There are a variety of toys and carts to ride on available for the children. There are also sheds/bins and storage areas for the toys when they're not being used.

The Director 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. Facility 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.

Director 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. LPAs observed the completion certificates on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 730-4140
LICENSING EVALUATOR NAME: Diana AlvaradoTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: IHSD, INC-MOONRIDGE INFANT CENTER
FACILITY NUMBER: 414000987
VISIT DATE: 09/19/2024
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To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

According to staff, there are no children with allergies in the infant program.Incidental Medical Services – IMS. 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. 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

Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

Technical Violations are being issued for LIC 9227 and Sleep Sacks

A copy of this report was given with the “Notice of Site Visit” to the staff. A Notice of Site Visit must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed and signed by executive director, Maria Aracelia Ruiz.

SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 730-4140
LICENSING EVALUATOR NAME: Diana AlvaradoTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
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