414001022-8-26-2022-05-CC-HLEG-CHNPR5-20220826113211

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001022
Report Date: 08/26/2022
Date Signed: 08/26/2022 11:32:15 AM

Document Has Been Signed on 08/26/2022 11:32 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:	BELLE AIR PRESCHOOL		FACILITY NUMBER:	414001022
ADMINISTRATOR:	PAUAHI MCGINN		FACILITY TYPE:	850
ADDRESS:	450 3RD AVENUE		TELEPHONE:	(650) 624-3158
CITY:	SAN BRUNO	STATE: CA	ZIP CODE:	94066
CAPACITY:	96	CENSUS: 26	DATE:	08/26/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Pauahi McGinn		TIME COMPLETED:	11:32 AM

NARRATIVE

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On 8/26/2022, Licensing Program Analyst (LPA), Hanson Leong, made an unannounced annual visit to the Belle Air Preschool. . LPA was granted entry by the Director, Pauahi McGinn. LPA explained the purpose of the visit to the director. All facility’s staff members have had their criminal background checks cleared by the San Bruno Park School District. LPA observed six teachers and two aides supervising twenty-six preschool children. Children's capacity and ratio requirements were observed to be in compliance,

Both LPA and the director thoroughly checked the facility for potential health and safety hazards. Children have access to first-aid supplies. Toys, furniture, and learning materials are all age appropriate in all classrooms. LPA observed that the outside furniture and play structures are in excellent condition. Wood chips surround the outdoor play structures, absorbing any accidental falls. Cots are provided for children to use while napping. LPA observed that there were no bodies of water at the facility. All cleaning products, poisons, and other hazardous chemicals have been kept out of reach of children. The facility has smoke detectors, carbon monoxide detectors, fully charged fire extinguishers, centralized smoke alarms, and working phones. According to the director, there are no firearms or weapons in the facility.

LPA observed that the facility posted the required documents. (i.e., license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities).

LPA reviewed the records of ten children. All required forms were in the children’s’ file. The program uses a sign in / out sheet for authorized individuals to sign their children in and out.

LPA reviewed the records of eight staff members. All required forms were in the staff files. A review of staff records revealed that one of the staff member is currently certified in CPR and First Aid.

According to the director, the Preschool simulates fire and earthquake drills once a month. ***See Page 2 for continuation***

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022

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: BELLE AIR PRESCHOOL	FACILITY NUMBER: 414001022
	VISIT DATE: 08/26/2022

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Continued, Page 2
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.

The LPA discussed the safe sleep regulations and the Child Care Licensing Safe Sleep with the director, webpagehttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. The LPA also informed the director 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.

The LPA encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

A copy of this report, and the “Notice of Site Visit” were given to the director.

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 with the Director, Pauahi McGinn

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/26/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2022

LIC809 (FAS) - (06/04)

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