414001321-3-8-2023-05-CC-LGOZ-CPR2GA-20230308162248

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001321
Report Date: 03/08/2023
Date Signed: 03/08/2023 04:23:11 PM

Document Has Been Signed on 03/08/2023 04:23 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	MONTESSORI CHILDREN'S HOUSE-TULANE ROAD		FACILITY NUMBER:	414001321
ADMINISTRATOR:	MONTE, MAUREEN M.		FACILITY TYPE:	850
ADDRESS:	315 TULANE ROAD		TELEPHONE:	(650) 342-0447
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	44	CENSUS: 40	DATE:	03/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Maureen Monte		TIME COMPLETED:	04:30 PM

NARRATIVE

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On 3/8/2023 at 12:50PM., Licensing Program Analyst (LPA), Luis J. Gomez met with Licensee/ Director, Maureen Monte. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate preschool-age program. Present was the directors, and four staff supervising 40 children. Program utilizes two rooms: Upstairs and Downstairs Classrooms and the shared Outdoor Play Yard. Hours of operation are: Monday- Friday 8:15AM.,- 3:30PM. Facility offers both morning and afternoon cohorts/ part-day sessions. Facility was inspected indoors and outdoors for health and safety hazards.

At 1:05PM., LPA observed the following: Classrooms were clean, orderly, with age-appropriate materials available to the children. Floors and ground surfaces were free of any obstructions or potential hazards. Labeled cubbies are available for storage of child’s belongings. Accessible supplies, materials and furniture inspected were free of sharp corners or splinters. Classroom were equipped with child- sized tables and chairs. Children’s bathroom was maintained clean, with fixtures in operating condition. Staff bathroom is located on the upper level. Classrooms had acceptable ventilation and lighting. The disinfectants, cleaning solutions, poisons and other hazardous items have been stored inaccessible to children. Facility has functioning smoke/ carbon monoxide combination detector, telephone service, and fully charged fire extinguishers (2A:10BC). First aid kit was reviewed and is fully stocked.

At 1:35PM., LPA inspected the shared outdoor play yard. Outdoor play yard is enclosed, and surfaces are free of debris or hazardous plants. Play structure is properly anchored, with tanbark throughout. Per director, for water services, refillable bottles provided for children outside. Accessible shading rest area is available.

(REFER TO 809-C FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

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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Document Has Been Signed on 03/08/2023 04:23 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI CHILDREN'S HOUSE-TULANE ROAD	FACILITY NUMBER: 414001321
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/08/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101230(b)

Activities/Napping

(b) All children shall be given an opportunity to nap or rest without distraction or disturbance from other activities at the center. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	At 1:45PM., Based on interview, observations and record review, LPA confirmed facility in not providing nap or quiet rest time for full time day-care children.
	POC Due Date: 03/20/2023
	Plan of Correction
1 2 3 4	Director will schedule nap/ quiet rest time for all full time day-care children by due date: 3/20/2023. Proof of updated schedule of daily activities will be submitted to the department.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI CHILDREN'S HOUSE-TULANE ROAD	FACILITY NUMBER: 414001321
	VISIT DATE: 03/08/2023

NARRATIVE

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(Page 2)
At 1:40PM., Based on record review and interview, LPA confirmed children no longer present in facility had not been properly signed out by authorized representative. Advisory Note: Technical Violation (LIC9102TV) was issued.

At 1:45PM., Based on interview, observations and record review, LPA confirmed facility in not providing daily nap or quiet rest time for full time day-care children.

At 1:50PM LPA reviewed facility records including five children’s files and three personnel files. Staff files contained the: Notice of Employee Rights (LIC9052); Education Verification; Personnel Record (LIC501).

LPA reminded director to ensure staff's proof of immunization are stored in facility files. Advisory Note: Technical Violation (LIC9102TV) was issued.

Children’s files contained the: Consent for Emergency Medical Treatment (LIC627); Updated Immunization Record, Identification and Emergency Information (LIC700); Personal Rights (LIC613A); and Notification of Parent’s Rights (LIC995).

Staff member had their current ‘Cardiopulmonary Resuscitation and First Aid’ certification, which expires on: 2/14/2024.

Emergency disaster drills (Fire and Earthquake) are conducted every six months with the last drill completed on, 2/14/2023 properly logged.

In entry way, LPA observed required posting including: Facility License; Notice of Parent’s Rights (PUB394); Emergency Disaster Plan (LIC610); and Seat Belt Safety Laws.

LPA reminded director to have drinking water tested for lead. Advisory Note: Technical Assistance (LIC9102TA) was issued.

LPA reviewed children’s medication during inspection.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm (REFER TO 809C FOR CONT.)

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 Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated.

(REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MONTESSORI CHILDREN'S HOUSE-TULANE ROAD	FACILITY NUMBER: 414001321
	VISIT DATE: 03/08/2023

NARRATIVE

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(Page 3)
Based on today's inspection, deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations and cited 809D. Exit interview, Appeal rights and Report was reviewed with Director/ Licensee Maureen Monte, and signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Facility was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

LIC809 (FAS) - (06/04)

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