414001391-5-1-2023-05-CC-MROZ-CRERAF-20230501125106

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001391
Report Date: 05/01/2023
Date Signed: 05/01/2023 12:51:15 PM

Document Has Been Signed on 05/01/2023 12:51 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:	TEMPLE BETH JACOB PRESCHOOL		FACILITY NUMBER:	414001391
ADMINISTRATOR:	CAUTERUCCI, ANN		FACILITY TYPE:	850
ADDRESS:	1550 ALAMEDA DE LAS PULGAS		TELEPHONE:	(650) 366-8481
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY:	44	CENSUS: 13	DATE:	05/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Ann Cauterucci		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	Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced annual inspection. LPA met with Director Ann Cauterucci and explained purpose of the inspection. Center is located inside the school wing of the Congregation Beth Jacob Temple. Center is a preschool with a toddler component and provides a half day program with extended care up to 2:00pm. Present at the center were the Director, four teachers, and 13 preschool aged children. School is operating within capacity requirements and in compliance with child to staff ratio. Hours of operation are Monday to Friday from 9:00am to 2:00pm. Class is taught from 9:00am to 12:00pm. There is extended care called Lunch Bunch from 12:00pm to 2:00pm. LPA toured school with Director. There are no bodies of water, firearms, or weapons on the premises. Toddler room is in Room 7 (Alef) for children ages 18 to 30 month olds; Room 11 (Gimmel) is for children 2 1/2 to 3 years old; Room 14 (Hey) is for 3 to 4 year olds; and Room 15 (Dalet) is for 4 years old and up. Classrooms are in good condition with proper temperature and ventilation and are free of any hazards. Furniture in each classroom are in good repair. Each classroom has age appropriate toys and equipment. There are separate bathrooms for boys and girls. Bathrooms appear to be clean, in good repair, and free of any hazards. There is a separate bathroom for staff usage on the premises. The outdoor play area is fenced for supervision with age appropriate toys and equipment in good condition. Play structures are in good condition with sufficient cushioning underneath. All required postings and waivers are posted by the entrance to the school wing. Snack is only provided by the center. Children who attend their Lunch Bunch bring their own lunches. Food preparation area is clean and free of any toxins or contamination. All food is properly stored to avoid contamination. Drinking water is available for children indoor and outdoors. All storage containers for solid waste have a proper lid. All cleaning products, chemicals, and toxins are inaccessible to children.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

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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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: TEMPLE BETH JACOB PRESCHOOL	FACILITY NUMBER: 414001391
	VISIT DATE: 05/01/2023

NARRATIVE

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Last emergency drill was conducted in February 2023. Emergency drills are conducted at least once every six months and are properly logged. School has a complete record of sign-in/out sheets by authorized pickup person through sign in/out sheets. There is a working fire alarm system, a fully charged fire extinguisher, a smoke and carbon monoxide detector, and a working telephone available on site.

Ten children records were reviewed and complete. All children have a record of emergency identification information on file. Four staff records were reviewed and complete. All staff have a criminal record clearance on file. Staff do not have current pediatric first aid/CPR certificates on file. Director stated they had a hard time trying to find a class to renew certificate due to the pandemic. LPA provided Director with websites for her and staff to enroll in a class. Director will provide LPA with a copy of their certificates once renewal class has been completed.

Director was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years by all staff hired. Training can be taken online at www.mandatedreporterca.com.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (US DOJ) 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.

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/process.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

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: TEMPLE BETH JACOB PRESCHOOL	FACILITY NUMBER: 414001391
	VISIT DATE: 05/01/2023

NARRATIVE

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LPA discussed the safe sleep regulations with Facility Representative 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 Facility Representative 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.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with Facility Representative Ann Cauterucci.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/01/2023

LIC809 (FAS) - (06/04)

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