414001649-10-25-2019-05-CC-CINO-BHASKW-20191025135725

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001649
Report Date: 10/25/2019
Date Signed: 10/25/2019 01:57:30 PM

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:	MARIN DAY SCHOOL-OUR PLACE, SMC EMP (PRESCHOOL)		FACILITY NUMBER:	414001649
ADMINISTRATOR:	CAGNINA, ELIZABETH		FACILITY TYPE:	850
ADDRESS:	403 WINSLOW STREET		TELEPHONE:	(650) 363-4939
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94063
CAPACITY:	64	CENSUS: 47	DATE:	10/25/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Director, Young Lee		TIME COMPLETED:	02:05 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), Cindy Interiano conducted an Annual/Random inspection and met with Director, Young Lee. Purpose of the inspection was explained to Director. Facility is a dually licensed facility with an Infant/Toddler program on-site. Facility operates in 4 classrooms: ‘Robins,’ ‘Doves,’ ‘Eagles,’ and ‘Owls.’ Program operates M-F, 7a-630p, year-round with periodic breaks throughout the year. Present during the inspection is Director and 8 staff supervising 47 Preschool children. Program is in compliance with Staff:Child ratios. LPA and Director inspected facility indoors and outdoors for Health and Safety Hazards. Classrooms have age appropriate toys and equipment. There is sufficient lighting and ventilation in each classroom. Hooks, Cubbies, and Bins are used to store children’s belongings. Each classroom has or shares children’s restroom. Restrooms and changing areas are maintained clean, in good repair, and with adequate supplies. Staff use separate restrooms. All cleaning supplies are maintained inaccessible to children. Program provides daily snacks and children bring their own meals. Each classroom has a fully supplied Emergency Kit and Emergency supplies, which are maintained inaccessible to children. Medications are maintained in child’s assigned classroom and is kept with Guardian consent form, Doctor’s prescription, and a log (when administered). Classrooms have an industrial fire alarm with sprinkler system, a carbon monoxide detector, and a fully charged Fire Extinguisher. Last Emergency disaster drill was conducted on 10/17/19 and is properly logged. Discipline policy is mainly redirection. Napping equipment is properly stored. There are two preschool outdoor play areas, including sand areas, which are kept free of debris and dangerous conditions. Staff conduct a daily sweep prior to the children going out for outdoor play. All outdoor toys and equipment are age appropriate and in good repair. Drinking water is readily available indoors and outdoors. All mandatory postings are properly posted. Facility is using an electric sign in/out program, and when not available, then a sign in/out log is maintained. LPA reviewed Staff and children’s files and are complete. All Staff have updated immunization on file. See Page 2. . .

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

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 2

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: MARIN DAY SCHOOL-OUR PLACE, SMC EMP (PRESCHOOL)	FACILITY NUMBER: 414001649
	VISIT DATE: 10/25/2019

NARRATIVE

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Page 2. . .

During inspection, LPA and Director discussed unusual incident which occurred on 05/21/19, in which Child#1 bumped into another child, receiving a cut on left eyebrow bone. First Aid was immediately administered, and Guardians were contacted. Child #1 was taken to the Hospital and received stitches. Child#1 returned to the facility after a few days.
Also during the inspection,
*Incidental Medical Services (IMS) policy was discussed.
*Director was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption and maintain proof in Staff file.
*Director was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare.
*Director was reminded about Mandated Reporter Training available on CCLD website
(www.ccld.ca.gov or www.mandatedreporterca.com)
*Director was advised of the new Lead Bill (effective 01/01/19), requiring Facilities to distribute a two-page flyer to Guardians with information on lead poisoning facts.
*Director was reminded about the Provider Information Notices (PINs) on CCLD website.
*Director was provided information regarding ‘Safe Sleep’ practices.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report and rights to comment and appeal were discussed with Director. This report must be available in the facility for public review. Notice of site inspection was posted.
Director 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: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/25/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2019

LIC809 (FAS) - (06/04)

Page: 2 of 2