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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001655
Report Date: 02/07/2020
Date Signed: 02/07/2020 11:29:03 AM

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:STELLA PICCOLOFACILITY NUMBER:
414001655
ADMINISTRATOR:LEANNE RUNYANFACILITY TYPE:
850
ADDRESS:65 TOWER ROAD, ROOM 8TELEPHONE:
(650) 804-5923
CITY:SAN MATEOSTATE: CAZIP CODE:
94402
CAPACITY:21CENSUS: 13DATE:
02/07/2020
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Leanne RunyanTIME COMPLETED:
11:35 AM
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Licensing Program Analyst, Luis J. Gomez met with Director, Leanne Runyan. Purpose of the inspection was explained and is for an unannounced annual inspection. The preschool program operates in the San Mateo County Office of Education building. Preschool program utilizes one classroom: Room #8 and an outdoor play area. Hours of operation are Monday- Friday 9:00am- 12:00pm. Preschool program operates during the school year. Present is the director 2 staff supervising 13 children. All children present are properly signed-in. Facility is operating within capacity limits of the license on this day. LPA Gomez inspected facility with director for health and safety hazards.

At 8:35am on February 7, 2020 LPA inspected the room #8, children’s bathroom and an outdoor play area. Classroom is are clean, organized and have plenty of age appropriate toys, books, art supplies (non-toxic) for the children. Classroom has individualized cubbies and hangers for the children’s belongings. Classroom is divided into stations, with several child size tables and chairs for snack and activities. Classroom is equipped with a refrigerator, sink and cabinets along the wall for additional storage. The children’s bathroom is located inside the classroom. Children’s bathroom is maintained clean with adequate supplies for the children. Staff uses separate restroom located in the facility hallway. LPA observed all trash cans and outlets, located in the classrooms, are covered. There is acceptable ventilation and natural lighting. LPA Gomez inspected the outdoor play area for health and safety hazards. Per director, outdoor play area is shared with the other school age programs on site. Outdoor play area is completely enclosed and equipped with a sandbox, covered play structure and two swing sets. There is a soft, rubber padding throughout the yard for additional safety. Outdoor play yard is kept clean and free of debris and hazardous items. All outdoor equipment is in good repair. Drinking water is readily available for the children. LPA Gomez inspected children’s medication during today’s inspection. LPA observed all medication maintained at the center is current. Classroom has a smoke detector and a fully charged fire extinguishers (2A:40BC) located in the hallway. At 10:30am on February 7, 2020 LPA Gomez observed classroom does not have functioning carbon monoxide detector. First aid kits and emergency disaster supplies are available by the front door.

(Continuation on 809-C)

SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
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 4
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: STELLA PICCOLO
FACILITY NUMBER: 414001655
VISIT DATE: 02/07/2020
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(Page 2)
At 9:40am on February 7, 2020 LPA reviewed five children’s files and two personnel files. All children files reviewed are complete. Staff CPR/ 1st aid certification is current expiring: 10/2021, held by the director. Emergency drills are conducted at the facility, with the last drill done on: 10/14/2019, properly logged. Mandated reporter certification is current expiring: 1/12/2022. LPA Gomez observed required licensing information posted by the front door. Per director, program serves all daily snack for children in care.

Incidental Medical Services (IMS) 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 Americans with Disabilities Act (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: www.ada.gov/childqanda.htm.

During inspection,


· Director was reminded, as of September 1, 2016, all Staff and Volunteers must provide proof of immunization against pertussis, measles, and influenza, or qualifies for an exemption, pursuant to Health and Safety code 1596.7995 and 1597.662.
· Director was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years. Training can be taken online at www.mandatedreporterca.com
· Director was reminded about the Provider Information Notices (PINs) on CCLD website.
Licensee was advised for any additional questions to contact CCLD office, Monday to Friday, 8:00 am - 5:00 pm, (650) 266-8800 or 1 (844) 538-8766. Website: www.cdss.ca.gov

(Continuation page 3)

SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: STELLA PICCOLO
FACILITY NUMBER: 414001655
VISIT DATE: 02/07/2020
NARRATIVE
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Based on today's inspection, a deficiency was observed in the areas evaluated according to the Title 22 Division 12 Ca. Code of Regulations. Exit interview and plan of correction was conducted with Leanne Runyan, and her signature of this form acknowledges receipt of these documents.

>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 MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/07/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: STELLA PICCOLO
FACILITY NUMBER: 414001655
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/07/2020
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/21/2020
Section Cited

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H&S 1596.954. Every licensed child day care center shall have one or more carbon monoxide detectors in the facility that meet the standards established in Chapter 8 (commencing with Section 13260) of Part 2 of Division 12. The department shall account for the presence of these detectors during inspections. This requirement is not met as evidenced by.
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Based on observations conducted and interview with site director, LPA confirmed classroom does not have a functioning carbon monoxide detector. This poses a potential health and safety risk to children care.
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Director will submit proof of correction to LPA Gomez via email.

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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: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 02/07/2020
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/07/2020
LIC809 (FAS) - (06/04)
Page: 4 of 4