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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001655
Report Date: 06/24/2020
Date Signed: 06/24/2020 03:07:19 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: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: 0DATE:
06/24/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Site Supervisor, Leanne RunyanTIME COMPLETED:
01:50 PM
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THE FOLLOWING INSPECTION WAS CONDUCTED VIA TELE-INSPECTION DUE TO THE COVID-19 SHELTER-IN-PLACE ORDER.

On 6/24/2020 at 1:05P.M., Licensing Program Analyst (LPA), Luis J. Gomez met with site supervisor, Leanne Runyan. Purpose of the inspection was explained and is to conduct a case management inspection for the programs permanent room change, return to classroom #6 at 65 Tower Road. Before building renovations, this classroom was previously classroom #8. Days and hours of operations is Monday – Friday, 9:00A.M. – 12:00P.M. Present during inspection is site supervisor, one teacher and no children. Site supervisor stated the facility is currently closed. LPA Gomez tour the facility with the site supervisor and inspected for health and safety hazard.



At 1:10P.M., During inspection LPA observed the following: Classroom #6 is clean, orderly and has a variety of age appropriate wooden blocks, toys and books for the children. All furniture inspected is in good repair. There are several child size tables and chairs. For children's belongings, individual cubbies are available next to the main door. The facility license is posted in a visible location. Children bathroom is equipped with two toilets and two sinks, with adequate supplies for the children. The staff restroom is in the facility hallway. All cleaning product, detergents and supplies are made inaccessible to children. All trash cans and outlets are properly covered. The classroom has natural lighting and acceptable ventilation. Site Supervisor has a fully stocked first aid kit and emergency disaster supplies stored in an off-limit area. There is working smoke detector, carbon monoxide combo detector and fully charged fire extinguisher (3A10BC) next to the back door.
(Continuation 809-C)
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2020
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 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: STELLA PICCOLO
FACILITY NUMBER: 414001655
VISIT DATE: 06/24/2020
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(Continuation Page 2)
At 1:20P.M., LPA inspected the shared playground area. LPA observed outside play area is completely enclosed. There is sufficient shading and soft rubber padding for additional safety. Area is kept clean and is free of hazardous items. Site supervisor stated she will provide water for children with use of refillable containers.

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 Site Supervisor. This report must be available in the facility for public review. Notice of site inspection was posted. Site Supervisor, 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: 06/24/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2020
LIC809 (FAS) - (06/04)
Page: 2 of 2