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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001655
Report Date: 03/08/2023
Date Signed: 03/08/2023 11:56:27 AM


Document Has Been Signed on 03/08/2023 11:56 AM - 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: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: 12DATE:
03/08/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Leanne Runyan TIME COMPLETED:
12:05 PM
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On 3/8/2023 at 8:40AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Licensee/ Director, Leanne Runyan. 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 two staff supervising 12 children. Children present have been properly signed in. Staff have criminal record clearances on file. Preschool program operates in one classroom: #6, and one, shared, outdoor play yard. Days and hours of operation are Monday, Tuesday, Thursday, Friday, 9:00AM- 12:00PM and Wednesday, 9:00AM -1:00PM. Facility was inspected indoors and outdoors for health and safety hazards.

At 9:00AM., LPA observed the following: Classroom was 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. Classroom has several activity areas including: Dramatic Play, Reading Carpet, and Activity Tables. Accessible art supplies, playthings, and furniture inspected were free of sharp corners or splinters. Classroom was equipped with child- sized tables and chairs. Children’s bathroom was maintained clean, with fixtures tested in operating condition. Staff bathroom is located separately. Classroom has acceptable ventilation and lighting. The disinfectants, cleaning solutions, poisons and other hazardous items have been stored inaccessible to children. Classroom has built-in smoke detectors, testable carbon monoxide detector, telephone service, and fully charged fire extinguishers (2A:40BC). First aid kit was reviewed and is fully stocked. Outlets in classroom have been covered.

At 9:35AM., LPA inspected the shared outdoor play yard. Outdoor play yard is enclosed and surfaces are free of debris or hazardous plants. Accessible sandbox has covering installed. Per director, for water services, large pitchers and cups are provided for children outside. Accessible shading rest area is available. Tricycles and equipment inspected were in good repair.


(REFER TO 809-C FOR CONT.)
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (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)
Page: 1 of 3


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: STELLA PICCOLO
FACILITY NUMBER: 414001655
VISIT DATE: 03/08/2023
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(Page 2)
Food services were reviewed during inspection. Per director, snack is provided daily, and menu is posted for families. Food items inspected were current and refrigerator was in proper use.

At 9:45AM LPA reviewed facility records including five children’s files and three personnel files. Staff files contained the: Notice of Employee Rights (LIC9052); Proof of Required Immunization; Education Verification; Personnel Record (LIC501; and current 'Mandated Reporter Training' certifications (AB1207).

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: 09/2023.

Emergency disaster drills (Fire and Earthquake) are conducted every six months with the last drill completed on, 1/31/2023, properly logged.

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

Water testing for lead was completed by site on 8/30/2022, and result have been posted on bulletin board.

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 ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (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)
Page: 2 of 3
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: STELLA PICCOLO
FACILITY NUMBER: 414001655
VISIT DATE: 03/08/2023
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(Page 3)
Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. Exit interview, and report was reviewed with Director/ Licensee. Leanne Runyan 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 ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (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)
Page: 3 of 3