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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001655
Report Date: 02/17/2022
Date Signed: 02/17/2022 12:18:43 PM


Document Has Been Signed on 02/17/2022 12:18 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
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: 4DATE:
02/17/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Leanne Runyan TIME COMPLETED:
12:30 PM
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On 2/17/2022 at 9:20A.M., Licensing Program Analyst (LPA), Luis J. Gomez met with Director, Leanne Runyan. Purpose of the inspection was explained and was for an unannounced, annual inspection. Program operates at the San Mateo County Office of Education building. Present was the Director and one staff supervising 4 children. All children present were preschool age, and properly signed in. All staff had their criminal record clearances on file with the Department. Program utilizes one classroom: #6 and one Outdoor Play Area. Play schedule was observed during inspection. Hours of operation are: Monday- Friday 9:00am- 12:00pm. Program operates part-day, 10-month program. Facility was inspected, indoors and outdoors, with director for health and safety hazards.

At 9:30A.M., LPA observed the following: Classroom was clean and orderly and had a variety of age-appropriate books, blocks and supplies for the children. Floors and ground surfaces were free of obstructions. Classroom entry way was equipped with labelled cubbies for children's belongings. All accessible furniture and playthings were in good repair. Each classroom had several child sized tables and chairs. Children's bathroom were inspected, and all fixtures were in operating condition. (2 toilets, 2 sinks) Bathrooms had adequate supplies for the children. Off-limit areas were made inaccessible with safety gates. Staff bathrooms are in the hallway. Classroom had acceptable ventilation and lighting. Cleaning detergents, supplies, spray bottles, wipes and all other toxins were made inaccessible. Outlets and trash bins had been properly covered. Facility has a functioning smoke detector, carbon monoxide (CO) detector and fully charged fire extinguishers (3A:40BC) located by the door. First aid kit and emergency disaster supplies were reviewed during inspection.

LPA inspected outdoor play area. Area was completely enclosed with tall fencing, and free of any debris or hazardous items. Playthings inspected where is good repair. Per director, water services are provided using disposable water cups. Free standing structures were properly anchored and there was sufficient shading accessible to children. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 02/17/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: STELLA PICCOLO
FACILITY NUMBER: 414001655
VISIT DATE: 02/17/2022
NARRATIVE
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(Page 2)

At 10:00A.M., LPA review the facility records including: 4 children’s files and all personnel files. Children's files reviewed were complete and included required: Health History, Identification of Emergency Information, Consent for Medication Treatment, Notification of Parent’s Rights and Immunization Records.

Staff files were reviewed and included: Criminal Record Statements (LIC508), Immunization Record, Declaration to Report Suspected Child Abuse (LIC9108), Transcripts and Notice of Employee Rights (LIC9052). All present staff had their mandated reporter training certifications were on file. Staff’s had a current CPR/ 1st aid certification, which will expire: 8/2023.

Emergency drills are being conducted at the facility, with the last drill done on 2/7/2022, properly logged. Per director, facility provides daily snack for children in care. Snack menu was observed during inspection. LPA reminded director to ensure any container brought from home is properly labelled with child’s name. Facility refrigerator was reviewed, and dry food items were inspected. All required posting had been posted, included facility’s License, Notification of Parents Rights (PUB393) and Emergency Disaster Plan (LIC610). Per director, no children in care require medication on-site.

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.

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.)

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

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: STELLA PICCOLO
FACILITY NUMBER: 414001655
VISIT DATE: 02/17/2022
NARRATIVE
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(Page 3)

Based on today's inspection, no deficiencies were observed in areas evaluated, according the Title 22 Division 12 Ca. Code of Regulations. Exit interview was conducted with director, Leanne Runyan and her signature of this form acknowledges receipt of these documents.

Notice was provided and must remain posted for 30 days.

This report and rights to comment were discussed. This report must be available in the facility for public review. For additional questions, facility was advised to contact the Community Care Licensing Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

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

DATE: 02/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3