414001867-1-17-2023-05-CC-NGAA-CN72EK-20230117162005

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001867
Report Date: 01/17/2023
Date Signed: 01/17/2023 04:20:14 PM

Document Has Been Signed on 01/17/2023 04:20 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:	HUGS HANGOUT		FACILITY NUMBER:	414001867
ADMINISTRATOR:	PAM COHN		FACILITY TYPE:	850
ADDRESS:	500 ACACIA AVENUE, ROOM # PC-1		TELEPHONE:	(650) 465-7529
CITY:	SAN BRUNO	STATE: CA	ZIP CODE:	94066
CAPACITY:	69	CENSUS: 36	DATE:	01/17/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:46 PM
MET WITH:	Pam Cohn		TIME COMPLETED:	04:40 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	On January 17, 2023 at approximately 1:30 PM, Licensing Program Analyst (LPA) Nathan Garcia met with Director, Pam Cohn for an unannounced annual inspection. Purpose of the inspection was explained. Present, in the facility are Director, and 6 teachers, including floaters, supervising 36 children during nap time. Facility is operating within its capacity and is in compliance with staff/child ratio on this day. Facility operates day care from Monday - Friday 8:00am to 5:00pm. With Director, LPA inspected 3 total day care rooms and the outdoor space. LPA observed facility has combined smoke detectors and carbon monoxide detectors, 3 fully charged fire extinguisher model 3A40BC located on multiple areas and in each classroom The facility has a working telephone on site. All cleaning solutions, poisons, and other chemicals dangerous to the children are stored inaccessible to the children. Facility has age-appropriate furniture. Facility floor and rugs are in good repair and free of any hazards. There are first aid supplies available in the classrooms and in the office. All bathrooms are in working condition. All food is stored properly to avoid contamination. Facility has enough sleeping cots/mats available and provides sheet/blankets from home. Brought every Monday and on Fridays to be washed. Individual items provided by the parents are labeled and stored appropriately. One AM and PM snacks are provided and lunches can be brought from home if the child has diet restrictions. The children without restrictions eat the provided food from the facility, which is prepped and served. Per director, the children bring their own water bottle and water is provided through filtered water or store bought bottled water, as needed. All foods must be nut-free whenever a child with nut allergy is present, and food preparation area is free of litter. Food is stored adequately to prevent contamination and properly labeled. Facility uses a schedule in the outdoor yard for play. There is water available for children in the yard as well as in the classrooms and emergency bags. There were no hazards and play structures are stable and age appropriate with multiple push toys. The outdoor toys are kept in a covered bin/chest when not in use. The outdoor area has picnic benches, play sets and gardening structures. *page 2 for continuation*

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan Garcia	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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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: HUGS HANGOUT	FACILITY NUMBER: 414001867
	VISIT DATE: 01/17/2023

NARRATIVE

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LPA observed that facility is using paper for sign in/out sheet and all authorized representatives have signed. Facility has license and all other required documents posted and visible for the public. Facility has an emergency drill log and last drill was conducted on December 2, 2022. Per Director, drills are done every 2 months.

The LPA reviewed the facility records. LPA reviewed 6 random children's files. All required files were available in folders. LPA reviewed 6 staff files with qualifying requirements such as ECE Units, CPR and Mandated Reporter Training. The facility has a set learning curriculum that includes story time, and movement posted in each classroom.

The 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 a Child Care Center.
A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificates on file.

LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan Garcia	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

LIC809 (FAS) - (06/04)

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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: HUGS HANGOUT	FACILITY NUMBER: 414001867
	VISIT DATE: 01/17/2023

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This facility provides Incidental Medical Services – IMS. According to the director, there are children with inhalers. These are stored properly in the office cabinets. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding 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: http://www.ada.gov/childqanda.htm

>No deficiencies were cited today under CCR, Title 22, Division 12, Chapter 3. This report must be available in the facility for public review.

Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

Report was reviewed and signed by director, Pam Cohn.

Today’s report, and notice of site visit will be printed and given to the director

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 379-9023
LICENSING EVALUATOR NAME: Nathan Garcia	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/17/2023

LIC809 (FAS) - (06/04)

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