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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001932
Report Date: 08/31/2022
Date Signed: 08/31/2022 03:08:13 PM


Document Has Been Signed on 08/31/2022 03:08 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:PFS - EARLY LEARNING CDC (PS)FACILITY NUMBER:
414001932
ADMINISTRATOR:VILLALPANDO,ADRIANAFACILITY TYPE:
850
ADDRESS:24 SECOND AVENUETELEPHONE:
(650) 403-4300
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:48CENSUS: 45DATE:
08/31/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Adriana VillalpandoTIME COMPLETED:
03:30 PM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced annual inspection. LPA met with Site Supervisor Adriana Villalpando and explained purpose of inspection. The facility is a combination center with an infant and a preschool/toddler program. Infant program operates under separate license #414004172. Present in the preschool center were the Site Supervisor, eight teachers, and 45 children (16 toddlers and 29 preschool age). Center is operating within capacity requirements and in compliance with child to staff ratio. Hours of operation are Monday to Friday from 7:00am to 5:30pm.

LPA inspected Toddler Rooms 3A and 3B and Preschool Rooms 1 and 2, motor gross skills room, and the toddler and preschool outdoor play areas with Site Supervisor. There are no bodies of water, firearms, or weapons on the premises. The center is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good condition. Each classroom has age appropriate toys and equipment. Napping equipment in each classroom is in good condition and is properly stored when not in use. A first aid kit is available in each classroom. All cleaning products and toxins are inaccessible to children. Toddler classrooms share outdoor play area with the infant program. Preschool classrooms have a separate outdoor play area. The outdoor play areas are fenced for supervision. The outdoor toys and equipment are age appropriate and in good condition. Play structures are age appropriate and in good repair. There are adequate cushioning underneath the play structures. Motor gross skills room has age appropriate toys and equipment. There is a rotation schedule for all programs to use room.

All required postings and waivers are properly posted on the bulletin board at the front of the center. Morning and afternoon snacks and lunch are provided by the center. Meals are provided through an outside vendor. Kitchen areas in each classroom is inaccessible to children. Kitchen areas are clean and free of any toxins or contamination. All food is properly stored to avoid contamination. All storage containers for solid waste have a proper lid. Toddler classrooms share a joint bathroom with two toilets and two sinks. Preschool classroom 1 has a bathroom with two sinks and two toilets. Preschool classroom 2 has two sinks and three toilets. Bathroom areas appear to be clean, in good repair, and free of any hazards. There is a separate bathroom for staff usage on the premises.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/31/2022
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: PFS - EARLY LEARNING CDC (PS)
FACILITY NUMBER: 414001932
VISIT DATE: 08/31/2022
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Last emergency drill was conducted in July 2022. Emergency drills are conducted at least once every six months and are properly logged. Paper sign-in/out sheets are located inside a binder in each classroom. The center has a complete paper record of sign-in/out sheets by authorized pickup person. There is a working fire alarm and sprinkler system throughout the center. A carbon monoxide detector and a fully charged fire extinguisher is in each classroom and a working telephone is available on-site.

Twelve children records reviewed were complete. All children have a record of emergency identification information on file. Nine staff records reviewed were complete. All staff have a criminal record clearance on file. Site Supervisor and staff have current pediatric first aid/CPR certificates on file.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (US DOJ) 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.

To improve the quality and value of the new inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to
inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/process.

Facility Representative 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.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
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: PFS - EARLY LEARNING CDC (PS)
FACILITY NUMBER: 414001932
VISIT DATE: 08/31/2022
NARRATIVE
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LPA discussed the safe sleep regulations with Facility Representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed Facility Representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview was conducted and report was reviewed with Facility Representative Adriana Villalpando.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022
LIC809 (FAS) - (06/04)
Page: 3 of 3