414001933-6-14-2022-05-CC-CQUO-CFDPKG-20220614112307

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001933
Report Date: 06/14/2022
Date Signed: 06/14/2022 11:23:39 AM

Document Has Been Signed on 06/14/2022 11:23 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SAN MATEO-FOSTER CITY SCHL DIST - PARKSIDE SCHOOL		FACILITY NUMBER:	414001933
ADMINISTRATOR:	WISHART, ABBIE		FACILITY TYPE:	850
ADDRESS:	1685 EISENHOWER STREET, ROOM 7		TELEPHONE:	(650) 312-7575
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	24	CENSUS: 13	DATE:	06/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Karrie Haselton, Sonia Bon, & Valery Shu		TIME COMPLETED:	11:35 AM

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 June 14, 2022 at approximately 9:10am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with principal, Karrie Haselton, and explained the purpose of the inspection. Upon LPA's arrival, preschool program was conducting a preschool graduation ceremony. LPA continued with annual inspection. 13 enrolled children and 2 staff members (T1 and T2) were present during LPA's visit. Preschool program is operating within its capacity requirements and ratios during LPA's visit. All staff members working in preschool program are fingerprint cleared through SMFCSD. Preschool operates at Parkside Elementary School and is licensed to operate out of classroom #5 only. Preschool program operates Monday through Friday 8:00am to 3:00pm. LPA inspected the preschool classroom and outdoor area for health and safety hazards. Program operates as a Montessori program. Classroom has a working telephone on site. Entire facility has installation of smoke and fire alarm system. LPA observed classroom to have multiple carbon monoxide detectors and fully charged fire extinguisher. All cleaning solutions, poisons and other chemicals are stored inaccessible to children on facility's high shelves or high cabinets. Classroom has age appropriate furniture and materials that are in good working condition. Storage for children's belongings are located both inside and outside the classroom, labeled with children's individual names. Classroom has two toilets and two sinks. Bathrooms were observed to be in good working condition with appropriate sanitation products. Accessible sinks located in the classroom are free of poisons or hazardous materials. Accessible sinks do not produce water that is warmer than 120 degrees Fahrenheit. (Continue on Page 2....)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022

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: SAN MATEO-FOSTER CITY SCHL DIST - PARKSIDE SCHOOL	FACILITY NUMBER: 414001933
	VISIT DATE: 06/14/2022

NARRATIVE

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At approximately 9:40am, principal left site. LPA continued annual inspection with T1 and T2.

Preschool program is part of facility's food program. All food is stored and prepared in facility's kitchen to avoid contamination. Facility has sufficient amount of sleeping cots available. Drinking water is available to children, indoors and outdoors, with children's individual drinking bottles and accessible water fountains.

Preschool program has exclusive use of outdoor area that is separate from entire facility's outdoor area. LPA observed outdoor area to have age appropriate materials that are in good working condition. Resilient padding is located under climbing structure.

LPA observed preschool program to use paper sign in/out system. At time of inspection, all children were properly signed in to program with parents' full signatures. Classroom has license and all other required documents posted and visible for the public. Preschool program conducts monthly disaster drills with Parkside elementary school.

LPA reviewed 10 children's files, T1 and T2's files. Children's and staff files were complete with a record of emergency identification information on file. Both T1 and T2 have a valid CPR certificate that will expire 10/2023.

T1 was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care 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.

T1 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.

T1 is aware that all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completed certificate on file. LPA encourages the head teacher to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022

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: SAN MATEO-FOSTER CITY SCHL DIST - PARKSIDE SCHOOL	FACILITY NUMBER: 414001933
	VISIT DATE: 06/14/2022

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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/inspection-process.

This facility provides Incidental Medical Services – IMS. 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 issued under CCR, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with T1, Sonia Bon.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/14/2022

LIC809 (FAS) - (06/04)

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