414002466-9-26-2019-05-CC-GASL-BGDT3M-20190926142233

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002466
Report Date: 09/26/2019
Date Signed: 09/26/2019 02:22:38 PM

COMPREHENSIVE INSPECTION

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:	BERESFORD MONTESSORI		FACILITY NUMBER:	414002466
ADMINISTRATOR:	CHU CHEN HUANG		FACILITY TYPE:	850
ADDRESS:	178 CLINTON AVENUE		TELEPHONE:	(650) 367-5027
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY:	45	CENSUS: 32	DATE:	09/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Chu Chen Huang		TIME COMPLETED:	02:30 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	An annual comprehensive inspection was conducted today by licensee analysts Wendi Wittmeyer and Glenn Schnell with Site Director Chuchen Huang. The facility building and grounds were inspected. LPAs reviewed children, staff and facility records. All records complete. The following items were reviewed as part of today's visit: Care and Supervision of the Children, there were 32 children at center with 5 teachers supervising. Child Discipline Procedures were discussed, they use quiet reflection time, Emergency Evacuation Procedures are posted with current staff duties assigned, (smoke and carbon monoxide detectors present and in working order), Medication Policies are in place, IMS was discussed and director will create an IMS plan and send to licensing by October 20, 2019. Isolation of Sick Children is done until parents can pick them up.Staff provides snacks and the schedule was updated, Staff immunization are on file. Director was reminded 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. Influenza Declarations were also reviewed. Director was advised of the required annual pesticides training and one staff member has completed training. For More information about changes to the Healthy Schools Act, templates, articles, and required training you can inspect the DPR website at: https://apps.cdpr.ca.gov/schoolipm/childcare/training/main.cfm. Director was informed about the Provider Information Notices (PINs) on CCLD website. Director was reminded of Mandated Reporter Training available on CCLD website. Training must be renewed every two years.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A Schnell	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019

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: BERESFORD MONTESSORI	FACILITY NUMBER: 414002466
	VISIT DATE: 09/26/2019

NARRATIVE

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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, an updated Plan of Operation that includes IMS must be submitted to the Department. 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

The following items need to be completed and returned to Licensing by 10/20/19:

-EMERGENCY DISASTER PLAN (LIC 610) updated with current staff.
IMS plan for Preschool

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Glenn A Schnell	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2019

LIC809 (FAS) - (06/04)

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