414002552-10-6-2022-05-CC-MROZ-CJXR8W-20221006124836

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002552
Report Date: 10/06/2022
Date Signed: 10/06/2022 12:48:45 PM

Document Has Been Signed on 10/06/2022 12:48 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- FIRST STEP CDC (PS)		FACILITY NUMBER:	414002552
ADMINISTRATOR:	MOHAMMED, AMIRA		FACILITY TYPE:	850
ADDRESS:	325 VILLA TERRACE		TELEPHONE:	(650) 619-7198
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY:	22	CENSUS: 16	DATE:	10/06/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Marisol Ostorga		TIME COMPLETED:	01:15 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	Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced annual inspection. LPA met with Family Engagement Coordinator Sofia Zwass and explained purpose of inspection. Site Supervisor Marisol Ostorga arrived a short time later. Facility is a preschool center with a toddler component. Present at the center were the Site Supervisor, Family Engagement Coordinator, three teachers, one teacher's assistant, and 16 children (5 toddlers and 11 preschool aged). Center is operating within capacity requirements and in compliance with child to staff ratio. Hours of operation are Monday to Friday 7:30am to 5:00pm. LPA inspected preschool and toddler classrooms and outdoor play area with Family Engagement Coordinator. 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. Outdoor play area is separated for preschool and toddler use. 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. All required postings are properly posted on the bulletin board at the front entrance of the center. Breakfast, lunch, and morning and afternoon snacks are provided by the center. Meals are provided through outside vendor Revolution Foods. Kitchen is inaccessible to children. Kitchen is 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. Preschool classroom has a bathroom with one toilet and changing table with a sink right outside of the bathroom. Toddler classroom has a bathroom with one toilet, one sink, and a changing table. A second sink is located right outside the bathroom for children's use. 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 Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

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- FIRST STEP CDC (PS)	FACILITY NUMBER: 414002552
	VISIT DATE: 10/06/2022

NARRATIVE

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Last emergency drill was conducted on September 30, 2022. Emergency drills are conducted on the last Friday of each month 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. Six staff records reviewed were complete. All staff have a criminal record clearance on file. Site Supervisor and some 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 Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

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- FIRST STEP CDC (PS)	FACILITY NUMBER: 414002552
	VISIT DATE: 10/06/2022

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 Marisol Ostorga.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/06/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022

LIC809 (FAS) - (06/04)

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