414002756-7-25-2022-05-CC-LTMO-CGP32G-20220725175152

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002756
Report Date: 07/25/2022
Date Signed: 07/25/2022 05:53:12 PM

Document Has Been Signed on 07/25/2022 05:53 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:	A+ IMMERSION PRESCHOOL		FACILITY NUMBER:	414002756
ADMINISTRATOR:	SHARON LAU, PRG.DIR.		FACILITY TYPE:	850
ADDRESS:	1501 SOUTH B STREET		TELEPHONE:	(650) 292-0817
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	30	CENSUS: 20	DATE:	07/25/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Director, Sharon Lau		TIME COMPLETED:	12:15 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	On July 25th, 2022 at approximately 9:30AM, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, annual, required inspection. LPA met with director, Sharon Lau, and explained the purpose of the inspection. Present in the facility were director, 2 staff, and 2 volunteers and a total of 20 preschool age children. All adults working and volunteering in the facility are fingerprint cleared and associated. Facility is currently operating within teacher to child ratio on this date. The facility will operate on 2 separate Buildings. Building 1 consist of one large room split into two daycare areas. Building 2 consists of one daycare room, and off limit Office, kitchen, and storage. This facility operates Monday-Friday from 7:30am-6:00pm, year round. LPA observed classroom to be clean and equipped with age appropriate toys and materials. Storage for children's belongings are located in Building 1, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system throughout the building as well as a fully charged, fire extinguishers. Both buildings have a smoke and carbon monoxide detector installed as well as an emergency kits with first aid materials and emergency contact information. Medication is stored appropriately, inaccessible to enrolled children and maintained with proper documentation. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children in off limit areas or facility's high shelves. Facility is not offering food services at this time. Water is available to children indoors and outdoors with children's water bottles. Outdoor area appears to be clean and orderly. There are a variety of outdoor equipment that are in good working condition. Play structures have resilient padding. Facility has license documentation and information properly posted and available for review. LPA reviewed facility records that included 10 children's records, 4 staff records. LPA observed children's and staff's records to be complete. Teachers have valid CPR certificates. Last emergency drill was conducted 06/2022, however it was not documented. Emergency drills must be conducted at least once every six months and need to be properly logged and documented. Continued on Page 2..

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

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

LIC809 (FAS) - (06/04)

Page: 1 of 3

Document Has Been Signed on 07/25/2022 05:53 PM - It Cannot Be Edited

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: A+ IMMERSION PRESCHOOL	FACILITY NUMBER: 414002756
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/25/2022

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101229.1(b)

Sign In and Sign Out

(b) The person who brings the child to, and removes the child from, the center shall sign the child in/out. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and iinterview, the licensee did not comply with the section cited above in as person who is dropping off or picking up child are being signed in/out which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 07/26/2022
	Plan of Correction
1 2 3 4	Facility will comply with regulation above and obtain a legal signature from person who is dropping off and picking up each child. Person who drops off and picks up must sign a child in/out. Director will email a plan on how they will obtain signatures from person who drops off/pick up child to LPA Tapia-Mandujano by 07/29/2022.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: A+ IMMERSION PRESCHOOL	FACILITY NUMBER: 414002756
	VISIT DATE: 07/25/2022

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
26
27
28
29
30
31
32

Page 2 continued...

Facility 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.

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

Directors were 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.

Incidental Medical Services (IMS) policy was discussed. Licensee does not offer IMS. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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 (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: www.ada.gov/childqanda.htm.

Based on today's inspection, deficiencies were observed in areas evaluated, according to California Title 22, Health and Safety Code of Regulations.

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

Exit interview conducted and report was reviewed with center director, Sharon Lau.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2022

LIC809 (FAS) - (06/04)

Page: 3 of 3