414002817-12-30-2021-05-CC-CQUO-CA7THN-20211230134502

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002817
Report Date: 12/30/2021
Date Signed: 12/30/2021 01:45:43 PM

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:	WELCOME AMIGOS SPANISH IMMERSION ED.CTR.		FACILITY NUMBER:	414002817
ADMINISTRATOR:	VILLAGOMEZ, ELIZABETH		FACILITY TYPE:	850
ADDRESS:	2825 ALAMEDA DEL LAS PULGAS		TELEPHONE:	(650) 455-5330
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	24	CENSUS: 0	DATE:	12/30/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Licensee/Director, Elizabeth Villagomez		TIME COMPLETED:	02:00 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 December 30, 2021 at 10:00am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual, required inspection. LPA met with licensee/director, Elizabeth Villagomez and explained the purpose of the inspection. Licensee currently rents the preschool classroom from the church, Grace Evangelical Lutheran. Hours of operation are Monday to Friday 8:00am to 5:30pm. No children are currently present during inspection as program is still closed for holiday break. LPA inspected entire facility for health and safety hazards. LPA observed preschool classroom to have a designated eating area, napping area and dramatic play area. Storage for children's belongings are located inside the classroom, labeled with each child's individual names. LPA observed facility has a fire alarm system, smoke and carbon monoxide detector, fully charged fire extinguisher and fully equipped First Aid kit. Facility has a working telephone on site. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children, locked under sink located in classroom. There were a variety of age appropriate toys for children in care. Mats are provided to napping children. LPA observed bathrooms to be clean and in working condition. Per director, program does not provide a food service. LPA reminded director each child's individual containers should be labeled and properly stored to avoid contamination. Children are signed in and out of facility by parents' written signatures. Facility has license documentation and information properly posted and available for review. LPA observed outdoor play area to be in good condition, equipped with age appropriate materials and fully fenced. Water is made available to children both indoors and outdoors. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2021

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: WELCOME AMIGOS SPANISH IMMERSION ED.CTR.	FACILITY NUMBER: 414002817
	VISIT DATE: 12/30/2021

NARRATIVE

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LPA reviewed facility records that included 10 children's records and 2 staff files (whom were present during inspection). Children's files were all complete and maintained. At least one teacher on site during all hours of operation has a valid, EMSA certified, CPR certificate. Last emergency drill was conducted December 2, 2021. Emergency drills are conducted once every 6 months and are properly logged and documented.

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.

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.

Director 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.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2021

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: WELCOME AMIGOS SPANISH IMMERSION ED.CTR.	FACILITY NUMBER: 414002817
	VISIT DATE: 12/30/2021

NARRATIVE

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LPA discussed the safe sleep regulations with director 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 director 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.

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

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 director/licensee, Elizabeth Villagomez.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2021

LIC809 (FAS) - (06/04)

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