414002820-8-15-2019-05-CC-GSIH-BF3RS4-20190815131607

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002820
Report Date: 08/15/2019
Date Signed: 08/15/2019 01:16:12 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:	HIGHLANDS RECREATION DIST. (INFANT)		FACILITY NUMBER:	414002820
ADMINISTRATOR:	HITCHCOCK, REBECCA		FACILITY TYPE:	830
ADDRESS:	1851 LEXINGTON AVENUE		TELEPHONE:	(650) 341-4251
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	8	CENSUS:	DATE:	08/15/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Kay Erikson		TIME COMPLETED:	10:30 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	Licensing Program Analyst (LPA) Singh met with director, Kay Erikson, for a random annual inspection. Purpose of the inspection was explained. Present, there are seven children in care. Facility is operating with in the capacity and in compliance with staff child ratio on this day. Facility operate day care from Monday to Friday between 9 AM to 6 PM. With director, LPA inspected the day care areas : Room Monkey and Play yard. LPA observed that facility floor is in good repair and free of any hazards. Facility has multiple smoke detectors, carbon monoxide detectors and fully charged fire extinguishers on site. Facility has working telephone at the site. Facility has first aid supplies in the cabinet in the classroom. Unused electrical outlets have child protective covers to prevent any injury. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored in the cabinets and cabinets are locked and inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility has sufficient amount of cribs. Crib area has sufficient space to go around the cribs and assist the child. All toilets, hand washing facilities are in working condition with proper sanitation in place. All storage containers for solid waste and in good repair and have proper tight-fitted lid on top. Facility has drinking water available for children. Bottles and other items provided by the parents are labeled and stored appropriately. Food preparation area is free of litter. All of the food is stored adequately to prevent any contamination. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of sand under the play structures to prevent any fall injuries. At 10 AM, LPA reviewed the facility records. LPA observed that facility has sign in / out record with full legal signatures. LPA reviewed all children's and five staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Facility has record immunization of each child in care. See next page for continuation ................

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

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: HIGHLANDS RECREATION DIST. (INFANT)	FACILITY NUMBER: 414002820
	VISIT DATE: 08/15/2019

NARRATIVE

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During record review, LPA observed multiple staff members has record of valid CPR card in file. Facility has record of all required immunization for staff members. LPA reviewed the educational qualification of all the teachers. LPA observed the staff members have completed the mandated reporter training and completion certificates are on file. The training can be obtained online at www.mandatedreporterca.com. There are menus posted at least one week in advance and are visible to the child's authorized representative. LPA observed facility has license and other required documents posted and visible for public.

LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Licensee can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for next 30 days.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep Singh	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019

LIC809 (FAS) - (06/04)

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