414002977-5-29-2024-05-CC-HLEG-D5KVQV-20240524163859

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002977
Report Date: 05/24/2024
Date Signed: 05/29/2024 01:13:14 PM

Document Has Been Signed on 05/29/2024 01:13 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	ST. PIUS PRESCHOOL		FACILITY NUMBER:	414002977
ADMINISTRATOR:	LEIGH MASI		FACILITY TYPE:	850
ADDRESS:	1100 WOODSIDE ROAD		TELEPHONE:	(650) 361-1411
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY:	36	CENSUS: 15	DATE:	05/24/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:38 PM
MET WITH:	Leigh Masi		TIME COMPLETED:	04:50 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 5/24/2024, Licensing Program Analysts (LPAs) Leong and Olguin-Leon conducted an unannounced annual visit to the Child Care Center (CCC) listed above. LPAs met with the Director, Leigh Masi, and explained the purpose of the visit. Fifteen preschool-aged children and four staff members were present during the visit. The four staff members present at the CCC received criminal record clearance from the department. The CCC operates within its capacity and in accordance with the required ratio of staff to children.

LPAs observed that all required documents were displayed, such as the facility license, waivers, parental and personal rights notifications, car seat laws, emergency disaster plan, and daily activities schedule.

The last emergency disaster drill was conducted on 4/30/2024 and properly recorded.

According to the Director, the CCC provides snacks for the children. LPAs emphasized the importance of sanitation and proper food preparation. Snacks were observed to be available during the visit.

LPAs observed that the CCC currently documents the child's attendance by manually recording it on paper.

LPAs conducted an inspection for potential health and safety hazards and found the interior of the CCC to be clean, safe, and well-maintained. The CCC was observed to have a first aid kit, functioning smoke and carbon monoxide detectors, and a fully charged fire extinguisher.

The classrooms were equipped with age-appropriate toys, furniture, and educational materials, and each child had their own designated storage space.

See Page 2

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024

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 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. PIUS PRESCHOOL	FACILITY NUMBER: 414002977
	VISIT DATE: 05/24/2024

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

The bathrooms were found to be clean and fully functional. The toilets and handwashing facilities were observed to operate safely and maintained in a sanitary condition.

All accessible cabinets and drawers in the classrooms were found to be free of hazardous materials or poisons. Hazardous items were stored inside the kitchen, and the door to the kitchen was observed to be locked.

The outdoor playground was enclosed by a fence, and the equipment was well-maintained. The areas around and under high climbing equipment, swings, slides, and other similar equipment were observed to be cushioned with material that absorbs falls. No bodies of water, such as pools or spas, were present in the outdoor area.

The sleeping/resting area was observed to be clean and sanitary. It included mats, sheets, and blankets.

LPAs reviewed five children’s files and confirmed that all five children have complete files that include their emergency contact and medical information.

LPAs reviewed the files for three staff members and confirmed that all three were up to date with their Pediatric First Aid/CPR certifications. LPAs also found that two of the three staff members had completed the necessary twelve units in Early Childhood Education, meeting the qualifications to be classified as a teacher. The third staff member is employed as a teacher’s aide.

LPAs reminded the Director that Mandated Reporter Training must be completed every two years.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

LPAs verified that the lead testing was not completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

See Page 3

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024

LIC809 (FAS) - (06/04)

Page: 2 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. PIUS PRESCHOOL	FACILITY NUMBER: 414002977
	VISIT DATE: 05/24/2024

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 3
CCC did not complete testing prior to the deadline of 1/1/2023.

LPAs referred director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

LPAs reviewed the California Waterboards website and found that the lead water test was completed on 6/9/2023.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

LPAs 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-andresources/safe-sleep as an additional resource. LPAs 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.~~

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-carecenters/

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

See Page 4

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024

LIC809 (FAS) - (06/04)

Page: 3 of 5

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. PIUS PRESCHOOL	FACILITY NUMBER: 414002977
	VISIT DATE: 05/24/2024

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 4

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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

Please refer to LIC 809D for today’s citation.

A copy of today’s report and the facility’s appeal rights were given to the Director, Leigh Masi. A Notice of Site Visit was given and must remain posted for 30 days.

A Cleared POC letter was given to the Director, Leigh Masi.

Exit interview conducted and report was reviewed with the Director, Leigh Masi.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024

LIC809 (FAS) - (06/04)

Page: 4 of 5

Document Has Been Signed on 05/29/2024 01:13 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. PIUS PRESCHOOL	FACILITY NUMBER: 414002977
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/24/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on interview and record review, the licensee did not comply with the section cited above, which poses/posed a potential health, safety or personal rights risk to children in care.
	POC Due Date: 05/28/2024
	Plan of Correction
1 2 3 4	Lead water test was completed on 6/9/2023. Deficiency will be cleared during today's visit.

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: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson Leong	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 05/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024

LIC809 (FAS) - (06/04)

Page: 5 of 5