414003050-7-19-2019-05-CC-ACON-BE8QLN-20190719121612

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414003050
Report Date: 07/19/2019
Date Signed: 07/19/2019 12:16:20 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:	RCSD-CHILD DEVELP.SVCS-JOHN GILL		FACILITY NUMBER:	414003050
ADMINISTRATOR:	IRMA SANCHEZ, SITE SUP.		FACILITY TYPE:	850
ADDRESS:	555 AVENUE DEL ORA		TELEPHONE:	(650) 482-5968
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY:	24	CENSUS: 15	DATE:	07/19/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Maria Urtecho		TIME COMPLETED:	12:30 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 Analysts (LPAs), April Cowan and Cindy Interiano conducted an Annual/Random inspection and met with Teacher, Maria Urtecho. Present during the inspection was ‘Summer’ Site Supervisor and 2 Staff supervising 15 PreK children. Purpose of the inspection was explained to Site Supervisor. Program operates in classroom ES1 on the John Gill Elementary School campus. Program also has access to classroom ES2, however it is currently not in operation. Program operates M-F, 8a-4p, year-round, with periodic breaks throughout the year. LPAs inspected facility indoors and outdoors for Health and Safety Hazards. Classroom has age appropriate toys and equipment. Cubbies and hooks are used to store children’s belongings. Restrooms are located inside the classroom and is kept clean, in good repair, and maintained with adequate supplies. Staff restrooms are located in ES2. Program provides Breakfast, Lunch, and PM Snacks and the food is prepared in the Hoover Elementary School site cafeteria and is delivered daily. Facility has a fully supplied Emergency Kit and Emergency supplies, which are maintained inaccessible to children. Classroom has an industrial fire alarm system, a carbon monoxide detector, and a Fire Extinguisher. Last Emergency Disaster drill was conducted on 5/21/19 and is properly logged. Discipline policy is mainly redirection. Napping equipment is properly stored. Program uses a large playground area next to ES1, as well as a small outdoor play area between ES1 and ES2. Outdoor play area is maintained by School District Janitor, however Staff conduct a daily sweep prior to the children going out for outdoor play. Outdoor play area is free of debris and hazardous items. All outdoor toys and equipment are age appropriate and in good repair. Drinking water is readily available outdoors and indoors. All mandatory postings are posted in the classroom, including menus. Sign in/out sheets were reviewed and are complete. See Page 2. . .

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) -26-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019

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: RCSD-CHILD DEVELP.SVCS-JOHN GILL	FACILITY NUMBER: 414003050
	VISIT DATE: 07/19/2019

NARRATIVE

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Page 2. . .

During inspection,
*Incidental Medical Services (IMS) policy was discussed.
*Facility was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption.
*Staff was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare.
*Staff was reminded about the Provider Information Notices (PINs) on CCLD website.
*Staff was reminded about of Mandated Reporter Training available on CCLD website.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report and rights to comment and appeal were discussed with Teacher. This report must be available in the facility for public review. Notice of site inspection was posted.
Teacher was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) -26-8800
LICENSING EVALUATOR NAME: April Cowan	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2019

LIC809 (FAS) - (06/04)

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