414003092-6-1-2023-05-CC-LTMO-CSDRBG-20230601125242

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414003092
Report Date: 06/01/2023
Date Signed: 06/01/2023 12:53:26 PM

Document Has Been Signed on 06/01/2023 12:53 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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	CHALLENGE SCHOOL (PS) BELMONT CAMPUS		FACILITY NUMBER:	414003092
ADMINISTRATOR:	JENNY TSAI		FACILITY TYPE:	850
ADDRESS:	580 MASONIC WAY		TELEPHONE:	(650) 592-6878
CITY:	BELMONT	STATE: CA	ZIP CODE:	94002
CAPACITY:	60	CENSUS: 45	DATE:	06/01/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Director, Jenny Tsai and Catherine Zhang		TIME COMPLETED:	01:15 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 June 1st, 2023 at approximately 8:40AM, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, annual, required inspection. LPA met with Director, Jenny Tsai and Co-director, Catherine Zhang and explained the purpose of the inspection. Present in the facility are Co-Directors and 10 staff supervising a total of 45 preschool age children. All adults working in the facility are fingerprint cleared and associated to the facility. Facility is currently operating within teacher to child ratio on this date. Facility has requested to add an additional outdoor area. LPA received a letter of intention and updated floor plan. LPA measured the additional outdoor area to be 1,771.25, making the total space of 4237.69 allowing for up to 56 children. Outdoor Rotational Waiver will be updated and reviewed by Regional Manager. Once approved, updated waiver will need to be posted. LPA observed new outdoor to be safe. Outdoor is equipped with toys and a canopy for shading. LPA has approved the use of the new outdoor area. Facility is licensed to operate in four rooms but is only operating in three rooms at this moment (Blueberries, Strawberries, and Pineapples). Facility operates Mon-Fri from 8am-6pm year round with occasional closures throughout the year. LPA observed each classroom to be clean and equipped with age appropriate toys and materials. Storage for children's belongings are located inside or outside of the classrooms, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system inside each classroom as well as fully charged, fire extinguishers. The classrooms have a smoke and carbon monoxide detector installed as well as 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 high shelves. Facility provide am/pm snack and lunch with the option of parents to bring their own food for children. Menu is posted in the front as well as in each classroom. Water is available to children indoors and outdoors. Facility has tested water for lead. Outdoor area appears to be clean and orderly. There are a variety of outdoor equipment that are in good working condition. Children are signed in and out of facility using the Brightwheel App. Facility has license documentation and information properly posted and available for review in the entrance. Continued on Page 2...

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: CHALLENGE SCHOOL (PS) BELMONT CAMPUS	FACILITY NUMBER: 414003092
	VISIT DATE: 06/01/2023

NARRATIVE

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LPA reviewed facility records that included 5 children's records and 5 staff records. LPA observed children's records to be complete. At least one staff has an up to date CPR & First Aid certificate. Facility will ensure that all staff have up to date Mandated Reporter Certificate. Last emergency drill was conducted 05/2023. Emergency drills are conducted at least once every six 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.

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.

This facility is providing Incidental Medical Services – IMS at this time. The facility has an IMS written plan in pace. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

Based on today's inspection, deficiencies were not observed, 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 Co-Directors, Jenny Tsai and Catherine Zhang.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023

LIC809 (FAS) - (06/04)

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