414004152-5-3-2023-05-CC-CQUO-CRGUAG-20230503152442

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004152
Report Date: 05/03/2023
Date Signed: 05/03/2023 03:24:51 PM

Document Has Been Signed on 05/03/2023 03:24 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:	STAR ACADEMY PRESCHOOL		FACILITY NUMBER:	414004152
ADMINISTRATOR:	CHETTY, JOSEPHINE		FACILITY TYPE:	850
ADDRESS:	444 EAST MARKET STREET		TELEPHONE:	(650) 756-1581
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94014
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 5	CENSUS: 2	DATE:	05/03/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Josephine Chetty		TIME COMPLETED:	04:00 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 May 3, 2023 at approximately 2:30pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with director/licensee, Josephine Chetty, and explained the purpose of the visit. Present during LPA's visit included director and 2 preschool age children. Facility is operating within capacity limits and ratio during LPA's visit. Preschool program operates on Colma Elementary School Site in classroom #11 and #12 only. Currently, director is only operating program in classroom #12. Hours of operation are Monday to Friday, 7:00am to 6:00pm. LPA inspected the preschool classroom (currently in use) and outdoor area for health and safety hazards. Facility is equipped with a variety of age appropriate toys and materials that were in good working condition. LPA observed electrical outlets in day care areas to be made inaccessible with child safety covers and/or blocked by furniture. There is sufficient space for children's belongings that is located in the classroom, labeled with children's individual names. LPA did not observe any hazards or poisons that were accessible in day care areas. LPA observed cleaning solutions, poisons and other chemicals to be stored inaccessible to children in classroom's high shelves. Facility is equipped with multiple fire extinguishers, fire alarm system and multiple smoke and carbon monoxide detectors. Children's restroom was observed to be clean and in proper working condition. LPA observed bathroom to have appropriate toileting equipment and sanitation products. Sinks accessible to children do not provide water that is warmer than 120 degrees Fahrenheit. (Continue Report on Page 2...)

Garfield Leung
Catrina Quimbo
	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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: STAR ACADEMY PRESCHOOL	FACILITY NUMBER: 414004152
	VISIT DATE: 05/03/2023

NARRATIVE

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Program uses mats for napping children which were observed to be appropriately stored. Children's sheets are stored in children's individual cubbies. Program does not currently provide a food service. Children's families provide their own food that is stored in children's cubbies.

Outdoor area is fully enclosed and fenced with an at least 4 ft. high fence. LPA observed outdoor area to include a play structure that was observed to have resilient padding underneath. Outdoor area is equipped with appropriate toys and materials that were in good working condition. Drinking water is made available both indoors and outdoors, with children's individual water bottles that can be refilled at center with bottled water.

All licensing documentation and information is properly posted in front entrance of center. Children are signed in and out of facility with children's authorized representatives' written signatures. During LPA's visit, all children were properly signed into program. Facility conducts emergency disaster drills that are properly documented and logged. Last emergency disaster drill was conducted 04/03/2023.

LPA reviewed 5 children's records. Children's files were observed to be complete with emergency identification information on file. LPA reviewed director and teacher's files, which were also complete. Director has a current CPR/First Aid certification that will expire 08/2024. Both director and teacher have proof of required immunizations that were made available for review.

Director was reminded 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 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.
(Continue Report on Page 3...)

SUPERVISOR'S NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: STAR ACADEMY PRESCHOOL	FACILITY NUMBER: 414004152
	VISIT DATE: 05/03/2023

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Director was reminded that all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

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.

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. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with director/licensee, Josephine Chetty.

SUPERVISOR'S NAME: Garfield Leung
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

LIC809 (FAS) - (06/04)

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