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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004215
Report Date: 09/06/2019
Date Signed: 09/06/2019 04:04:35 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:CHAI PRESCHOOLFACILITY NUMBER:
414004215
ADMINISTRATOR:LUIS, HELENFACILITY TYPE:
850
ADDRESS:137 NORTH SAN MATEO DRIVETELEPHONE:
(650) 345-2424
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:30CENSUS: 10DATE:
09/06/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:LIsa Becker & Esther MarcusTIME COMPLETED:
04:10 PM
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Licensing Program Analysts (LPAs) Singh and Kaur met with teacher, Lisa Becker, and owner, Esther Marcus, for a random annual inspection. Purpose of the inspection was explained. Present, there are ten children with three teachers and the owner. 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 8 AM to 5 PM.

With the owner, LPAs inspected the day care areas: Classroom # 1, Classroom # 2, Bathroom and Play yard. There are no pools, spas or other bodies of water at the facility. Facility has smoke detector, carbon monoxide detector, fully charged fire extinguisher and working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Fireplace in classroom # 1 is barricaded and is inaccessible for children. All of the unused electric outlets have child protective covers installed. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility has sufficient amount of sleeping matts. Facility floor is in good repair and free of any hazards. 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 lid on top. Facility has drinking water available for children. There is drinking water in play yard for children. Play yard is free of hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sand box in the play yard. Per the owner, the sand box is being covered with tarp during night time. There is sufficient amount of shaded area available for children in play yard. Per owner, staff brings the water with them, while children play in the play yard.

At 3 PM, LPAs reviewed the facility records. Facility has all of the required documents posted and visible for the public. Facility is using electronic sign in / out procedure and has the waiver posted. LPA reviewed five random children's and all staff's files. LPAs observed facility has record of names, addresses and telephone numbers of each child's authorized representative.
See next page for continuation ..............
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/06/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
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 2
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: CHAI PRESCHOOL
FACILITY NUMBER: 414004215
VISIT DATE: 09/06/2019
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Facility has record of immunization of all staff present today. LPAs reminded the owner that as of January 1, 2018 all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPAs reminded the owner that fire and emergency drills must be conducted once at least every six months. Per owner, facility has scheduled the drill next week, as this was the first week for children to return from summer.

LPAs discussed the effects of lead of lead exposure and handout was provided. LPAs encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new 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 MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Gagandeep SinghTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/06/2019
LIC809 (FAS) - (06/04)
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