414004222-4-27-2023-05-CC-CQUO-CRARR7-20230427131439

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004222
Report Date: 04/27/2023
Date Signed: 04/27/2023 01:14:48 PM

Document Has Been Signed on 04/27/2023 01:14 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:	DANIEL WEBSTER ELEMENTARY		FACILITY NUMBER:	414004222
ADMINISTRATOR:	BUGANTE, KAREN		FACILITY TYPE:	850
ADDRESS:	425 EL DORADO		TELEPHONE:	(650) 991-1000
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94015
CAPACITY:	24	CENSUS: 18	DATE:	04/27/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	11:10 AM
MET WITH:	Karen Bugante		TIME COMPLETED:	01:30 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	On April 27, 2023 at approximately 11:10am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with site supervisor, Karen Bugante, and explained the purpose of the inspection. Preschool program operates on Daniel Webster Elementary School in classroom "KB" only. Present during LPA's visit included site supervisor, 2 teaching staff, and 18 enrolled preschool children. Facility is operating within capacity limits and ratio during LPA's visit. All staff are fingerprinted through Jefferson Elementary school district. Preschool program operates Monday through Friday 8:15am to 2:45pm. LPA inspected the preschool classroom and outdoor area for health and safety hazards. Classroom has a working phone on site. Entire facility has installation of smoke and fire alarm system implemented by school district. LPA observed classroom to have a working carbon monoxide detector, fully charged fire extinguisher, and fully stocked first aid cabinet. Electrical outlets in day care areas were made inaccessible with child safety covers and/or blocked by furniture. LPA observed cleaning solutions, poisons and other chemicals to be stored inaccessible to children on facility's high shelves and/or high cabinets. Classroom has age appropriate furniture and materials that were in good working condition. Classroom is separated into different sections that allow time for children's rest and relaxation, dramatic play, fine motor development, and arts and crafts. Storage for children's belongings is located inside a large cabinet, labeled with each child's individual names. Classroom also has sufficient amount of sleeping cots for napping children that were appropriately stored. Children's sheets are stored in their individual cubbies. Classroom includes two sinks and two toilets that were in proper working condition. Sinks did not provide water that is warmer than 120 degrees Fahrenheit. LPA observed accessible sinks to be free of poisons and any hazardous materials. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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: DANIEL WEBSTER ELEMENTARY	FACILITY NUMBER: 414004222
	VISIT DATE: 04/27/2023

NARRATIVE

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Preschool program currently provides a food service that is through the school district . Food is prepared in elementary school kitchen and is brought to classroom.

Drinking water is available to children, indoors and outdoors, with an accessible water pitcher and cups. Water pitcher is refilled at center. Preschool program utilizes an outdoor playground that is shared among two other programs. Licensing waiver is properly posted and available for review. Entire outdoor area is fully fenced and enclosed with an at least 4 ft. high fence. LPA observed outdoor area to have a play structure that has resilient padding underneath. Garbage bins in outdoor area was observed to have a tight fitting lid.

LPA observed preschool program to use paper sign in/out system. At time of inspection, all children were properly signed in to program with children's authorized representatives' signatures. LPA observed classroom has license and all required licensing documents to be posted and visible for review. Last emergency disaster drill was conducted 04/18/2023. Emergency drills are conducted and documented at least once every six months.

LPA reviewed six random children's files. Children's files were complete with a record of emergency identification information on file. Multiple staff members on site have a current CPR/First Aid certification. Site supervisor's CPR/First Aid will expire 01/2024.

Site supervisor 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.

Site supervisor 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.

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SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

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: DANIEL WEBSTER ELEMENTARY	FACILITY NUMBER: 414004222
	VISIT DATE: 04/27/2023

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Site supervisor 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. 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

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 maintain posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with site supervisor, Karen Bugante.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2023

LIC809 (FAS) - (06/04)

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