414004236-8-1-2022-05-CC-CQUO-CGVTVM-20220801150410

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004236
Report Date: 08/01/2022
Date Signed: 08/01/2022 03:04:49 PM

Document Has Been Signed on 08/01/2022 03:04 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	BUILDING KIDZ (PS)		FACILITY NUMBER:	414004236
ADMINISTRATOR:	NESHEIWAT, SAMANTHA		FACILITY TYPE:	850
ADDRESS:	39 E. 39TH AVENUE		TELEPHONE:	(650) 212-5439
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	70	CENSUS: 37	DATE:	08/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Jennifer Massis		TIME COMPLETED:	03:15 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 August 1, 2022 at approximately 9:10am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with executive director, Jennifer Massis, and explained the purpose of the inspection. Present during inspection included 44 children, 37 preschool age, 7 infants and and 12 staff members (including executive director). Facility is operating within capacity limits and ratios at time of LPA's visit. Facility is a combination center with a preschool and infant license. Hours of operation are Monday to Friday 7:00am to 6:00pm. Preschool program operates out of 6 classrooms: Starlight, Starlight Advanced, Moonlight, Sunshine, TK and Pre-K classrooms. On date of LPA's visit, all classrooms except Starlight Advanced classrooms were in use. LPA observed each classroom to be clean, equipped with age appropriate toys, materials and furniture. Storage for children's belongings are located both inside and outside the classrooms, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system throughout entire building. LPA observed facility is also equipped with multiple carbon monoxide detectors and fully charged fire extinguishers. Each classroom is equipped with a first aid kit. LPA observed all poison, cleaning solutions and hazardous materials are stored inaccessible to children in classroom's high shelves and cabinets. LPA observed bathrooms used for day care use to be clean and in proper working condition. Children's sinks do not provide water that is warmer than 120 degrees Fahrenheit. Garbage cans have tight fitting lids. Facility currently provides a food service that includes breakfast, lunch and afternoon snack. LPA observed food prep area to be clean and orderly. Water is available to children indoors and outdoors with water pitchers with disposable cups. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

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: BUILDING KIDZ (PS)	FACILITY NUMBER: 414004236
	VISIT DATE: 08/01/2022

NARRATIVE

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Outdoor area was observed to be equipped with age appropriate materials that were in good working condition. Preschool program has exclusive use over preschool playground. Infant program playground is separate from preschool playground. LPA observed play structure to be age appropriate and to have resilient padding underneath.

Children are signed in and out of facility by their authorized representatives' electronic signatures. Facility has license documentation and information properly posted and available for review in facility.

LPA reviewed facility records that included 10 children's records, 12 staff records (whom were present during inspection). LPA observed children's and staff's records to be complete. Multiple staff members on site, including executive director and center director, have a valid, CPR certificate that will expire 11/2023. Emergency drills are conducted monthly and are properly documented. Last emergency drill was conducted 07/19/2022.

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 are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completed certificate on file. LPA encourages director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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.

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.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

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: BUILDING KIDZ (PS)	FACILITY NUMBER: 414004236
	VISIT DATE: 08/01/2022

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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.

Exit interview conducted and report was reviewed with executive director, Jennifer Massis.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2022

LIC809 (FAS) - (06/04)

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