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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004246
Report Date: 08/22/2019
Date Signed: 08/22/2019 03:32:34 PM

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:BRIGHT ANGEL MONTESSORI ACADEMYFACILITY NUMBER:
414004246
ADMINISTRATOR:HUANG, MEI-LINGFACILITY TYPE:
850
ADDRESS:687 BAY ROADTELEPHONE:
(650) 485-2722
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY:42CENSUS: 19DATE:
08/22/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Owners/Directors: Joseph Wyffels and MeiLing HuangTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Cindy Interiano met with Owners/Directors: Joseph Wyffels and MeiLing Huang for an Annual/Random Inspection this day. Purpose of the inspection was explained. Present during the inspection was 2 Staff supervising 15 PreK children and 1 staff supervising 4 Toddlers. Program is in compliance with Staff-Child ratios. Program operates M-F, 7:30a-6p, year-round with periodic breaks throughout the year. Facility has a pending application to convert Preschool license with a Toddler option to an Infant License with a Toddler Option. LPA, Director, and Owner inspected the facility indoors and outdoors for Health and Safety Hazards. Each classroom has age appropriate toys and equipment that are in good repair. Cubbies/hooks/bins are used to store children’s belongings. Napping equipment is properly stored in each classroom. Building has an industrial fire alarm, and each classroom is equipped with a smoke and carbon monoxide detector, and fully charged fire extinguisher. Each classroom has proper ventilation and sufficient lighting. Classrooms share a children’s restroom, which has 3 toilets, 2 sinks, and a changing table. There are additional sinks inside the classrooms. Restroom is maintained clean, in good repair, and with adequate supplies. There are separate staff restrooms, which are maintained off limits to children. Facility has a fully supplied Emergency Kit and Emergency supplies, which are maintained inaccessible to children. Prescribed medications are kept in locked box in the child’s assigned classroom. Medications are maintained current with a doctor’s prescription, with a signed parental consent form, and is logged when administered. All cleaning products and toxins are stored inaccessible to children. Program provides daily snacks and children bring their own meals. There are no bodies of water, fireplace, firearms, or other dangerous weapons on the premises. Outdoor play area is kept free of debris and hazardous items. A daily sweep is conducted by staff of the outdoor play area prior to the children going out for outdoor play. All outdoor toys and equipment are age appropriate and in good repair. Facility has an approved waiver allowing children to have scheduled use of the play yard located at the next door Licensed facility. Children also have a signed 'Field Trip' form on file. Drinking water is readily available outdoors and indoors. All mandatory postings are posted in the lobby area, including Outdoor play waiver. Sign in/out sheets were reviewed and are complete.

See Page 2. . .
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
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: BRIGHT ANGEL MONTESSORI ACADEMY
FACILITY NUMBER: 414004246
VISIT DATE: 08/22/2019
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During inspection,
*Incidental Medical Services (IMS) policy was discussed.
*Owner/Director was reminded about having all Staff and Volunteers provide proof of immunization against influenza, pertussis, and measles or qualifies for an exemption.
*Owner/Director was reminded of Pesticides training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare.
*Owner/Director was reminded about Mandated Reporter Training available on CCLD website (www.ccld.ca.gov or www.mandatedreporterca.com)
*Owner/Director was reminded about the Provider Information Notices (PINs) on CCLD website.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report and rights to comment and appeal were discussed with Owner/Director. This report must be available in the facility for public review. Notice of site inspection was posted. Owner/Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2019
LIC809 (FAS) - (06/04)
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