414004281-3-8-2023-05-CC-MOLN-CPQVYD-20230308155057

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004281
Report Date: 03/08/2023
Date Signed: 03/08/2023 03:51:07 PM

Document Has Been Signed on 03/08/2023 03:51 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:	THUMBELINA NURSERY SCHOOL		FACILITY NUMBER:	414004281
ADMINISTRATOR:	ATWELL, TAMMY		FACILITY TYPE:	850
ADDRESS:	20 HORGAN AVENUE		TELEPHONE:	(650) 364-5165
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94061
CAPACITY:	45	CENSUS: 14	DATE:	03/08/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Myrna Trujillo		TIME COMPLETED:	04:05 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 March 8, 2023 at 1:40PM Licensing Program Analyst (LPA) Maria Olguin-Leon met with Assistant Director, Myrna Trujillo for required annual inspection. Purpose of inspection was explained. Present today, Assistant Director, 2 staff and 14 preschoolers. Facility is operating within the capacity and in compliance with staff child ratio. Director arrived at 2:45 PM. Facility operates preschool program from Monday to Friday 7:00AM to 6:00PM. LPA and assistant director, toured the facility for health and safety hazards. Facility runs a preschool program in Fairy, Gargoyle, and Dragon classrooms and main classroom. Facility is clean has proper ventilation. There are plenty of age-appropriate toys, furniture and learning materials all in good repair. Storage bin are available for children to store personal items and belongings. Facility has two children’s restrooms and one staff restroom. Children’s restroom sink has no running hot water. All trash containers in bathroom and in classroom have fitted lids. Facility has sufficient sleeping mats. Parents provide sheets for mats and are sent home for washing. Outdoor areas have plenty of play toys and a large playground structure, all in good condition. Playground floor is surrounded with sand and cemented areas. There are no pools or bodies of water. Per Director there are no weapons or firearms on the premises. Facility provides two snacks and lunch. Facility provides cups with child’s name and filtered water throughout the day. First aid kit is fully stocked with medical supplies. Incidental Medical Services were discussed, per director no children are currently on an IMS plan. Isolation area for sick children will be in main classroom area. All cleaning products, chemicals, and toxins are inaccessible to children. LPA reviewed sign in/out sheet which is available outside near door. Facility is equipped with two fully charged fire extinguisher, smoke detector and carbon monoxide detector, and a working cell phone available on site.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

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: THUMBELINA NURSERY SCHOOL	FACILITY NUMBER: 414004281
	VISIT DATE: 03/08/2023

NARRATIVE

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LPA reviewed 5 children’s records and 3 staff record. All the children's records were complete. Mandated Reporting is missing for one staff member, technical assistance cited. LPA reminded Director that all staff must have immunization records on file. All Staff CPR/First aid is current and due to expire 4/2024. The facility has all necessary paperwork posted, Facility License, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan. Last emergency drill was conducted on September 15, 2022.

Director was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.

The Director was reminded about the Provider Information Notices (PINs) on the CCLD website. Licensee was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare 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. LPA reviewed AB 1207 with the Licensee. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

LPA encouraged the Director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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/process.

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, Tammy Atwell & Myrna Trujillo.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Maria Olguin-Leon	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/08/2023

LIC809 (FAS) - (06/04)

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