414004287-3-16-2023-05-CC-LGOZ-CPYVJC-20230316162830

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004287
Report Date: 03/16/2023
Date Signed: 03/16/2023 04:28:42 PM

Document Has Been Signed on 03/16/2023 04:28 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:	KIDS KONNECT PRESCHOOL		FACILITY NUMBER:	414004287
ADMINISTRATOR:	YOGUEZ, KIMBERLY		FACILITY TYPE:	850
ADDRESS:	2145 BUNKER HILL DRIVE		TELEPHONE:	(650) 315-2202
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	45	CENSUS: 18	DATE:	03/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:10 PM
MET WITH:	Kimberly Yoguez		TIME COMPLETED:	04:35 PM

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On 3/16/2023 at 1:10PM., Licensing Program Analyst (LPA), Luis J. Gomez met with Director, Kimberly Yoguez. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate preschool-age program. Present was the directors and five staff supervising 18 children. Children present had been properly signed in. Staff have criminal record clearances on file. Program utilizes two rooms: Multi-purpose Room; Art Room; and one outdoor play area. Days and hours of operation are Monday- Friday, 7:00am- 6:00pm. Program operates year around. LPA inspected facility, indoors and outdoors, with director for health and safety hazards.

At 1:20PM., LPA observed the following: Classrooms were clean, orderly, with age-appropriate materials available for the children. Floors and ground surfaces were free of any obstructions or potential hazards. Labeled cubbies are located in entry way for storage of children's belongings. Accessible furniture, books and playthings inspected were free of sharp corners or splinters. Facility is equipped with child- sized tables and chairs. Children’s bathrooms are maintained clean, with fixtures in operating condition. Staff bathroom is located separate. For napping services, padded mats are stored in facility art room. Mats inspected are cleanable material and free of defects. Per director, children’s sheets are washed weekly by parents. Classrooms have acceptable ventilation and lighting. Disinfectants, cleaning solutions, poisons and other hazardous items have been stored inaccessible to children. Facility has smoke/ carbon monoxide combination detector, on-site telephone service, and fully charged fire extinguishers: 3A:40BC. First aid kit was reviewed and is fully stocked.

At 1:30PM. LPA inspected the on-site kitchen/ food storage area. Food items inspected are correctly stored. Kitchen had sufficient supplies for food storage and meal preparation. Area was clean, without any trash or rubbish.

At 1:45PM., LPA inspected the shared outdoor play area. Outdoor play yard was completely enclosed. Playthings including tricycles inspected were in good repair. Play structure has been anchored, and rubber padding is installed for added safety. Per director, for water services, refillable bottles are provided for children outside. Accessible shading rest area is available.

LPA reminded director to ensure all loose boards and hazardous plants are removed from the outdoor play area. Advisory Note: Technical Assistance (LIC9102TA) was issued. (REFER TO 809-C FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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: KIDS KONNECT PRESCHOOL	FACILITY NUMBER: 414004287
	VISIT DATE: 03/16/2023

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(Page 2)
At 2:10PM LPA reviewed facility records including five children’s files and seven personnel files. Staff files contained the: Notice of Employee Rights (LIC9052); Education Verification; Required Proof of Immunization; Updated 'Mandated Reporter Training' certification; and Personnel Record (LIC501).

Children’s files contained the: Consent for Emergency Medical Treatment (LIC627); Updated Immunization Record, Identification and Emergency Information (LIC700); Personal Rights (LIC613A) and Notification of Parent’s Rights (LIC995).

Staff member had their current ‘Cardiopulmonary Resuscitation and First Aid’ certification, which expires on: 9/2024.

Disaster drill are conducted on-site with the last drill done on 10/7/2022, logged.

LPA observed required posting including: Facility License; Notice of Parent’s Rights (PUB394); Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; Updated Snack Menu; and Seat Belt Safety Laws.

During inspection, LPA reviewed children’s medication. LPA reminded director to ensure ‘Incidental Medical Services’ (IMS) plans are stored in the children’s files.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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 Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated.

(REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: KIDS KONNECT PRESCHOOL	FACILITY NUMBER: 414004287
	VISIT DATE: 03/16/2023

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Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. Exit interview and Report was reviewed with Director, Kimberly Yoguez, and signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Facility 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: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC809 (FAS) - (06/04)

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