414004297-5-9-2023-05-CC-MOLN-CRNS3A-20230509133048

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004297
Report Date: 05/09/2023
Date Signed: 05/09/2023 01:30:57 PM

Document Has Been Signed on 05/09/2023 01:30 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:	SCSD ARUNDEL PRESCHOOL		FACILITY NUMBER:	414004297
ADMINISTRATOR:	DAWLEY, SUSAN E.		FACILITY TYPE:	850
ADDRESS:	200 ARUNDEL ROAD		TELEPHONE:	(650) 832-4678
CITY:	SAN CARLOS	STATE: CA	ZIP CODE:	94070
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 0	CENSUS:	DATE:	05/09/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:59 AM
MET WITH:	Jeannine Solis		TIME COMPLETED:	01:45 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 May 9, 2023, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced annual inspection at SCSD Arundel Preschool. LPA met with Site Supervisor, Jeannine Solis and purpose of visit was explained. Facility operates a preschool program in Rooms #14, #15 and #22 on the Arundel Elementary School Campus. Present for today’s visit was Site Supervisor, 6 staff and 51 preschool children. Teacher and children capacity ratio requirements were observed to be in compliance. Preschool Program operates Monday -Friday from 7:30 AM-5:30 PM. LPA and Site Supervisor toured the facility for health and safety hazards. Classrooms are clean with proper ventilation. There are plenty of age-appropriate toys, furniture and learning materials all in good repair. There is restroom in each classroom with working toilet and sinks for hand washing with no running hot water. There is a separate bathroom for staff usage near the classrooms. There is a new age appropriate play structure outside room 22 with plenty of play activities, shade. and cushioned with artificial grass to cushion falls. There is a separate outdoor play area located behind classroom #14 and #15 with plenty of age-appropriate toys, shade and outdoor furniture. and asphalt flooring. Both areas are completely enclosed with a 5 ft. gate. There are no pools, spas, or other similar bodies of water on the premises. Per Site Supervisor, there are no firearms or weapons on site. Children bring their own meals and have an option to purchase hot lunches through the school district. Menus are posted online. Classroom is equipped with a sink and refrigerator. Food is properly stored to avoid contamination. Children have their own labeled water bottles to use inside or outside. Facility offers filtered water to refill water bottles. All cleaning supplies and toxins are properly stored in kitchen area and locked in cabinets and inaccessible to children. Classroom has sufficient sleeping cots for all children and parents provide sheets that are sent home weekly for washing. Cont. Page 2...

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

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: SCSD ARUNDEL PRESCHOOL	FACILITY NUMBER: 414004297
	VISIT DATE: 05/09/2023

NARRATIVE

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LPA reviewed 5 children’s records and 5 staff records. All children's records were complete with all required documents. Staff #5 is missing immunization records; technical assistance was issued. Facility has posted the required forms (i.e., License, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law (updated), and Emergency Disaster Plan). Last emergency drill was conducted on 04/25/2023 and is properly documented. Water lead testing was emailed to LPA by Sue Dawley.

Incidental Medical Services were discussed with Site Supervisor. Currently there is one child on IMS and medication is properly stored with original prescription. There are several first aid kits available in the classroom with plenty of medical supplies. Isolation area for sick children is in library/quiet area. LPA reminded Site Supervisor that all storage containers for solid waste must have a tight-fitting lid. Classroom has a complete record of sign-in/out sheets with full signatures of authorized drop off/ pickup person. Classroom has a fully charged fire extinguisher and smoke detector which is maintained via School district. Carbon monoxide detector was tested and in working condition. Classroom is equipped with a telephone landline and cell phones are available on site.

Site Supervisor was reminded that all adults 18 and over living or working in the facility 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.

Site Supervisor 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.

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 Site Supervisor to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Cont. page 3...

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

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: SCSD ARUNDEL PRESCHOOL	FACILITY NUMBER: 414004297
	VISIT DATE: 05/09/2023

NARRATIVE

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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.

As of today, no deficiencies were issued under CCR, Title 22, Division 12.

Exit interview conducted and report was reviewed with the Site Supervisor, Jeannine Solis.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

LIC809 (FAS) - (06/04)

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