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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004417
Report Date: 05/08/2025
Date Signed: 05/08/2025 05:55:51 PM

Document Has Been Signed on 05/08/2025 05:55 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:NEWTON AT UPPER LAUREL(MENLO PARK CITY SCHOOL DIS)FACILITY NUMBER:
414004417
ADMINISTRATOR/
DIRECTOR:		LOWE, REYFACILITY TYPE:
840
ADDRESS:275 ELLIOTT DRIVETELEPHONE:
(650) 918-8297
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 21DATE:
05/08/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:58 PM
MET WITH:Ruby AndradeTIME VISIT/
INSPECTION COMPLETED:
04:45 PM
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On May 8, 2025, at approximately 1:45PM Licensing Program Analyst (LPA) Katie Krenn conducted an unannounced, annual visit. LPA met with Facility representatives, Ruby Andrade and Anny Kazmi, and explained the purpose of the visit. Present during inspection, included 21 school age children (Ranging from 3rd – 5th Grade) and six Newton staff. All staff present have fingerprint clearance and are associated to the facility.

Childcare Areas are: First Floor: Collaboration area in front of Library, Library, Outside Playground, and the Gym. Second Floor: ‘Steam A,’ ‘Steam B,’ and Collaboration area outside of ‘Steam B.’ During this 2024-2025 school year, facility is mostly using Steam B and playground outside. The hours of operation are M/T/W/F, 3-6PM; TH, 2-6PM, DURING SCHOOL CALENDAR.

LPA observed that all required documents: such as the facility license, notification of parents’ rights, personal rights, car seat laws, earthquake preparedness checklist, and emergency disaster plan, were available for review.

Children are signed into and out of program using Bright Wheel application with authorized representatives' electronic signatures. Newton program operates on an active elementary school site. The school age program is exempt from requirements for indoors and outdoors space square footage, fencing and toilet/sink ratios. No measurements were taken during LPA's visit.

According to the facility representative, none of the children have any known allergies that would require an epi-pen or take any medications.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NEWTON AT UPPER LAUREL(MENLO PARK CITY SCHOOL DIS)
FACILITY NUMBER: 414004417
VISIT DATE: 05/08/2025
NARRATIVE
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LPA observed classroom to be clean, equipped with age-appropriate furniture and educational materials. Flooring in classroom includes carpet that was observed to be clean and free of stains and tile that had minimal scuff marks and small debris. Classroom includes a fully charged fire extinguisher and an integrated fire alarm system implemented by school district. LPA observed and tested 2 carbon monoxide detectors and found them to be functioning.

LPA observed that children’s belongings are stored in the hallway outside of the classrooms.

LPA inspected the emergency backpack kit with first aid materials and emergency contact information. The backpack did not include scissors and tweezers. Per facility representative, the last emergency drill was conducted in March 2025. Emergency drills are conducted at least every six months at this facility and LPA observed that they are properly logged and documented.

The facility provides snacks. LPA observed a menu of snacks that included healthy options, such as fresh fruits, vegetables, legumes, and whole grains. Drinking water is available for the children both indoors and outdoors.

The outdoor play area is surround by a fence that is at least 4 feet tall. The outdoor area includes a grass field, baseball diamond, climbing equipment, ping pong tables, and a basketball court. Under the climbing equipment there is a suitable material to cushion falls. LPA observed that the children had access to sports balls and other items for field sports.

LPA reviewed the scheduled activities which included suitable activities such as outdoor organized or free play, snack time, as well as time for silent reading and homework.

LPA inspected the bathrooms for the children and found them to be clean and functional. Children have separate bathrooms for each gender. There are separate bathrooms available for staff.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: NEWTON AT UPPER LAUREL(MENLO PARK CITY SCHOOL DIS)
FACILITY NUMBER: 414004417
VISIT DATE: 05/08/2025
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LPA reviewed the files of five children, confirming that their emergency contact and consent information were complete and in order. The vaccination records are kept by the school district.

LPA reviewed five staff files and confirmed that all necessary forms were complete and in order. LPA verified that all staff had current valid CPR and First Aid Certification and Mandated Reporter Training Certification. LPA reviewed the transcripts and found that all staff are qualified according to the requirements of their positions. LPA saw that the staff had complete vaccination records.

Site Supervisor will email a new copy of the Emergency Disaster Plan and the Personnel Report.

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.

Site Supervisor 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.

No deficiencies were cited during today's inspection.

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 the Facility Representative, Ruby Andrade.
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2025
LIC809 (FAS) - (06/04)
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