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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
414004434
Report Date:
06/09/2022
Date Signed:
06/09/2022 03:58:13 PM
Document Has Been Signed on
06/09/2022 03:58 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
CCLD Regional Office
,
851 TRAEGER AVE., SUITE 360
SAN BRUNO
,
CA
94066
FACILITY NAME:
LITTLE LEARNERS PRESCHOOL OF SAN CARLOS, INC.
FACILITY NUMBER:
414004434
ADMINISTRATOR:
OLOCCO, HOLLY
FACILITY TYPE:
850
ADDRESS:
785 WALNUT STREET
TELEPHONE:
(650) 593-8081
CITY:
SAN CARLOS
STATE:
CA
ZIP CODE:
94070
CAPACITY:
24
CENSUS:
11
DATE:
06/09/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
09:08 AM
MET WITH:
Holly Olocco
TIME COMPLETED:
12:45 PM
NARRATIVE
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On June 9, 2022 at 9:08 PM, Licensing Program Analyst (LPA) Cowan met with director Holly Olocco for a 1 Year Required Inspection. Purpose of the inspection was explained. Present, in the facility are director, 2 staff, and 11 children in care. Facility is operating within its capacity, and facility is in compliance with staff / child ratio on this day. Facility operates day care Monday to Friday from 08:00 to 05:45 PM.
With director, LPA inspected the day care rooms and play yard. LPA observed facility has smoke detector, carbon monoxide detector, fully charged fire extinguisher, and working telephone on site. All cleaning solutions, poisons and other chemicals dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Facility floor is in good repair and free of any hazards.
There are first aid supplies available in the classroom. The bathroom is in working condition. All storage containers for solid waste fitted lids. Facility has a sufficient amount of sleeping matts available. Food preparation area is free of litter. Food is stored adequately to prevent contamination. Play yard is free of hazards. There is a sufficient amount of poured rubber to help absorb the impact of falls. There is water available on the yard as well as in the classroom.
Report continues on next page……….
SUPERVISOR'S NAME:
Garfield Leung
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
April Cowan
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
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
9
Document Has Been Signed on
06/09/2022 03:58 PM
- It Cannot Be Edited
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:
LITTLE LEARNERS PRESCHOOL OF SAN CARLOS, INC.
FACILITY NUMBER:
414004434
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
06/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101174(d)
Disaster and Mass Casualty Plan
(d) Disaster drills shall be conducted at least every six months.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on (interview) with director, the licensee did not comply with the section cited above in that staff has not conducted any emergency in the past 6 months which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/13/2022
Plan of Correction
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2
3
4
Director agrees to begin conducting drills with children and staff and email LPA a copy of the first log.
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on (record review), the licensee did not comply with the section cited above in that 1 out of 2 staff did not have immunizations on file which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/13/2022
Plan of Correction
1
2
3
4
Director agrees to collect immunizations for staff Ref #2 and email to LPA by 6/13/22.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Garfield Leung
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
April Cowan
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
LIC809
(FAS) - (06/04)
Page:
2
of
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Document Has Been Signed on
06/09/2022 03:58 PM
- It Cannot Be Edited
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:
LITTLE LEARNERS PRESCHOOL OF SAN CARLOS, INC.
FACILITY NUMBER:
414004434
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
06/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on (record review), the licensee did not comply with the section cited above in 2 out of 2 staff did not have Mandated Reporter Training on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/13/2022
Plan of Correction
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2
3
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Director agrees to have staff take training and send LPA a copy of certificates by 6-13-22.
Type B
Section Cited
CCR
101216(g)(1)
Personnel Requirements
(1) Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on (record review), the licensee did not comply with the section cited above in 2 out of 2 staff did not have Health Screening on file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
07/11/2022
Plan of Correction
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2
3
4
Director agrees to have staff attain signed Health Screening and email to LPA by 7/11/22.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Garfield Leung
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
April Cowan
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
LIC809
(FAS) - (06/04)
Page:
3
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Document Has Been Signed on
06/09/2022 03:58 PM
- It Cannot Be Edited
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:
LITTLE LEARNERS PRESCHOOL OF SAN CARLOS, INC.
FACILITY NUMBER:
414004434
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE:
06/09/2022
DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101220(a)
Child's Medical Assessments
(a) Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.
This requirement is not met as evidenced by:
Deficient Practice Statement
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2
3
4
Based on (record review), the licensee did not comply with the section cited above in 1 out of 10 children did not have a Physicians Report of file which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/17/2022
Plan of Correction
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2
3
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Director agree to have parent complete form and email to LPA by 6/17/22.
Type B
Section Cited
CCR
101221(b)(8)(C)
Child's Records
(C) A signed consent form for emergency medical treatment unless the child's authorized
representative has signed the statement specified in Section 101220(f).
This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based on (record review), the licensee did not comply with the section cited above in 7 out of 10 children's files did not contain medical consent which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date:
06/13/2022
Plan of Correction
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2
3
4
Director agree to have all parents complete and sign Medical Consent and email to LPA by 6-13-22.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:
Garfield Leung
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
April Cowan
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
LIC809
(FAS) - (06/04)
Page:
4
of
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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
CCLD Regional Office
,
851 TRAEGER AVE., SUITE 360
SAN BRUNO
,
CA
94066
FACILITY NAME:
LITTLE LEARNERS PRESCHOOL OF SAN CARLOS, INC.
FACILITY NUMBER:
414004434
VISIT DATE:
06/09/2022
NARRATIVE
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Page 2
At 9:30 AM, LPA observed that facility has not conducted any emergency drills. A type B violation is issued for this deficiency. LPA observed that facility's sign in / out log. At 9:52 AM, LPA observed that parents have not used full signatures to sign children in and out. A technical violation is issued for this deficiency. Facility has license and all other required documents posted and visible for the public. At 9:54 AM, LPA observed that menus for snacks have not been posted for parents one week in advance. A technical violation is issued for this deficiency.
At 9:55 AM, LPA reviewed the facility records. LPA reviewed 10 random children's files. At 10:00 AM, LPA observed that seven out of 10 files did not contain consent for medical treatment. At 10:17 AM LPA observed that child did not have Physicians Report on file. These are potential risk to children in care. Type B citations is issued for these deficiencies.
LPA reviewed 2 staff's files. At 10:35 AM, LPA observed that staff Ref#1 did not have Immunizations, TB Clearance, Mandated Reporter Training
Certification, nor LIC 503 Health Screening on File. At 10:40 AM, LPA observed that Staff Ref# 2 did not have LIC 503 Health Screening and Mandated Reporter Training Certification on file. These are potential risk to children in care and Type B citations are issued for these deficiencies.
LPA discussed Children and Staff files with site director. LPA discussed Covid-19 protocols with director. LPA discussed placement of cleansers with site director.
Report Continues .......
SUPERVISOR'S NAME:
Garfield Leung
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
April Cowan
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
LIC809
(FAS) - (06/04)
Page:
9
of
9
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:
LITTLE LEARNERS PRESCHOOL OF SAN CARLOS, INC.
FACILITY NUMBER:
414004434
VISIT DATE:
06/09/2022
NARRATIVE
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Page 3
Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: 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 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.
Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at
www.mandatedreporterca.com
. LPA observed the completion certificates on file. LPA encourages the director to frequently visit our website at
www.ccld.ca.gov
for licensing regulations and new updates.
>See next page for deficiencies
Report Continues .......
SUPERVISOR'S NAME:
Garfield Leung
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
April Cowan
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
LIC809
(FAS) - (06/04)
Page:
8
of
9
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:
LITTLE LEARNERS PRESCHOOL OF SAN CARLOS, INC.
FACILITY NUMBER:
414004434
VISIT DATE:
06/09/2022
NARRATIVE
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Page 4
Exit interview conducted and report was reviewed with Site Director Holly Olocco.
The copy of this report is reviewed and provided to the director. Notice of site visit is to be posted and shall remain posted for next 30 days.
This report must be available in the facility for public review. Notice of site visit was observed being posted.
Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website:
www.cdss.ca.gov
Copy of this report was reviewed and will be emailed to the director, Holly Olocco at
littlelearnerssancarlos@gmail.com
by the close of business on 6/9/22. Confirmation of receipt is required. Signed copy of this report will be stored in the facility file.
SUPERVISOR'S NAME:
Garfield Leung
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR NAME:
April Cowan
TELEPHONE:
(650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE:
06/09/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
06/09/2022
LIC809
(FAS) - (06/04)
Page:
7
of
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