414004458-3-11-2022-05-CC-CQUO-CCERLB-20220311120651

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004458
Report Date: 03/11/2022
Date Signed: 03/11/2022 12:07:45 PM

Document Has Been Signed on 03/11/2022 12:07 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:	FOSTER CITY PRE-SCHOOL AND DAY CARE CENTER		FACILITY NUMBER:	414004458
ADMINISTRATOR:	TILLMAN, B. & SINGH, S.		FACILITY TYPE:	850
ADDRESS:	1685 EISENHOWER STREET		TELEPHONE:	(650) 341-2041
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY:	96	CENSUS:	DATE:	03/11/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	T1 & Bettie Tillman		TIME COMPLETED:	12:15 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 11, 2022 at 9:00am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection at Foster City Preschool and Day Care Center. LPA met with preschool teacher, T1, and explained the purpose of the inspection. At beginning of inspection, director was not present. T1 notified director of LPA's arrival. Present in the preschool program included 51 enrolled children and 8 teachers. Facility is operating within its capacity and is in compliance with staff/child ration on this date. All individuals working at facility have record of fingerprint clearance. Preschool is located at Parkside Elementary and operates out of classrooms #27, 28, 29 and 30. Main entrance to preschool program is through side gate located on Eisenhower Street. Preschool main office is located in classroom #25. Preschool program operates Monday through Friday from 7:00am to 6:00pm. With T1, LPA inspected the 4 classrooms and outdoor areas used for the preschool program. Each classroom has a working telephone on site, fully charged fire extinguisher and carbon monoxide detectors. Entire facility has installation of smoke and fire alarm system. All cleaning solutions, poisons and other chemicals are stored inaccessible to children on facility's high shelves. Classrooms have age appropriate furniture and materials that are in good working condition. Storage for children's belongings are located in each classroom, labeled with children's individual names. Each classroom has one bathroom with at least 2 toilets and 1 sink available. Bathrooms were observed to be in good working condition with appropriate sanitation products. There are accessible sinks located in the classrooms, separate from the bathrooms as well. (Continue on Page 2....)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: FOSTER CITY PRE-SCHOOL AND DAY CARE CENTER	FACILITY NUMBER: 414004458
	VISIT DATE: 03/11/2022

NARRATIVE

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Preschool program has exclusive use of outdoor area that is fenced and separate from Parkside Elementary school's outdoor area. LPA observed outdoor area to have age appropriate materials that are in good working condition. Resilient padding is located under climbing structures.

At approximately 9:45am, director arrived to facility. Preschool program is part of outside agency food program. All food is stored and prepared in separate area from preschool classrooms. Each classroom has sufficient amount of sleeping cots available for napping children in care. Children's sheets are stored in their personal cubbies. Drinking water is available to children, indoors and outdoors, witch children's individual drinking bottles or paper cups provided by program.

LPA observed preschool program to use paper sign in/out system with parents' full signatures. Sign in/out documentation is placed in front of each classroom door. Office has license and all other required documents posted. Program follows elementary school's emergency disaster schedule. Last emergency disaster drill conducted was 03/02/2022. Emergency drills are properly documented and maintained.

LPA reviewed 10 children's files, all 8 teachers files (whom were present during inspection) and director's file. Children's and staff files were complete. Required immunizations were made available for review. Director's CPR and First Aid certificate is current and will expire 01/2024.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care 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.

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.

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SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: FOSTER CITY PRE-SCHOOL AND DAY CARE CENTER	FACILITY NUMBER: 414004458
	VISIT DATE: 03/11/2022

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Director is aware that all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completed certificate on file. LPA encourages 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/inspection-process.

LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

No deficiencies were issued under CCR, Title 22, Division 12.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with director, Bettie Tillman.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2022

LIC809 (FAS) - (06/04)

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