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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004466
Report Date: 08/13/2021
Date Signed: 08/13/2021 01:15:24 PM

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:MENLO PARK CITY SCHOOL DISTRICT EARLY LEARNINGFACILITY NUMBER:
414004466
ADMINISTRATOR:MIHALY, JESSICAFACILITY TYPE:
850
ADDRESS:95 EDGE ROADTELEPHONE:
(650) 463-1236
CITY:ATHERTONSTATE: CAZIP CODE:
94027
CAPACITY:72CENSUS: 0DATE:
08/13/2021
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jessica MihalyTIME COMPLETED:
01:30 PM
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Licensing Program Analyst, LPA Yee conducted an annual inspection today. LPA met with the site director, Jessica Mihaly. The facility is located at the Laurel Elementary School campus.
Daycare classrooms: G2, G4, G5. Days and Hours of operation: M-F, 7:30a-5:30p. Currently, the school is on summer break and will resume operation on August 20th. LPA reviewed the personnel report with Jessica and it's current. There are 7 staff available to serves 72 children. Cubbies are available to store children's personal belongings. The classrooms are set up the next week. Children's mats are adequately stored. There are a total of 6 toilets and 8 sinks available for children's use. A separate bathroom for staff is available. Isolation areas for a sick child is in the director's office and will call a parent for pick up. Each classroom is equipped with first aid supplies. All cleaning supplies and harmful items are stored out of reach children. Drinking water for indoor and outdoor are readily available. Due to COVID, children are bringing their snacks and lunches to school. Site director has a current CPR, 1st aid until 7/2022. During the visit, all staff members are renewing their CPR, 1st aid on site. Currently, the school is using Meadow Play yard, River Play yard, G4 patio, G5 patio, Prairie Play yard. The facility personnel summary report was reviewed and correct. The facility personnel summary was updated during the inspection.

Website: ccld.ca.gov. Title 22, Div 12, Chp1.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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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