414004491-12-1-2021-05-CC-MROZ-C9ASPU-20211201130342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004491
Report Date: 12/01/2021
Date Signed: 12/01/2021 01:03:52 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:	EARLY BIRD PRESCHOOL LEARNING CENTER		FACILITY NUMBER:	414004491
ADMINISTRATOR:	CASEY, GOLCHIN M.		FACILITY TYPE:	850
ADDRESS:	120 LINDBERGH STREET		TELEPHONE:	(650) 344-8295
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY:	34	CENSUS: 26	DATE:	12/01/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Ashley Vendel		TIME COMPLETED:	01:30 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	Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced annual inspection. LPA met with Co-Director Ashley Vendel and explained purpose of inspection. Present at the school were the Co-Director, six teachers, and 26 preschool age children. School is operating within capacity requirements and in compliance with child to staff ratio. Hours of operation are Monday to Friday from 8am to 5:00pm. LPA inspected school with Co-Director. There are no bodies of water, firearms, or weapons on the premises. The school is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good condition. Classrooms are separated by age group. Toddler room has age group of 2-3 year olds. Main room is separated by a large divider and holds 3-4 year olds on the left side and 4-5 year olds on the right side. Each classroom has age appropriate toys and equipment. Napping equipment is in good condition and properly stored when not in use. Bathroom in Toddler room has one toilet and one sink. Bathroom next to main room has two toilets and one sink. Bathrooms appear to be clean, in good repair, and free of any hazards. There is an extra sink available for children's use. Each classroom has a schedule as to when to use the bathroom. There is a separate bathroom for staff usage on the premises. All required postings are properly posted in front of the office. Children bring their own reusable water bottles and staff refill them throughout the day. School provides lunch and snacks. Menu is posted. Kitchen area is clean and free of any toxins or contamination. All storage containers for solid waste have a proper lid. All cleaning products and toxins are inaccessible to children. LPA reviewed children and staff records. Ten children records reviewed were complete. All children have a record of emergency identification information on file. Six staff records reviewed were complete. All staff have a criminal record clearance on file. Pediatric First Aid/CPR certificates for Directors and staff have expired. Due to the COVID-19 pandemic, facility has had a hard time finding an in-person class for all staff to take together and is working with R&R's to schedule the class. Co-Director will provide copy of renewed pediatric first aid/CPR certificates when completed. (Continued on second page)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

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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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: EARLY BIRD PRESCHOOL LEARNING CENTER	FACILITY NUMBER: 414004491
	VISIT DATE: 12/01/2021

NARRATIVE

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(Continued from first page)

Last emergency drill was conducted in September 2021. Emergency drills are conducted every three months and are properly logged. The school has a complete record electronically of sign-in/out sheets by authorized pickup person. There is a functional fire alarm system, a working fire and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone is available on-site.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

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, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (US DOJ) 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.

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.

Facility representative 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.

(Continued on third page)

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: EARLY BIRD PRESCHOOL LEARNING CENTER	FACILITY NUMBER: 414004491
	VISIT DATE: 12/01/2021

NARRATIVE

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(Continued from second page)

LPA discussed the safe sleep regulations with facility representative 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 Licensee [facility representative] 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.

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

Exit interview conducted and report was reviewed with facility representative Ashley Vendel.

SUPERVISOR'S NAME: Alma Malig	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2021

LIC809 (FAS) - (06/04)

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