414004532-10-27-2022-05-CC-LGOZ-CKLRMC-20221027130832

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004532
Report Date: 10/27/2022
Date Signed: 10/27/2022 01:09:18 PM

Document Has Been Signed on 10/27/2022 01:09 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:	SAFARI KID SAN MATEO		FACILITY NUMBER:	414004532
ADMINISTRATOR:	WEINHAUER, RESHMI		FACILITY TYPE:	850
ADDRESS:	521 E 5TH AVENUE		TELEPHONE:	(650) 235-9198
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	72	CENSUS: 35	DATE:	10/27/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Suzanna Mendoza, Reshmi Weinhauer		TIME COMPLETED:	01:15 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 10/27/2022 at 8:50AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Lead Teacher, Suzanna Mendoza. Purpose of the inspection was explained and was for an unannounced; Annual/ Random inspection. Director, Reshmi Weinhauer arrived during inspection. This is a preschool program with toddler option on-site. Present was the Director and 10 staff supervising 35 children. Staff have criminal record clearances on file. Children present were signed in by authorized representative. Preschool program utilizes three classrooms: Toddler Room, 1.5 -3 year old; Preschool #1, 3- 4 year old; Preschool Classroom #2; 4- 5 year old; and one, shared, Outdoor Play Area. Day and hours of operation are Monday- Friday, 8:00AM- 5:15PM. LPA inspected facility, indoors and outdoors, for health and safety hazards. At 9:05AM., LPA observed the following: Facility was clean, orderly, with age-appropriate playthings available for the children. Floors and ground surfaces were free of obstructions. Accessible furniture, puzzles and materials inspected were in proper repair. Each classroom is equipped with labeled hangers for storage of children’s belongings. Each classroom was equipped with child sized tables and chairs for snack and seated activities. Children’s bathrooms, located in hallway, had supplies for children’s hand washing. Fixtures tested were operating condition. Toddler bathroom is located separately and maintain clean. For napping services, foldable mats and cots are stored inside each classroom. Per director, napping supplies are washed weekly by families. Facility was the proper temperature, with ventilation and lighting. Detergents; cleaning supplies/ compounds; and toxins are stored in the off-limit areas. Electrical outlets, heater vents, and trash bin are covered. Classrooms had functioning Smoke / Carbon Monoxide Combination Detector (Built-in); and three (fully charged) fire extinguishers; 2A:10BC. Facility’s first aid kit was reviewed. Facility’s food, and snack preparation area was reviewed. Food items inspected were current and properly stored. At 9:45AM., LPA inspected facility’s outdoor play area. Outdoor area is completely enclosed with tall fencing. Area was free of debris or hazardous plants. Play structures are anchor and rubber padding has been added for increased safety. Per director, water services are provided with use of refillable water bottles and pitchers, brought outside by staff. LPA reminded facility to ensure all children water bottles are labeled with the corresponding child’s name. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

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: SAFARI KID SAN MATEO	FACILITY NUMBER: 414004532
	VISIT DATE: 10/27/2022

NARRATIVE

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At 10:30AM, LPA reviewed the facility records including five children’s files and eight personnel files. Staff files reviewed included the: Notice of Employee Rights (LIC9052); Criminal Record Statement (LIC508); Proof of Teacher Qualification; and updated ‘Mandated Reporter Training’ Certification (AB1207).

LPA reminded director to ensure all staff proof of required immunization and TB result/ risk assessments are stored in personnel files. Advisory Note: Technical Assistance (LIC9102TA) was issued during inspection.

Children’s files were reviewed and included: Consent for Medical Treatment (LIC627); Identification of Emergency Information (LIC700); Health History (LIC702); and Notification of Parent’s Rights (LIC995); and Physician’s Report (LIC701).

Facility is documenting each 15- minute napping checks for all qualifying infants in care.

Staff’s Cardiopulmonary Resuscitation / First Aid certification was current, expiring: 9/1/2024. Emergency disaster drills are conducted by the facility, with last drill conducted, 7/23/2022, properly logged.

Required forms and posted in facility, including facility’s Childcare License; Child Passenger Safety Laws; Notification of Parent’s Rights (PUB394); Updated Snack Menu; and Emergency Disaster Plan (LIC610).

LPA reminded licensee to posted outdoor space waiver is posted.
Children’s medication was reviewed, and incidental medical services (IMS) were discussed.
(REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

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: SAFARI KID SAN MATEO	FACILITY NUMBER: 414004532
	VISIT DATE: 10/27/2022

NARRATIVE

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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 Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated.

For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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

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 tool, please send them 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/inforesource/community-care-licensing/inspection-process.

Based on today's inspection, no deficiencies were observed in the areas evaluated according the Title 22 Division 12 Ca. Code of Regulations. Exit interview and report was reviewed with Director, Reshmi Weinhauer and signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice of site visit was provided and must remain posted for 30 days. Any additional questions facility was advised to call Regional Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/27/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/27/2022

LIC809 (FAS) - (06/04)

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