414004599-10-11-2023-05-CC-JTSE-CWHPP2-20231011112849

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004599
Report Date: 10/11/2023
Date Signed: 10/11/2023 11:29:04 AM

Document Has Been Signed on 10/11/2023 11:29 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	ODYSSEY PRESCHOOL		FACILITY NUMBER:	414004599
ADMINISTRATOR:	JIANG, DAN		FACILITY TYPE:	850
ADDRESS:	590 MYRTLE STREET		TELEPHONE:	(650) 727-2306
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94062
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 22	CENSUS: 19	DATE:	10/11/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:38 AM
MET WITH:	Director, Dan Jiang		TIME COMPLETED:	11:45 AM

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 October 11, 2023, at approximated 8:38AM, Licensing Program Analysts (LPAs) Jonathan Tse and Maria Olguin-Leon conducted an unannounced annual visit at Odyssey Preschool. LPAs were granted entry to the facility by Director, Dan Jiang, and explained the purpose of the visit. Present during the visit were the Director and two staff members supervising 19 preschool age children. The facility is in compliance with teacher-child ratio requirements. The facility operates in CDC1. Facility operates from 8:15am to 5:00pm. LPAs and Director inspected the facility for any health and safety hazards. LPAs observed all required postings to be posted and clearly visible in the entryway of the facility. Children are signed in and out via the Brightwheel phone application. LPAs observed a fully charged 2A10BC fire extinguisher to be present in the facility. The Director demonstrated the smoke and carbon monoxide detectors to be functional during the visit. The classroom was observed to be in clean and orderly condition, with age appropriate toys and learning materials throughout. LPAs observed hand soap stored in cabinets that do not have functioning locks. Director removed the soap from the cabinets. LPAs recommended the use of child proof locks or latches until cabinet locks are repaired. Director agreed. LPAs observed two functioning toilets and two functioning sinks in the bathroom. The outdoor play area is exclusively for use by Odyssey Preschool. LPAs observed the padding under the play structure with a slide in the outdoor play area. There is a pipe that is fenced off and kept off-limits to children. LPAs observed a sandbox located directly outside the outdoor play area that was covered and free of debris and animal waste. LPAs reviewed three staff files and five children's files. Children's files were found to be complete. Staff have complete immunization records. Staff members have expired First Aid/CPR certificates, the most recent of which expired in August 2023. LPAs discussed the importance of maintaining current First Aid/CPR certification with Director. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

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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Document Has Been Signed on 10/11/2023 11:29 AM - It Cannot Be Edited

Created By: Jonathan Tse On 10/11/2023 at 10:52 AM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL	FACILITY NUMBER: 414004599
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/11/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the director did not comply with the section cited above which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/18/2023
	Plan of Correction
1 2 3 4	Facility conducted lead water testing on 6/22/2023. Facility did not have a lead level exceedance.

Type B

Section Cited

CCR

101216(f)

Personnel Requirements

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the director did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/10/2023
	Plan of Correction
1 2 3 4	Director has stated that they will inform their supervisor to arrange an appointment for First Aid/CPR training. Director will submit proof of the training appointment and then the First Aid/CPR certificates once training is completed.

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:

Ali Zebila

LICENSING EVALUATOR NAME:

Jonathan Tse

LICENSING EVALUATOR SIGNATURE:

DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL	FACILITY NUMBER: 414004599
	VISIT DATE: 10/11/2023

NARRATIVE

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Children bring their own food from home. Children bring their own water bottles and refill them at the facility using the water fountain. LPAs observed children's backpacks and water bottles to be labeled. Staff communicate with each other via cell phone. There is a school cellphone present within the classroom.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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.

Director was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPAs verified that the lead testing was completed on June 22, 2023. Facility did not have a lead level exceedance, but did not test before January 1, 2023 in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

LPAs referred Director to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Continued on Page Three

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL	FACILITY NUMBER: 414004599
	VISIT DATE: 10/11/2023

NARRATIVE

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LPAs 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-andresources/safe-sleep as an additional resource. LPAs 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care
Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Two Type-B deficiencies were cited today related to expired First Aid/CPR certificates and late lead testing. See LIC809-D. Appeal rights were provided to Director.

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

Exit interview conducted and report was reviewed with Director, Dan Jiang.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2023

LIC809 (FAS) - (06/04)

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