414004599-3-7-2025-05-CC-MOLN-DC4R4B-20241219114117

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004599
Report Date: 12/19/2024
Date Signed: 03/07/2025 03:28:18 PM

Document Has Been Signed on 03/07/2025 03:28 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	ODYSSEY PRESCHOOL		FACILITY NUMBER:	414004599
ADMINISTRATOR/ DIRECTOR:	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: 24	CENSUS: 16	DATE:	12/19/2024
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:56 AM
MET WITH:	Dan Jiang		TIME VISIT/ INSPECTION COMPLETED:	12:10 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	*THIS IS AN AMENDMENT OF ORIGINAL REPORT DATED 12/19/2024.* On December 19, 2024, at approximately 8:55 am Licensing Program Analyst (LPA) Maria Olguin-Leon met with Director Dan Jiang for an unannounced annual inspection. Purpose of visit was explained. Present today was Director, 2 staff and 16 preschool children. At approx. 9:05 pm, LPA observed S1 with no criminal background clearance, a violation was cited today for this deficiency. Preschool operating hours are from Monday to Friday 8:15am – 5:00pm. LPA and Director toured the facility for health and safety hazards. Facility operates in portable CDC1 on the school grounds of Orion Elementary School. Classroom is clean with proper temperature and ventilation. There are plenty of age-appropriate toys, furnishings, books, learning materials and sleeping cots, all in good repair. Storage Cubbies are available for children to store personal items and belongings and storage hooks are also available outside classroom. There is one restroom located inside classroom with two toilets and two sinks. LPA observed one toilet not to be flushing properly. Per Director, a service request has been submitted to school for repair. Facility has a separate restroom for staff usage inside classroom. There is also a separate sink in classroom. All cleaning products, chemicals and toxins are stored behind locked cabinets or inaccessible to children. Facility has plenty of sleeping cots available for children to nap. Parents provide sheets/blankets which are sent home weekly for washing. Outdoor playground is equipped with slide/climbing play structure, playhouse, and ride on toys and other age-appropriate toys which are in good condition. LPA observed a sandbox located directly outside enclosed playground, which was properly covered. Per Director, sunshade was knocked down during recent winds and work order has been placed to repair. Outdoor flooring in enclosed playground is rubber to cushion falls. Outside play area flooring is blacktop. Playground area is completely fenced and gated with a 5 ft fence. LPA did not observe any pools, spas, or other bodies of water. Per Director, there are no weapons or firearms on the premises. Cont. Page 2...

SUPERVISORS NAME: Carol Marcroft
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL	FACILITY NUMBER: 414004599
	VISIT DATE: 12/19/2024

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Children bring their own lunches and snacks from home and stored in cubbies. Per Director, children also have the option to order lunch from an outside vendor, parents sign up in advance for lunch orders. LPA reminded Director to post menus at least two weeks in advance. LPA observed children’s labeled water bottles to use indoors or outdoors. Facility refills water bottles with classroom sink; per Director faucet is equipped with a water filter. First aid kit is fully stocked with medical supplies. Incidental Medical Services were discussed, and medication reviewed. Sick children are isolated outside classroom with a teacher and away from other children.

Parents sign children in and out by scanning QR code via Brightwheel app. Parents use individual PIN #’s. LPA reviewed sign in/out. A fully charged fire extinguisher is located at entrance of classroom. Classroom has a working carbon monoxide detector and working smoke detector. Facility uses cell phones to communicate with parents and staff.

LPA reviewed 5 children’s records and 2 staff records. The facility has all necessary paperwork posted, Facility License, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan. Last emergency drill was conducted on October 25, 2024, and is properly documented.

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 PIN 22-02-CCP. 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/.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL	FACILITY NUMBER: 414004599
	VISIT DATE: 12/19/2024

NARRATIVE

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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).

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL	FACILITY NUMBER: 414004599
	VISIT DATE: 12/19/2024

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***THIS IS AN AMENDMENT OF ORIGINAL REPORT DATED 12/19/2024.***

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

See page 809D for violation issued today. 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: Carol Marcroft
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:	DATE: 12/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/07/2025 03:36 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 03/07/2025 03:32 PM

Created By: Cindy Interiano On 12/19/2024 at 10:54 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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ODYSSEY PRESCHOOL	FACILITY NUMBER: 414004599
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/19/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Request Denied

Type A

Section Cited

HSC

1596.871(c)(1)(A)

Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision (f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	*THIS IS AN AMENDMENT OF ORIGINAL REPORT DATED 12/19/24* *Deficiency has been modified from a TYPE A violation to a TYPE B violation.* Based on observation and record review the licensee did not comply with the section cited above in LPA observed S1 was present in the facility and has not completed their criminal background clearance, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/20/2024
	Plan of Correction
1 2 3 4	During inspection S1 was sent to complete fingerprint clearance and removed from the facility. S1 cannot return until clearance is granted.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

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:

Carol Marcroft

LICENSING EVALUATOR NAME:

Cindy Interiano

LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024

LIC809 (FAS) - (06/04)

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