430701197-9-27-2021-52-CC-RHAR-C7A2BU-20210927171542

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430701197
Report Date: 09/27/2021
Date Signed: 09/27/2021 05:15:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	COLLEGE TERRACE CHILDREN'S CENTER		FACILITY NUMBER:	430701197
ADMINISTRATOR:	MAGUIRE, BECKY		FACILITY TYPE:	850
ADDRESS:	2300 WELLESLEY STREET		TELEPHONE:	(650) 858-1580
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94306
CAPACITY:	35	CENSUS: 15	DATE:	09/27/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	01:02 PM
MET WITH:	Michelle Rhone		TIME COMPLETED:	05:31 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 September 27, 2021 at approximately 1:02pm, LPA Haderer arrived unannounced for an annual inspection for compliance to Health and Safety. The new CARE tool was used for the inspection. Present for the inspection was the site director Michelle Rhone, five staff members and 15 children in care (24 months to TK). The center currently operates on a full day program from 7:30AM to 6:00PM. The child care center operates in one large room (Big Room) and a smaller one (Little Room). The children use a private playground area, all is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Shade was available under building eaves and a large shade sail and trees in the play areas. Access to drinking water is available and teachers are always present. The facility has 2 fully charged 3A40BC fire extinguishers, one in the main classroom near the exit door, the other in in the kitchen area by the entrance door. The last annual inspection was done 12/3/2020. The smoke alarms and carbon monoxide detectors are built into the fire system and tested by the local fire department. Heating and ventilation was acceptable. . The facility is clean and well organized with ample age appropriate furnishings and equipment. Surfaces including floors and counter tops are clean and toxic free. There were no hazardous items/toxins observed to be accessible to children in care today. There are no bodies of water accessible to children in care. Disaster drills are conducted every month, the last drill was conducted September 10, 2021 The sign in/out sheets were reviewed and are accurate. Classrooms have trash cans with tight fitting cover for the disposal of solid waste. At this time, the facility does not have any children that require any incidental medication (EpiPen’s, inhalers and anti-histamines for allergies).

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: COLLEGE TERRACE CHILDREN'S CENTER	FACILITY NUMBER: 430701197
	VISIT DATE: 09/27/2021

NARRATIVE

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There is one children’s bathroom with three toilets and two handwashing sinks (one of the handwashing sinks has two hot and cold taps). For changing children that need fresh diapers, staff changes them in the bathroom within an arm’s length of the sink. All sinks have functioning water taps with appropriate hand washing signs. There are enough towels and soap supplies. The staff have two separate adult bathrooms outside of the children’s area. All toilets, handwashing and cleaning areas are in safe and sanitary operating condition.

Children's records were reviewed at 3:20pm: LPA requested and reviewed facility roster. All files selected were complete and up to date.

Staff files were reviewed at 2:50pm. Opening and closing staff have current CPR and first aid training. All staff subjected to criminal review have been cleared and associated to the facility. All files were complete, up to date and found to be in compliance with Title 22 regulations. Immunization records available for Tdap, MMR and flu shot (or signed declination).

All documents required to be posted were appropriately posted on the walls: License; Emergency Disaster Plan; Earthquake Preparedness checklist; Notification of Parents Rights; Personal rights; Child seatbelt laws; menus; daily activity schedules.

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, 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)/ (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

Site 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 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.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: COLLEGE TERRACE CHILDREN'S CENTER	FACILITY NUMBER: 430701197
	VISIT DATE: 09/27/2021

NARRATIVE

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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/inspection-process.

No deficiencies were cited today. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Site Director Michelle Rhone.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2021

LIC809 (FAS) - (06/04)

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