430702323-9-12-2019-52-CC-ZHAM-BFXVVP-20190912164640

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 430702323
Report Date: 09/12/2019
Date Signed: 09/12/2019 04:46:50 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:	NEIGHBORHOOD INFANT-TODDLER CENTER		FACILITY NUMBER:	430702323
ADMINISTRATOR:	KIMBERLY WARFIELD		FACILITY TYPE:	830
ADDRESS:	311 NORTH CALIFORNIA AVENUE		TELEPHONE:	(650) 321-3493
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94301
CAPACITY:	12	CENSUS:	DATE:	09/12/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	03:15 PM
MET WITH:	Sarah Henderson		TIME COMPLETED:	05:15 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	Licensing Program Analysts (LPA) Zaid Hakim conducted an Unannounced Annual / Random Inspection at the facility today. Upon arrival, LPA observed eleven (11) infants and at least four (4) staff engaging in daily activities and met with Ms. Sarah Henderson, Asst. Director / Facility Representative. LPA toured the facility inside and out and observed required postings including but not limited to; the License to Operate, Emergency disaster plan (LIC 610) and Notification of Parents Rights (PUB 393). Days and hours of operation are Monday through Friday 7:00am to 6:00pm. The facility is licensed to serve a maximum of 12 infants ages zero (0) to twenty two (2) years old During the inspection, LPA observed the facility to be in compliance with staff supervision and ratio requirements and that all infants were attended to. The facility maintains an approved waiver to allow staff to prepare bottles for infants with formula provided by families. The Director understands the conditions of this waiver and understands waivers are granted at the discretion of the licensing agency. The purpose of the inspection was to also provide the Director with an updated LIC 809-D from the inspection conducted on 08/20/19. Based on today's inspection and review of prior information the Type B Deficiency issued on 08/20/19 under section 101175(b)(2) has been rescinded and an updated 809-D report has been provided to the Director. During this inspection, LPA also cleared the Type B Deficiency issued on 08/20/19 under section 101223(a)(2). LPA observed that the Director submitted the required Plan of Correction by the due date. This Deficiency has been cleared the Deficiency Clearance Letter was provided to the Director at the time of the inspection. LPA observed that the facility is operating within the terms of the license and is in compliance with the approved fire clearance capacity. The facility was toured inside and out was observed to be clean, safe, sanitary, and in good repair. Disinfectants, cleaning solutions, and all other items that are dangerous to infants were observed to be securely stored and inaccessible. Furniture and equipment was observed to be safe, in good condition, and free of sharp, loose, or pointed parts. The facility has age appropriate furniture and equipment, including infant cribs, cots, and changing tables within arms reach of a sink. Classroom furniture and equipment for infants were observed to be clean and operable. Infant cots and cribs were observed to be in good condition and cribs were observed without any extra items in them and covered with tight fitting linens. LPA also confirmed that cots are stored without linens touching and reminded the Director that during nap time cots should be arranged in the classroom allowing at least enough space for a walkway. REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #2 - REPORT DATED 09/12/2019):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

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: NEIGHBORHOOD INFANT-TODDLER CENTER	FACILITY NUMBER: 430702323
	VISIT DATE: 09/12/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #4 - REPORT DATED 09/12/2019):

The Director has been referred to the department website for Licensing resource and updates: http://www.cdss.ca.gov/inforesources/Child-Care-Licensing

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 Evaluator Manual - Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. 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

A Notice of Site Visit has been issued and must remain posted for 30 consecutive days.

No Deficiencies have been cited during today's inspection.
Exit interview conducted with Ms. Sarah Henderson , Asst. Director / Facility Representative.

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

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: NEIGHBORHOOD INFANT-TODDLER CENTER	FACILITY NUMBER: 430702323
	VISIT DATE: 09/12/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #1 - REPORT DATED 09/12/2019):

Bottles brought from home were observed to be properly stored at the appropriate temperature. LPA observed bottles for infants brought from home are labeled with the infant's name and dated on a daily basis. The Director stated infant bottles are brought to the facility ready to consume and are sent home and disinfected at home. Staff also prepare bottles at the facility with formula provided by families per the approved waiver maintained by the facility. Storage containers for waste have tight fitting covers, changing tables are within arms length of a sink, and floors and carpeting are clean and free from obstructions. The Director understands that changing tables or any equipment used shall be disinfected in between diaper changes (should it be needed). Food storage areas in the classrooms were clean. Changing tables were clean and in good condition. The Director understands that when infants are sleeping in a crib or infant cot, there shall be at least one staff on that side of the partition wall separating the crib area of the classroom. Based on the classroom layout, teachers are to be in direct proximity of the crib area as there is not sufficient space in the napping for a teacher to safely be stationed in that area. LPA and the Director discussed safe sleep best practices in detail and LPA shared additional information on safe sleep environments. No baby walkers or bouncers were observed during the inspection. The outdoor area is surrounded by secured fencing and the outdoor surfaces are safe and age appropriate for infants. LPA observed that an written sign in/out sheet is used in each classroom that is updated throughout the day and signed by parents / authorized representatives with full signatures. The facility maintains an updated roster of infants enrolled.

No weapons are stored on site and no bodies of water are on the premises. LPA observed fire extinguishers, smoke detectors, carbon monoxide detectors, a central alarm system, and complete first aid kits throughout the facility. Emergency disaster drills are performed as required, last of which was done in 08/2019. The last fire safety inspection conducted by the local fire authority was in 04/2019 in which detectors, alarm systems, and fire extinguishers were serviced. LPA reminded the Director that all fire safety items and equipment should be maintained at least every 12 months. LPA reviewed a random sample of infant's records and observed that there is a separate, complete, and current record for each infant enrolled in the center. LPA observed that each infant record reviewed included but not limited to; immunization records, needs and services plans, individual feeding plans, and emergency contact information. LPA observed that infant needs and service plans are updated at least quarterly as required.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #3 - REPORT DATED 09/12/2019):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: NEIGHBORHOOD INFANT-TODDLER CENTER	FACILITY NUMBER: 430702323
	VISIT DATE: 09/12/2019

NARRATIVE

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CONTINUATION OF PREVIOUS PAGE (PAGE #2 - REPORT DATED 09/12/2019):

A random sample of administration and staff records were reviewed and all teachers and staff maintain valid background clearances. LPA reviewed a random sample of teacher files and observed that all teachers that provide care for infants have health screening forms and at least two staff on site maintains valid CPR / First Aid Certification which expires in 02/2021 and 06/2021. LPA observed that infant teachers meet the educational post secondary unit requirements, in the specified subject areas relating to infants. The facility does not provide transportation. LPA and the Director discussed emergency disaster drills and preparedness, children's personal rights including no corporal punishment, forms of discipline, AB 633, healthy beverages in child care, safe sleep, and recent updates to the child seat belt law.

A review of staff records today indicate that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. LPA also discussed and reviewed immunization including Measles, Pertussis, and Influenza. LPA also reminded Licensee of the applicable civil penalties for those adults who have not received fingerprint clearances, are not associated to the license and who come in contact with or provide care and supervision to the children. Penalty amounts: $100.00 per person per day, minimum of $100.00 to a maximum of $500.00 per person for an initial violation and a minimum of $100.00 to a maximum of $3000.00 per person for any subsequent violation within a 12 month period.

LPA reminded the Director of the immunization requirement regarding Senate Bill 792 (pertussis, measles, and flu vaccines) for ALL STAFF THAT WORK DIRECTLY WITH CHILDREN and the required "Mandated Reporter" training that all staff will be required to complete starting January 1, 2018 per AB 1207. LPA ensured all stall files reviewed maintained training certificates and LPA and the Director also discussed applicable updates to this training regarding length and material and the renewal period of every 2 years. LPA provided additional written information on Mandated Reporter Training, Active Shooter Information, Effects of Lead in Water, and Safe Sleep for Infants.

REPORT CONTINUED ON THE FOLLOWING PAGE (PAGE #4 - REPORT DATED 09/12/2019):

SUPERVISOR'S NAME: Anthony Studebaker	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR NAME: Zaid Hakim	TELEPHONE: (408) 497-9236
LICENSING EVALUATOR SIGNATURE:	DATE: 09/12/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2019

LIC809 (FAS) - (06/04)

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