434400381-9-1-2022-52-CC-RHAR-CHUS2W-20220901133015

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434400381
Report Date: 09/01/2022
Date Signed: 09/01/2022 01:30:21 PM

Document Has Been Signed on 09/01/2022 01:30 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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	ELLEN THACHER CHILDREN'S CENTER		FACILITY NUMBER:	434400381
ADMINISTRATOR:	KIM NAVE		FACILITY TYPE:	850
ADDRESS:	505 EAST CHARLESTON ROAD		TELEPHONE:	(650) 494-1467
CITY:	PALO ALTO	STATE: CA	ZIP CODE:	94306
CAPACITY:	28	CENSUS: 16	DATE:	09/01/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Kim Nave		TIME COMPLETED:	01:30 PM

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On September 1, 2022 at approximately 8:30am, Licensing Program Analyst (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 Kim Nave, 7 teaching staff and 23 children in care (preschoolers). The facility is in ratio today.

The facility operates on property of the Unitarian Universalist Church in a single building containing two classrooms and is located on the Charleston Road side of the property. There are two enclosed playground areas with ample shade. Both areas contain large sandbox areas and permanent play structures. Storage sheds are present but do not contain anything hazardous to children. The playground area 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. Water is available for children inside the classrooms and in the playground area. Children are supervised at all times when playing outside. Heating and ventilation in the facility is acceptable.

Off limits to children is the small storage area next to the kitchenette. Off limits areas inaccessible by child supervision. Sharp objects (knives, scissors) are kept in upper cupboards of the kitchenette and out of reach from the children. All disinfectants and cleaning solutions are stored out of the reach of children.

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 are no bodies of water accessible to children in care. The facility provides snacks and catered lunch for the children.

Milk for the children was 2%, however, for children over 2 years of age, only 1% or non-fat may be served. LPA found some expired dry good snack food for the children (including the emergency food box). A Technical Violation (not a deficiency) was issued.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ELLEN THACHER CHILDREN'S CENTER	FACILITY NUMBER: 434400381
	VISIT DATE: 09/01/2022

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The facility has two fully charged 3A40BC fire extinguishers, last serviced 8/29/2022. Combined carbon monoxide and smoke detectors were available in each classroom, tested and functioning. Fire drills are conducted at least once every month, the last drill was conducted 8/24/2022. First aid kits and supplies are available and kept in red back packs in the storage closet and in the emergency boxes outside.

Throughout the facility there are trash cans with tight fitting covers for the disposal of solid waste. All required posters are present, License; Parents Rights; Personal Rights; Emergency Disaster Plan; Seatbelt Laws poster. Children’s bathroom has enough towels and soap supplies. The staff have separate adult bathrooms. There are sleeping cots with the crib sheets for napping children. The sheets are laundered once each week.

Staff files were reviewed, all records were complete and in good order. Staff are all up to date with CPR/1^st Aid certificates (at least one staff opener/closer and through the day has CPR training). All had non-expired Mandated Reporter certificates.

Children's records were reviewed: LPA requested and reviewed facility roster, a photo copy was made for the office file. One child requires the use of an EpiPen, parent authorization form was in the file, medication was stored safely and was unexpired. One newly admitted child did not have a Physician’s Report in their file; however, it is still within the 30 day requirement for parents to provide it. Overall, all children’s files were complete and in good order.

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 Child Care Centers Sections 101173 and 101226.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

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

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, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: ELLEN THACHER CHILDREN'S CENTER	FACILITY NUMBER: 434400381
	VISIT DATE: 09/01/2022

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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.

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.

There were no deficiencies issued today. This report will remain on file for 3 years.

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 Kim Nave.

SUPERVISOR'S NAME: Chandra Charles	TELEPHONE: (510) 286-0966
LICENSING EVALUATOR NAME: Russell Haderer	TELEPHONE: (510) 622-2602
LICENSING EVALUATOR SIGNATURE:	DATE: 09/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/01/2022

LIC809 (FAS) - (06/04)

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