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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 210103471
Report Date: 04/23/2024
Date Signed: 04/23/2024 11:28:39 AM

Document Has Been Signed on 04/23/2024 11:28 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:MILL VALLEY COOPERATIVE NURSERY SCHOOLFACILITY NUMBER:
210103471
ADMINISTRATOR/
DIRECTOR:		MIRANDA WEBSTERFACILITY TYPE:
850
ADDRESS:51 SHELL ROADTELEPHONE:
(415) 388-9174
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 24TOTAL ENROLLED CHILDREN: 14CENSUS: 12DATE:
04/23/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Director, Miranda WebsterTIME VISIT/
INSPECTION COMPLETED:
11:45 AM
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On 4/23/2024, at approximately 9:15AM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Director Miranda Webster (D1). LPA explained the purpose of the visit. Present during the visit was D1, one teacher, two parents, and 12 preschool age children. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 9:00AM to 2:00PM.

LPA inspected the facility for any health or safety hazards. LPA observed the facility to be in clean and orderly condition. There are two fully charged 3A40BC fire extinguishers present in the facility. There is a carbon monoxide detector present that was demonstrated to be operational. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. Electrical outlets are covered or obstructed by furniture when not in use.

LPA observed age-appropriate toys and learning materials to be present in the facility. There are three rooms used for indoor activities: Middle Room, Art Room, and Green Room. Kitchen cabinets in the Middle Room are secured with childproof locks. Per D1, the Green Room is used as an isolation area in case a child is sick and needs to be picked up. There are cubbies for each child that are labeled with their names. Furniture is age-appropriate and free of rough or sharp edges. There is a first aid kit that is fully equipped, including band-aids, gauze, scissors, and tweezers. Off-limits areas are secured by childproof locks. LPA observed two toilets for children to be operational. Hand washing sinks are available for children to use. Per D1, children bring lunch and snacks from home. The facility has snacks available for children if needed. Children bring water bottles from home that are refilled from a non-contaminating fixture.



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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/23/2024
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: MILL VALLEY COOPERATIVE NURSERY SCHOOL
FACILITY NUMBER: 210103471
VISIT DATE: 04/23/2024
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LPA observed the outdoor play areas (Front Yard and Backyard) to be free of debris and other loose articles. The facility has resilient padding in the form of wood chips. LPA observed a wooden play structure to be present in the Front Yard. The play structure is secured by railings and netting. There are age-appropriate toys and equipment available. There is a chicken coop in the Front Yard that contains three chickens. Per D1, the chickens are allowed to roam the yards. Children are allowed to pet chickens and feed them during care. There is shade available through umbrellas, trees, and covered areas of the yards. The outdoor play areas are secured by a fence that is at least four feet high. LPA observed the fence to be in good repair and free of loose nails or other sharp objects. There is no pool or other body of water present in the facility.

LPA reviewed two staff files, two parent files, six children’s files, and facility records. LPA observed all staff employed by the facility to have current First Aid/CPR training and current Mandated Reporter Training. All staff present are fully qualified teachers and have their qualifications and immunizations available for review. Parent files contain immunization records and TB clearances. LPA observed all children’s files to be complete. LPA observed all required postings to be posted and accessible for review upon entry to the main building of the facility. LPA advised that lead testing results should be posted. D1 stated that they understood. The facility last conducted an emergency drill on 2/26/2024. Emergency drills are properly logged and documented. There is a sign-in/out sheet that is available for review. The facility tested its fixtures for lead on 12/16/2022, before the deadline of 1/1/2023, and did not have any exceedances of lead.

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.

Facility representative 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.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
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: MILL VALLEY COOPERATIVE NURSERY SCHOOL
FACILITY NUMBER: 210103471
VISIT DATE: 04/23/2024
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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.

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/.

Facility representative 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.

No deficiencies were cited during today’s visit on 4/23/2024.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Miranda Webster.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2024
LIC809 (FAS) - (06/04)
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