210107755-3-21-2024-05-CC-HLEG-D3L23N-20240321170237

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 210107755
Report Date: 03/21/2024
Date Signed: 03/21/2024 05:02:45 PM

Document Has Been Signed on 03/21/2024 05:02 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	PARKSIDE PRESCHOOL		FACILITY NUMBER:	210107755
ADMINISTRATOR:	JONES, DAWN		FACILITY TYPE:	850
ADDRESS:	1000 SIR FRANCIS DRAKE BLVD		TELEPHONE:	(415) 991-9145
CITY:	SAN ANSELMO	STATE: CA	ZIP CODE:	94960
CAPACITY: 45	TOTAL ENROLLED CHILDREN: 45	CENSUS: 11	DATE:	03/21/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	02:37 PM
MET WITH:	Colleen Kyne		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	On 3/21/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced required visit to the Child Care Center (CCC) listed above. During the visit, LPA met the facility representative, Colleen Kyne, and explained the purpose of the visit. Present in the CCC during the visit: eleven preschool-aged children and three staff members. The facility representative and one staff member present at the CCC have received fingerprint clearance from the department. One staff member is under the age of 18, and fingerprint clearance is not required. The CCC operates within its capacity and in accordance with the required ratio of staff to children. LPA observed that all required documents, such as the facility license, waivers, notification of parental rights, notification of personal rights, car seat law, emergency disaster plan, and daily activities, were displayed in the CCC. LPA observed that the last emergency disaster drill was conducted on 3/14/2024, and it was properly recorded. LPA observed that the CCC maintains a paper record of the children’s attendance, with corresponding parental signatures, and all enrolled children are accounted for during the day. LPA and the facility representative conducted an inspection to identify any potential health and safety hazards. LPA observed that the inside of the CCC appeared to be clean, safe, sanitary, and in good repair. The CCC is equipped with a fully stocked first aid kit, functioning smoke detectors and carbon monoxide detectors, and a fully charged fire extinguisher. LPA observed that the classrooms were equipped with age-appropriate toys, furniture, and educational materials. LPA observed that each child has an individual permanent or portable storage space for his/her clothing, personal belongings, and/or bedding at the CCC. LPA observed bathrooms to be clean and in working condition. Garbage bins in bathrooms were observed to have tight-fitting lids. The sink was observed to be in working condition and not providing water warmer than 120 degrees Fahrenheit. LPA observed all toilets, handwashing, and bathing facilities at the CCC appeared to be in safe and sanitary operating condition. See Page 2

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: PARKSIDE PRESCHOOL	FACILITY NUMBER: 210107755
	VISIT DATE: 03/21/2024

NARRATIVE

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LPA observed that all accessible cabinets and drawers in classrooms did not contain hazardous materials or poisons. LPA observed that poisons, cleaning solutions, and chemicals were stored on high shelves or shelves with child safety locks to make them inaccessible to children in the classroom.

According to the facility representative, the children are responsible for bringing their own lunch to the CCC. LPA observed that the children brought their own lunch boxes and water bottles. LPA observed that the lunch boxes and water bottles were of different colors, making them easy to distinguish from each other. .

LPA observed that the stairs inside the CCC were properly secured with a safety gate.

LPA observed that a fence enclosed the outdoor playground and that the equipment and furniture appeared to be in good condition. The areas around and under high climbing equipment, swings, slides, and similar equipment were cushioned with material that absorbs falls. LPA observed that the CCC did not have any pools, spas, or other types of bodies of water in the outdoor area.

LPA observed that the CCC has a specific sleeping/resting area for children. The area was equipped with mats and blankets, which appeared to be comfortable and safe for the children to sleep in. LPA observed a clean diaper-changing station within arm’s reach of an adult sink, complete with wipes and diapers. Both the classroom and diaper disposal bins had tight-fitting lids.

LPA reviewed the records of both the children and staff members. LPA reviewed the five children's records and found that all five files contained all necessary documents, including their Immunization Record, Admission Agreement, Personal Rights Identification and Emergency Information, Physician's Report, Notification of Parents' Rights, and Consent for Emergency Medical Treatment.

LPA reviewed the records of two staff members and confirmed that their Pediatric First Aid/CPR certification was current. LPA confirmed that two staff members completed their twelve units for Early Childhood Education, qualifying them as a teacher.

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.
See Page 3

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024

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
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: PARKSIDE PRESCHOOL	FACILITY NUMBER: 210107755
	VISIT DATE: 03/21/2024

NARRATIVE

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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.

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.

LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed facility representative 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-carecenters/

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.

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

No deficiencies were issued today during LPA's visit.

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, Colleen Kyne

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 03/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2024

LIC809 (FAS) - (06/04)

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