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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213005255
Report Date: 05/31/2024
Date Signed: 05/31/2024 02:43:39 PM

Document Has Been Signed on 05/31/2024 02:43 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:MARIN DAY SCHOOLS-EDNA MAGUIRE CAMPUSFACILITY NUMBER:
213005255
ADMINISTRATOR/
DIRECTOR:
GAMBOA, KARLAFACILITY TYPE:
840
ADDRESS:80 LOMITA DR. RM A/22TELEPHONE:
(415) 381-2231
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 65TOTAL ENROLLED CHILDREN: 65CENSUS: 0DATE:
05/31/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:50 PM
MET WITH:Director, Karla GamboaTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
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On 5/31/2024, at approximately 12:45PM, Licensing Program Analyst (LPA) Jonathan Tse and Licensing Program Manager (LPM) Ali Zebila conducted an unannounced annual visit at the facility. LPA and LPM met with Site Director Karla Gamboa (D1). Present during the visit was D1, four staff members, and no children. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from 2:30PM to 6:00PM.

LPA inspected the facility for any health or safety hazards. LPA observed there to be fully charged 2A10BC fire extinguishers present. There are operational carbon monoxide detectors present. There is a fire alarm system running throughout. Evacuation routes are posted and accessible for review. Emergency exits are clearly marked and labeled. There is heating and ventilation for the comfort and safety of children in care. Poisons, cleaning detergents, and other chemicals are stored inaccessible.

LPA observed there to be age-appropriate toys and learning materials for children in care. Children have access to manipulatives and books. Waste bins are fitted with tight-fitting lids. Electrical outlets are covered or obstructed by furniture to be inaccessible to children. There are cubbies available for each child to place their belongings. Snacks are offered for children. The facility menu is adjusted for children who may have allergies. Food is stored in a refrigerator as necessary and appropriately labeled. LPA observed medications to be stored out of reach and inaccessible to children in care.

LPA observed the outdoor play area to be free of debris and other loose articles. There are two play structures that are intended for use by children from the ages of 5 to 12. The play structures were observed to be in good repair. There is resilient padding in the form of artificial turf. There are no pools or other bodies of water present in the facility.


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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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: MARIN DAY SCHOOLS-EDNA MAGUIRE CAMPUS
FACILITY NUMBER: 213005255
VISIT DATE: 05/31/2024
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LPA reviewed six staff files, five children’s files, and facility records. There is at least one staff member with valid Pediatric First Aid/CPR training present. Bright Horizons provides an alternative Mandated Reporter Training that has been approved by the Department. All staff files reviewed have current Mandated Reporter Training. Immunizations and staff qualifications are available for review. LPA observed all children’s files to be complete. All required postings are posted and accessible for review. There is a daily activity schedule that is posted and accessible. The facility tested its fixtures for lead before the deadline of 1/1/2023. There were no exceedances of lead in any of the fixtures tested. LPA advised that lead testing shall be completed once every five years.

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.

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).




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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
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: MARIN DAY SCHOOLS-EDNA MAGUIRE CAMPUS
FACILITY NUMBER: 213005255
VISIT DATE: 05/31/2024
NARRATIVE
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LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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.

No deficiencies were cited during today’s visit on 5/31/2024.
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, Karla Gamboa.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/31/2024
LIC809 (FAS) - (06/04)
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