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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213005259
Report Date: 05/08/2024
Date Signed: 05/08/2024 04:03:46 PM

Document Has Been Signed on 05/08/2024 04:03 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 - TAM VALLEY CAMPUSFACILITY NUMBER:
213005259
ADMINISTRATOR/
DIRECTOR:		CARRIE MOEHNKEFACILITY TYPE:
840
ADDRESS:350 BELL LN. EDS BUILDING A,BTELEPHONE:
(415) 388-8304
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY: 56TOTAL ENROLLED CHILDREN: 56CENSUS: 18DATE:
05/08/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Director, Carrie MoehnkeTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On 5/8/2024, at approximately 1:15PM, 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 Director, Carrie Moehnke (D1). LPA explained the purpose of the visit. Present during the visit was D1, three staff members, and 18 school-age children. The facility is in compliance with staffing and ratio requirements on this day. The facility’s operating hours are from Monday to Friday, 2:30PM to 6:00PM. The facility is open on Wednesdays from 1:45PM to 6:00PM.

LPA inspected the facility for any health or safety hazards. The facility is located on the premises of Tamalpais Valley Elementary School and uses Portable Buildings A and B as classrooms. There are temperature and ventilation controls for the comfort and safety of children in care. LPA observed both classrooms to be equipped with fully charged 2A10BC fire extinguishers. There is a fire alarm system running throughout both rooms. There are functional carbon monoxide detectors. 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 to be inaccessible.

LPA observed age-appropriate toys and learning materials to be present in the classrooms. Furniture is age-appropriate and free of rough or sharp edges. There are manipulatives and art supplies available for children. The facility provides snacks for children in care. Medication is stored out of reach and inaccessible. There are allergy lists posted in each classroom. First aid kits were observed to be complete. Cubbies are available for each child. LPA observed childproof locks on the refrigerator. Children bring their own water bottles from home and refill them with water from a non-contaminating fixture.

The facility uses an outdoor play area that contains age-appropriate play structures. Play structures are cushioned by resilient padding in the form of woodchips. There is a sandbox present that is checked daily. There is a fence that is at least four feet high. There is shade available from the buildings in the school. 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: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/08/2024
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 - TAM VALLEY CAMPUS
FACILITY NUMBER: 213005259
VISIT DATE: 05/08/2024
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LPA reviewed four staff files, six children’s files, and facility records. LPA observed there to be two staff members with current First Aid/CPR training. The facility uses Bright Horizon’s Mandated Reporter Training, which is approved by the Department. All staff members have current Mandated Reporter Training. Staff qualifications and immunizations are available for review. LPA observed all children’s files to be complete. LPA observed required postings to be posted and available for review. LPA advised that PUB269 (California Child Passenger Safety Law) shall be posted. D1 printed and posted PUB269 during the visit. The facility last conducted an emergency drill on 4/10/2024. Emergency drills are properly logged and documented. The facility had tested its fixtures for lead and received results on 11/10/2022 before the deadline of 1/1/2023. There was an exceedance of lead in a sink, and the facility replaced the fixture and retested it with no exceedance in the second test.

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: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
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 - TAM VALLEY CAMPUS
FACILITY NUMBER: 213005259
VISIT DATE: 05/08/2024
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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 5/8/2024.
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, Carrie Moehnke.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:

DATE: 05/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/08/2024
LIC809 (FAS) - (06/04)
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