214005659-11-16-2023-05-CC-CQUO-CXMSN6-20231116130102

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005659
Report Date: 11/16/2023
Date Signed: 11/16/2023 01:01:07 PM

Document Has Been Signed on 11/16/2023 01:01 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:	FIRST FRIENDS MONTESSORI		FACILITY NUMBER:	214005659
ADMINISTRATOR:	BUYCO-NARDELL, ROSELLE		FACILITY TYPE:	850
ADDRESS:	86 MONO AVENUE		TELEPHONE:	(415) 459-7028
CITY:	FAIRFAX	STATE: CA	ZIP CODE:	94930
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 0	CENSUS: 24	DATE:	11/16/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:10 AM
MET WITH:	Jennifer Bradshaw		TIME COMPLETED:	01:30 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 November 16, 2023 at approximately 9:10am, Licensing Program Analyst (LPA) Catrina Quimbo conducted a scheduled pre-licensing inspection. LPA met with applicant, Jennifer Bradshaw, and explained the purpose of the inspection. Present during LPA's visit included applicant, 3 teaching staff and 24 enrolled children. This is a change of ownership application that was received in our office (facility previously licensed #213005522). Facility is currently operating during the change of ownership process. Applicant plans to operate as new licensee January 1, 2024. Application was received September 6, 2023. The applicant is requesting for a preschool license for 24 children, ages 2 and half years old to 5 years old. Facility obtained a new fire clearance that was received in office November 11, 2023. The facility will operate Monday through Friday from 8:00am to 5:00pm. Hours of operation include an early morning care (8:00am to 9:00am) and afternoon care (3:00pm to 5:00pm). Children will be signed in and out of facility with authorized representatives' electronic signatures. Applicant stated they are aware sign in/out records must be readily available for review. The facility was inspected indoors and outdoors for health and safety hazards and measured to calculate capacity. Indoors: Program includes 2 classrooms, entry area, 2 outdoor areas, children's restroom and adult restroom. Children will have access to the 2 classrooms, entry area, and 2 outdoor areas when needed. The 2 classrooms that will be utilized for preschool program are "upstairs classroom" and "downstairs classroom". The upstairs classroom was measured for 308.63 sq. ft. allowing for a capacity of 8 children. The downstairs classroom was measured for 483.91 sq. ft. allowing for a capacity of 13 children. The entry area was measured for 82.48 sq. ft. allowing for a capacity of 2 children. The total indoor square footage equals 875.02 sq. ft. allowing for a capacity of 25 children. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

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: FIRST FRIENDS MONTESSORI	FACILITY NUMBER: 214005659
	VISIT DATE: 11/16/2023

NARRATIVE

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LPA observed classrooms to be well ventilated with appropriate temperature. Classrooms are equipped with furniture, toys and materials that were observed to be age appropriate. Classrooms have a variety of Montessori toys and materials that were in good working condition. Flooring in classrooms were observed to be clean and include carpets that were in good condition. Per current licensee, carpets are vacuumed daily. Garbage bins in classroom were observed to have tight fitting lids. Storage for children's personal belongings is located in the entry area, labeled with children's individual names.

LPA observed electrical outlets in classrooms to be made inaccessible, with child safety covers. Upstairs classroom includes a kitchen/food preparation area that is for staff use only. LPA observed kitchen area to have child safety locks installed. Poisons, cleaning supplies, and any hazardous materials in kitchen area were observed to be made in accessible. Applicant plans to provide a morning snack and afternoon snack. Children's families will provide lunch. Allergies and food preparation was discussed.

Entire facility includes a pull down fire alarm system. LPA observed both classrooms to have a dual smoke/carbon monoxide detectors and fully charged fire extinguishers. Per applicant, fire department tested detectors. Facility also includes a fully stocked first aid kit. Applicant also maintains an emergency backpack that will be maintained in the facility. Medication with children's individual names and required documentation are stored in classroom high shelf.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) tollfree 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, available at: http://www.ada.gov/childqanda.htm.

Napping children will utilize mats that are provided by program. Children's sheets and blankets are provided by families that are washed weekly or as needed. Applicant plans to store children's sheets in individual bags that are labeled with children's individual names, so they are not touching one another. Isolation area for sick children will be in the classroom, separate from other children in care. Program's discipline policy was discussed. Applicant plans to redirect and communicate with children.

Children's restroom includes 2 toilets and 2 sinks. LPA observed restroom to be in working condition, equipped with appropriate sanitation products. Garbage bin located in bathroom was observed to have a tight fitting lid. There is an additional sink in the outdoor play area that children have access to. Total allowable capacity for sinks is 45 children. Total allowable capacity for toilets is 30 children.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

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: FIRST FRIENDS MONTESSORI	FACILITY NUMBER: 214005659
	VISIT DATE: 11/16/2023

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Outdoor: There are 2 outdoor areas for children's use: the main outdoor area (located outside entry area) and patio (located behind downstairs classroom). Both outdoor areas are entirely enclosed and fenced. There is natural shade provided by trees in area and tarps installed for additional shade. The main outdoor area was measured for 1,041.57 sq. ft. allowing or a capacity of 13 children. The patio was measured for 270.85 sq. ft. allowing for a capacity of 3 children. The total outdoor area measures for 1,312.42 sq. ft. allowing for a capacity of 17 children. Outdoor area is equipped with a variety of outdoor toys and materials that were observed to be in good working condition. There is a play structure that was observed to have resilient padding underneath. Water is made available both indoors and outdoors through water pitchers that are refilled in facility sinks.

LPA reminded applicant emergency disaster drills must be documented when conducted. The requirement for Lead Water Testing was discussed (H&S Code 1597.16). LPA advised applicant to review PIN 21-21-CCP. Applicant was reminded a facility licensed after July 1, 2022, must have their water fixtures tested for lead 180 days after licensure and every 5 years thereafter. Due to application being a change of ownership application, applicant plans to utilize current licensee's lead water testing results.

LPA reviewed with applicant, the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Applicant was informed of the MyChildCarePlan.org site, 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.
(Continue Report on Page 4...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

LIC809 (FAS) - (06/04)

Page: 3 of 4

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: FIRST FRIENDS MONTESSORI	FACILITY NUMBER: 214005659
	VISIT DATE: 11/16/2023

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Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/ subscribe and select the Child Care option to receive email communication.

Based on fire clearance, maximum number program can be licensed for is 24 preschool children.

Prior to recommended licensure, following must be completed:
-Submission and approval of outdoor waiver.
-Submission of lead water testing waiver.
-LPA's review and approval of documents resubmitted.
-Submission of current licensee's license during holiday break.
-Sound installation on gate in patio.

Exit interview conducted and report was reviewed with the applicant, Jennifer Bradshaw.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 11/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023

LIC809 (FAS) - (06/04)

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