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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004009
Report Date: 10/25/2023
Date Signed: 10/25/2023 02:43:12 PM

Document Has Been Signed on 10/25/2023 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:MEANINGFUL BEGINNINGS LLCFACILITY NUMBER:
384004009
ADMINISTRATOR:OZUNA, YARENAFACILITY TYPE:
830
ADDRESS:633 TARAVAL STREETTELEPHONE:
(415) 941-7965
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 49TOTAL ENROLLED CHILDREN: 49CENSUS: 28DATE:
10/25/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Yarena OzunaTIME COMPLETED:
03:00 PM
NARRATIVE
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On October 25, 2023., Licensing Program Analysts (LPAs)Tso and Van met with Director Yarena Ozuna, for an unannounced mandatory 1-year random inspection. The facility is an infant program with an attached toddler component (Center). Today, 12 infants & 16 toddler children are supervised by 5 qualified teachers (2 for infant program, 3 for toddler program) and 3 aides (2 for infant program, 1 for toddler program) respectively. The facility complies with the Staff-Infant ratios today. The operations hours are Monday – Friday from 7:30 AM to 5:30 PM. The program operates in two large playrooms. The toddler playroom is for 18 – 36 months, and the infant playroom is for 0-24 Months. The isolation area for an ill child is in the Director’s office, and the staff will monitor and supervise the child while parents are contacted to come and pick them up.

LPAs toured the Center for Health and Safety Hazards with the Director. LPAs observed that the facility utilizes an app for sign-in / out for parents or authorized representatives, and all parent signatures were accounted for and matched the number of infants present. The Center environment appeared clean and organized, with appropriate heating, lighting, and ventilation. The Center also provided age-appropriate toys, furnishings, changing tables, and equipment. LPAs did not observe any pools, spas, or other bodies of water, nor did they notice any bouncers, exersaucers, or similar equipment at the facility. According to the Director, no firearms or weapons are present at the Center, and all cleaning materials and potentially hazardous objects are kept out of reach of children. Personnel restrooms are separate from children, and all solid waste storage containers have tightly fitted lids. The Center also maintains a carbon monoxide detector, centralized smoke alarm, fully charged fire extinguisher, and First Aid kit.

Designated cubbies are available for children to store their belongings with names labeled. LPAs observed two changing tables in the infant room. One of them is not within arm's distance to reach a sink. LPAs advised the Director to make change to meet the requirements. LPAs also observed that the padded surface of the changing table is too thick making the edge raised less than 3". LPAs reminded the Director to use a thinner pad to keep at least 3” elevated edges. (Technical Violations issued).

There is sufficient sleeping equipment, cribs, and cots for each child present. Mats and beddings are appropriately stored. LPA observed an infant sleep with sleep sack. LPAs reminded the Director that sleep sack is not allowed to use for infant. (Type B deficiency was cited. Refer to LIC809D). LPAs observed an infant sleeping in the cribs on tummy. After file review, both parent and teacher certified that the infant could rollover on LIC9227. Breast milk/formula parents provided is stored appropriately in the refrigerator, and each bottle is labeled. Parents provide formula, food, and diapers for their children. LPA observed that the food preparation area was clean and organized.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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Document Has Been Signed on 10/25/2023 02:43 PM - It Cannot Be Edited


Created By: Man Tso On 10/25/2023 at 01:23 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MEANINGFUL BEGINNINGS LLC
FACILITY NUMBER: 384004009

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101430(a)(3)(C)
Infant Care Activities
(C) An infant shall not be swaddled while in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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 Based on observation an infant sleeping in the cribs on tummy with sleep sack., the licensee did not comply with the infant sleeping regulation, which poses/posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/09/2023
Plan of Correction
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Director plan to remove all sleep sacks by the day of POC. The safe sleep regulation was provided to the Director to follow.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on the record review, the Center did not comply with the abovementioned section. Five out of Seven staff members have not completed their Mandated reporter training, or the training has expired, which poses/posed a potential health, safety, or personal rights risk to persons in care.
POC Due Date: 11/09/2023
Plan of Correction
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The Center/Site Director must ensure that all staff complete the Mandated Reporter Training bi-annually and are available for review during the inspection. The Site Director states she will have the staff members complete the training and send the completion to the Licensing office by November 9, 2023
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ali Zebila
LICENSING EVALUATOR NAME:Man Tso
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/25/2023 02:43 PM - It Cannot Be Edited


Created By: Man Tso On 10/25/2023 at 01:38 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: MEANINGFUL BEGINNINGS LLC
FACILITY NUMBER: 384004009

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/25/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
159.956(a)(5)
§1596.956 Child day care centers serving infants; optional toddler program; departmental guidelines and regulations
(a) The department shall develop guidelines and procedures to authorize licensed child daycare centers serving infants to create a special program component for children between 18 months to three years of age. The optional toddler program shall be subject to the following basic conditions:
(5) The maximum group size, with two teachers, or one fully qualified teacher and one aide, shall not exceed 12 toddlers.


This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, it was found that the Center did not comply with the regulations related to the toddler component. A toddler group size consisting of two teachers should not exceed 12 toddlers. However, the LPAs observed that there were sixteen toddler children present in the toddler classroom, and there was no partition to separate the two toddler groups. This poses/posed a potential health and safety risk to the children in care.
POC Due Date: 11/09/2023
Plan of Correction
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LPA discussed with the Director to add the partition to separate the Toddler Playroom into 2. Upon completion, potcures will be sent to the LPA by November 9, 2023.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME:Ali Zebila
LICENSING EVALUATOR NAME:Man Tso
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023


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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: MEANINGFUL BEGINNINGS LLC
FACILITY NUMBER: 384004009
VISIT DATE: 10/25/2023
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LPA observed that the Center groups the toddler groups into one with 16 children. (Type B deficiency was cited. Refer to LIC809D). The toddler room has a sink and two portable toilets.

LPA discussed with the Director the infant/teacher ratio. LPA reminded the Director that there is one teacher for every four infants. An aide may be substituted for a teacher when a fully qualified teacher directly supervises no more than 12 infants. Also, each aide is responsible for the direct care and supervision of a group of no more than four infants.

The facility currently has an outdoor waiver approved for 27 children to use the outdoor at one time, and a rotational schedule is required. The outdoor infant and toddler play area is kept free of debris and dangerous conditions. The infant play area is separated from the 'Toddler' play area by a gate. All outdoor toys and equipment are age-appropriate and in good repair. LPA observed the smaller outdoor play area was cemented, and observed the larger outdoor play area was grassy and accessible by climbing a flight of stairs. The stairs are gated off at the top of the stairs. Drinking water is readily available indoors and outdoors.

LPA reviewed 7 personnel records (3 for toddler program, 4 for infant program) and 10 children's records (5 for each program) at the facility. A sample of children's files was found to contain comprehensive information such as medical assessments, needs, services, feeding plans, and signed admission agreements. LPAs observed that there is no authorized representative to sign for permission to allow to place their children to the toddler program. LPA reminded the Director to ask the parents to sign the permission.

LPAs observed that multiple staff members have valid CPR/First Aid certificates. But 2 out of 7 staff missing immunization records vaccine proofs for Measles, Pertussis, and Influenza in their files. Neither of them has a valid Mandated Reporters Training Certificate. Some are missing. Some are expired. (Type B deficiency was cited for no valid Mandated Reporters Training Certificates. Refer to LIC809D).
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
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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: MEANINGFUL BEGINNINGS LLC
FACILITY NUMBER: 384004009
VISIT DATE: 10/25/2023
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Additionally, the facility had posted the required documents, including the license, menus, waivers, Notification of Parental Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan. Refer to the record, the fire drills are conducted monthly, with the most recent fire drill being held on 10/19/ 2023.

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

LPA reminded the Director that as of September 1, 2016. A person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles.

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-care-centers/.
However, there is no physician’s instruction for the medication provided by the parents, although with the parents’ signature for consent to administer. (Technical Violation issued.)

The Director 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: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
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: MEANINGFUL BEGINNINGS LLC
FACILITY NUMBER: 384004009
VISIT DATE: 10/25/2023
NARRATIVE
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CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:
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.

The Director was informed about Mandated Reporter training available on the CCLD website. In addition to AB1207 training required to be completed every two years by all staff hired a one-time General Training is also required. Training can be taken online at www.mandaterreporterca.com. Also, the Director was reminded of Pesticide training. Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare

The Director 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 will 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 tools, please send them by email 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/process.

During the inspection, LPA requested Director to submit Basic Pest Management certificate and Designation of Responsibility (LIC 308) to Licensing by November 9, 2023.

3 Type B deficiencies were issued under CCR, Title 22, Division 12. Rights of Appeal was provided to the Director.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Yarena Ozuna.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE:

DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/25/2023
LIC809 (FAS) - (06/04)
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