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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004525
Report Date: 07/02/2024
Date Signed: 07/02/2024 12:41:28 PM

Document Has Been Signed on 07/02/2024 12:41 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:SWEET PEAS TOOFACILITY NUMBER:
384004525
ADMINISTRATOR/
DIRECTOR:		DIONNE, SAMANTHAFACILITY TYPE:
830
ADDRESS:2730 17TH STREETTELEPHONE:
(415) 701-0495
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 20DATE:
07/02/2024
TYPE OF VISIT:Annual/RequiredUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Samantha Dionne , Annette MedranoTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
NARRATIVE
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On 7/2/2024 at 9:00AM., Licensing Program Analyst, (LPA) Luis Gomez met with Assistant Director, Annette Medrano. The purpose of today’s inspection was explained and is for an Unannounced, Annual Random inspection. Director/ Licensee, Samatha Dionne arrived during inspection. The site is a combination center, infant/ toddler program. Present was the assistant director and 8 staff supervising 20 children. The Infant/ Toddler program utilizes three classrooms: Turtle Room; Library/ Napping Room; Blue Room; and the shared, outdoor play yard. The days and hours of operation are Monday- Friday, 8:00AM- 5:30PM. Classrooms operates year-round. LPA inspected facility for health and safety hazards.

At 9:10AM., LPA observed the following: facility was clean, orderly, with age-appropriate materials available for the children. The floors and ground surfaces were free of obstructions or possible hazards. Off-limit area have been made in accessed with installed child safety gates. Accessible furniture, toys, and playthings inspected were in proper repair. Bathroom is maintained clean, with fixtures in operating condition. LPA observed changing table was available for staff in children's bathroom. Per assistant director, area is disinfected by staff after each use.

Entry area was equipped with storage cubbies for children’s belongings. LPA observed feeding chairs with broad- based legs and several tables with rounded edges.

For nap services, LPA observed several cribs with tight-fitting sheets. The cribs inspected had visibility on all sides, and properly sized mattress. Facility has several stackable cots, made of a cleanable plastic material. Per Assistant Director, napping sheets and bedding is washed on-site weekly.

Facility was a comfortable temperature, with ventilation and lighting. Trash bins used for solid waste had been properly covered. Electrical outlets have safety covers installed. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/02/2024
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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Document Has Been Signed on 07/02/2024 12:41 PM - It Cannot Be Edited


Created By: Luis Gomez On 07/02/2024 at 11:55 AM
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: SWEET PEAS TOO
FACILITY NUMBER: 384004525

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 10:10AM., Based on Record Review, LPA confirmed facility water outlets used for water consumption or food preparation have not been tested for Lead Exceedance Levels. This poses a potential health and safety risk to children in care.
POC Due Date: 07/31/2024
Plan of Correction
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Facility will ensure all water outlets used for water consumption or food preparation are tested by the due date: 7/31/2024. Proof of correction will be submitted to the Department via email.
Type B
Section Cited
HSC
1596.871(c)(1)(A)
Administration of Child Day Care Licensing
Subsequent to initial licensure, a person specified in subdivision (b) who is not exempt from fingerprinting shall obtain either a criminal record clearance or an exemption from disqualification, pursuant to subdivision(f) of this section or Section 1522.7, from the State Department of Social Services prior to employment, residence, or initial presence in the facility.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 11:15AM., Based on observation, interview and record review, LPA confirmed staff (S1) present without criminal record clearance on file. This poses a potential health and safety risk to children in care.
POC Due Date: 07/05/2024
Plan of Correction
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Director will ensure all staff received criminal record clearance and association prior to presence in the licensed childcare facility.
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:Marie Rodriguez
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/02/2024


LIC809 (FAS) - (06/04)
Page: 2 of 7
Document Has Been Signed on 07/02/2024 12:41 PM - It Cannot Be Edited


Created By: Luis Gomez On 07/02/2024 at 11:55 AM
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: SWEET PEAS TOO
FACILITY NUMBER: 384004525

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/02/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1596.7995(a)(1)
General Provisions and Definitions
(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 10:20AM., Based on record review, observation and interview, LPA confirmed staff's (S2) file including proof of required immunization missing from facility records. This poses a potential health and safety risk to children in care.
POC Due Date: 07/08/2024
Plan of Correction
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Director will submit staff (S2) file with all required documents and proof of required immunization by due date: 7/8/2024. Proof of correction will be submitted to the Department via email.
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:Marie Rodriguez
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 07/02/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/02/2024


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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: SWEET PEAS TOO
FACILITY NUMBER: 384004525
VISIT DATE: 07/02/2024
NARRATIVE
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The cleaning compounds, detergents, medications, and other items which could pose a danger, have been stored inaccessible to children. Classrooms have smoke detectors (built-in); functioning carbon monoxide detectors; and fully charged fire extinguisher (2A:10BC).

LPA reviewed classroom food preparation/ storage areas. The food preparation/ storage areas were observed clean, free of rubbish or trash. The infant bottles, formula, and feeding supplies, brought by families daily, have been correctly stored and labeled.

At 9:25AM., LPA inspected the outdoor play area. Area is completely enclosed with turf padding installed for added safety. Outdoor play area was clean and free of debris or any hazardous plants. Sandbox is reviewed daily by staff and did not have any foreign objects. Outdoor playthings were in good repair.

LPA reminded Assistant Director to ensure water is always readily available for children. Advisory Note: Technical Violation (LIC9102TV) was issued.

At 10:05AM., LPA reviewed facility records including 4 children’s files and 7 personnel files.
At 10:10AM., Based on Record Review, LPA confirmed facility water outlets used for water consumption or food preparation have not been tested for Lead Level Exceedance. (REFER TO 809C, FOR CONT.)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
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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: SWEET PEAS TOO
FACILITY NUMBER: 384004525
VISIT DATE: 07/02/2024
NARRATIVE
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(Page 3)
Facility's staff files were reviewed and included the: Qualifications; Personnel Record (LIC701); Proof of Required Immunization; Notice of Employee Rights (LIC9052); and Mandated Reporter Training (AB1207) certificates.

At 10:20AM., Based on record review, observation and interview, LPA confirmed staff's (S2) file including proof of required immunization missing from facility records.

At 11:15AM., Based on observation, interview and record review, LPA confirmed staff (S1) present without criminal record clearance on file.

Facility's children’s files were reviewed and included the: Infant Needs and Services Plan, Consent for Medical Treatment; Identification of Emergency Information; Individual Sleeping Plans (LIC9227) for qualifying infants; and Admissions Agreement. LPA reminded facility to ensure immunization records are stored in facility records.

Staff are documenting infant napping conditions during each 15-minute review.

Facility is conducted required emergency disaster drills every six months, with last drill (Fire Drill) completed on: 4/10/2024.

Present staff member’s cardiopulmonary resuscitation / first aid certification (CPR) was current, expiring: 8/2025.



Required posting were observed in the facility including the: Facility License; Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; Seat Beat Safety Laws; Notification of Parent’s Rights (LIC995A).

LPA reminded facility to post the outdoor space waiver, for rotational use of outdoor space, in visible location.

LPA reminded facility to ensure updated snack menu, one week in advance, is posted in visible location.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm



Facility was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated. (REFER TO 809c, FOR CONT.)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
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: SWEET PEAS TOO
FACILITY NUMBER: 384004525
VISIT DATE: 07/02/2024
NARRATIVE
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(Page 4)
LPA referred Director to the Department website regarding Lead: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

LPA discussed safe sleep regulations with the director and discussed Child Care Licensing Safe Sleep webpage at: http://www.cdss.ca.gov/inforesource/child-care-licensing/public-information-and-resouce/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: http://www.cpsc.gov/ and recommend they register all infant devices with the CPSC to be notified of any recalls on their purchased requirement.

Based on today's inspection, deficiencies were observed in the areas evaluated according to the Title 22 Division 12, Chap. 1 Ca. Code of Regulations and cited on 809D. Exit interview, plan for correction and facility evaluation report was discussed with Assistant Director, Annette Medrano. Administrator's signature of this form acknowledges receipt of these documents.

This report and rights to comment were discussed. This report must be available in the facility for public review. Notice was given and must remain posted for 30 days. Facility was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 07/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/02/2024
LIC809 (FAS) - (06/04)
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