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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004587
Report Date: 06/20/2024
Date Signed: 06/20/2024 04:46:30 PM

Document Has Been Signed on 06/20/2024 04:46 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:MISSION MONTESSORI (PS)FACILITY NUMBER:
384004587
ADMINISTRATOR/
DIRECTOR:		ACUNA, MIAFACILITY TYPE:
850
ADDRESS:50 FELL STREETTELEPHONE:
(415) 805-8315
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY: 120TOTAL ENROLLED CHILDREN: 76CENSUS: 49DATE:
06/20/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:44 PM
MET WITH:Dr. LaRhonda MartinTIME VISIT/
INSPECTION COMPLETED:
04:55 PM
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On 6/20/2024 Licensing Program Analysts (LPAs) Basak and Garcia met with the Director, Dr. LaRhonda Martin for an unannounced annual inspection. The purpose of the inspection was explained, and LPAs granted entry. Present, in the facility are the director, and 11 staff supervising 49 preschool children. The facility was operating within its capacity and complies with the staff/child ratio today. The facility operates the daycare from Monday - Friday 8:00 am to 5:15pm.

LPAs inspected 4 preschool classrooms and indoor and outdoor playgrounds. LPAs observed facility has combo smoke detectors and carbon monoxide detectors, and 3 fully charged fire extinguishers in size 2A located in multiple areas. The facility has a functioning telephone in the center. All cleaning supplies and other chemicals are stored in a locked cabinet and inaccessible to the children. The facility has age-appropriate furnitures and toys in each classroom. The facility floor and rugs are in good condition and free of any hazards.

The facility has first aid supplies available in the classrooms and the office. LPAs observed all bathrooms are sanitary and in working condition. The facility has enough sleeping cots/mats and blankets. According to the director, the meals, snacks, and water bottles are brought from home with labels.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE: DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/20/2024
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: MISSION MONTESSORI (PS)
FACILITY NUMBER: 384004587
VISIT DATE: 06/20/2024
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LPAs observed there is water available for children in the playground as well as in the classrooms. LPAs observed outdoor areas and play structures are free from health and safety hazards, and no tripping hazard was observed. There are a variety of play and sports equipment available for the children's indoor and outdoor playgrounds. There are also sheds/bins and storage areas for the toys when they're not being used.

According to the director, the facility is using an electronic sign-in/out app called Transparent Classroom. LPAs observed all authorized representatives have signed. The facility has a license, and all other required documents are posted and visible to the public. The facility has an emergency drill log, and the last drill was conducted on June 17, 2024. Per the Director, drills are done every 2 months.

The LPAs reviewed the facility records, and 5 random children's files. All required files were available in folders. LPAs reviewed 5 staff files with qualifying requirements such as ECE Units, CPR, and Mandated Reporter Training. The facility has a set learning curriculum that includes story time, and movement posted in the classroom.



The Director 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 a Child Care Center.

A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

The facility was informed 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 or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

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SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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: MISSION MONTESSORI (PS)
FACILITY NUMBER: 384004587
VISIT DATE: 06/20/2024
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The facility has completed lead testing on August 12, 2022 and no exceedance.

The director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPAs observed the completion certificates on file.

LPAs encouraged the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

According to the director, there are 4 children with allergies. LPA checked and observed that the medications were properly stored.
Incidental Medical Services (IMS) policy was discussed. For IMS information, see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

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: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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: MISSION MONTESSORI (PS)
FACILITY NUMBER: 384004587
VISIT DATE: 06/20/2024
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The Director was informed of the MyChildCarePlan.org website, a consumer education website that helps families obtain childcare by connecting them to childcare providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

No deficiencies were cited today under CCR, Title 22, Division 12, Chapter 3. This report must be available in the facility for public review.

The director was advised that for any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

The report was reviewed and signed by the director, Dr. LaRhonda Martin. The notice of site visit will be printed and given to the director.

An exit interview was conducted with the director, Dr. LaRhonda Martin.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC809 (FAS) - (06/04)
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