410518991-5-14-2024-05-CC-HLEG-D59T6J-20240514142713

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410518991
Report Date: 05/14/2024
Date Signed: 05/14/2024 02:27:23 PM

Document Has Been Signed on 05/14/2024 02:27 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SAN MATEO-FOSTER CITY SCHL DIST - NORTH SHOREVIEW		FACILITY NUMBER:	410518991
ADMINISTRATOR/ DIRECTOR:	CRISTINA HALEY		FACILITY TYPE:	850
ADDRESS:	1301 CYPRESS AVENUE		TELEPHONE:	(650) 312-7588
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 21	CENSUS: 12	DATE:	05/14/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:59 AM
MET WITH:	Hiromi Mead and Cristina Haley		TIME VISIT/ INSPECTION COMPLETED:	02:35 PM

NARRATIVE

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On 5/14/2024, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced annual visit to the Child Care Center (CCC) listed above. LPA met with the Lead Teacher, Hiromi Mead, and explained the purpose of the visit. At 12:24 pm, the Director, Cristina Haley, arrived at the CCC. Twelve preschool-aged children and four staff members were present during the visit. The four staff members present at the CCC received criminal record clearance from the San Mateo Foster City School District. The CCC operates within its capacity and in accordance with the required ratio of staff to children.

LPA observed that all required documents were displayed, such as the facility license, waivers, parental and personal rights notifications, car seat laws, emergency disaster plan, and daily activities schedule.

The most recent emergency disaster drill was conducted and properly recorded on 4/17/2024.

According to the Director, the CCC provides snacks for the children. LPA emphasized the importance of sanitation and proper food preparation to the Director. Snacks were observed to be available during the visit.

The center documents child attendance on paper.

LPA conducted an inspection for potential health and safety hazards and found the interior of the CCC to be clean, safe, and well-maintained. Essential safety items such as first aid kits, smoke and carbon monoxide detectors, and fire extinguishers were fully stocked and functional.

The classrooms were equipped with age-appropriate toys, furniture, and educational materials, and each child had their own designated storage space. Bathroom facilities were clean and operational, ensuring safe and sanitary conditions for toileting and handwashing. See Page 2

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SAN MATEO-FOSTER CITY SCHL DIST - NORTH SHOREVIEW	FACILITY NUMBER: 410518991
	VISIT DATE: 05/14/2024

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Page 2

All accessible cabinets and drawers in the classrooms were found to be free of hazardous materials or poisons. Hazardous items were stored out of reach of the children.

The outdoor playground was enclosed by a fence, and the equipment was well-maintained. Rubberized mats were observed under the swings to absorb a child's fall. No bodies of water, such as pools or spas, were present in the outdoor area.

Designated sleeping/resting areas with mats and sheets were provided for the children.

LPA reviewed the files for five children and confirmed that their files included their emergency contact information and medical information.

LPA reviewed the files for three staff members and confirmed that all three staff members were up to date with their Pediatric First Aid/CPR certifications, and one had completed the required twelve Early Childhood Education units.

LPA reminded the Director that Mandated Reporter Training must be completed every two years.

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.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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. See Page 3

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SAN MATEO-FOSTER CITY SCHL DIST - NORTH SHOREVIEW	FACILITY NUMBER: 410518991
	VISIT DATE: 05/14/2024

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LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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 https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. 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) 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

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 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

No deficiencies were issued today during LPA's visit.

A copy of today’s report was given to the Director, Cristina Haley. A Notice of Site Visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Director, Cristina Haley.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:	DATE: 05/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/14/2024

LIC809 (FAS) - (06/04)

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