410519000-7-14-2022-05-CC-LGOZ-CGBTCC-20220714143630

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410519000
Report Date: 07/14/2022
Date Signed: 07/14/2022 02:36:41 PM

Document Has Been Signed on 07/14/2022 02:36 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SERENDIPITY SCHOOL		FACILITY NUMBER:	410519000
ADMINISTRATOR:	CEREFICE, LAURIE		FACILITY TYPE:	850
ADDRESS:	3172 CLEARVIEW WAY		TELEPHONE:	(650) 574-7400
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY: 116	TOTAL ENROLLED CHILDREN: 116	CENSUS:	DATE:	07/14/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Laurie Cerfice		TIME COMPLETED:	02:45 PM

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On 7/14/2022 at 8:50AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Director, Laurie Cerefice. Purpose of the inspection was explained and was for an unannounced; annual random inspection. Facility is preschool program. Present was the director and 16 staff, supervising 77 children. Children present had been properly signed in. All staff have their criminal record clearance on file. Preschool program utilizes seven classrooms, (Lower Building) Panda, 3 year old; Flamingo, 3 year old; Monkey, 2 year old; Lama, 3 year old, (Upper Building) Shining Stars, 4 year old; Lady Bugs, 4 year old; and Brown Bears, 4 year old. Facility uses four outdoor Play Areas: Main Play Yard, Front Play Yard and Side Yard. Days and hours of operation are Monday- Friday 8:00AM- 5:00PM. Program operates year-around. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 9:10AM., the following was observed: classrooms were clean, orderly, and with age-appropriate supplies available for the children. Floor and ground surfaces were free of obstructions. Furniture, books and playthings inspected were in proper repair. Each classroom was equipped with individual storage containers and child size tables and several chairs for activities. For napping services, LPA observed stackable cots properly stored and labeled. Per director, napping sheets are washed weekly by families. Children’s bathrooms were reviewed during inspection. Bathroom fixtures were in operating condition and had adequate supplies for hand washing. Diaper changing table is located in the lower building hallway. Per director, area is disinfected after each use. Staff bathrooms are located separately. Classrooms were proper temperature with ventilation and lighting. Detergents, cleaning supplies, and all other toxins were stored in locked closet. Accessible outlets had been covered.

At 9:45AM., Based on observations, LPA confirmed several accessible trash bins in classrooms without lid covers. Advisory Note: Technical Violation (LIC9102TV) was issued during inspection. Facility had functioning telephone service; smoke/ carbon monoxide detector combo (built-in); and fully charged fire extinguishers (3A:60BC). First aid kit was review during inspection. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SERENDIPITY SCHOOL	FACILITY NUMBER: 410519000
	VISIT DATE: 07/14/2022

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(Page 2)
At 10:00AM., LPA inspected the outdoor play areas. Outdoor areas were completely enclosed and had several shaded rest areas. Play structures had been properly anchored and playthings inspected were in good repair. For added safety, sand and wood chips had been installed around play structures. Sandboxes were free of hazards and foreign materials. Per director, refillable water bottles are brought outside by teachers; bottles are refilled from a non-contained source.

At 10:50AM., LPA review the facility records including 10 children's files and 16 personnel files. Facility files were reviewed included staffs: Criminal Record Statements (LIC508); Declaration to Report Suspected Child Abuse (LIC9108); Required Transcripts; and Notice of Employee Rights (LIC9052). LPA reminded director to ensure staff's proof of required immunization and updated mandated reporter training certifications stored in the facility files.

Children's files were reviewed and included: Health History (LIC702); Identification of Emergency Information (LIC700); Consent for Medical Treatment (LIC627); Notification of Parent’s Rights (LIC995); and Immunization Records.

Staff present had the Cardiopulmonary Resuscitation/ First Aid certification on file, which expires 5/2023. Facility is conducting emergency drills every six months. Last disaster drill done on 4/11/2022; and is properly logged.

Per director, program provides snack for children in care. LPA inspected facility kitchen. Food items inspected was current.

Required forms were posted and included the: Childcare License; Snack Menu; Notification of Parents Rights (PUB393); California Child Passenger Safety Law Posting; and Updated Emergency Disaster Plan (LIC610A).

Children's medication was reviewed during today's inspection. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SERENDIPITY SCHOOL	FACILITY NUMBER: 410519000
	VISIT DATE: 07/14/2022

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(Page 3)
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 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.

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

Based on today's inspection, no deficiencies were observed in the areas evaluated, according the Title 22 Division 12 Ca. Code of Regulations. Exit interview and report was discussed with Director, Laurie Cerefice and signatures on this form acknowledges receipt of these documents.

The 'Notice of Site Visit' was provided to director and must remain posted for 30 days.

This report and rights to comment were discussed. This report must be available in the facility for public review. For additional questions, facility was advised to contact the Community Care Licensing Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2022

LIC809 (FAS) - (06/04)

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