410519000-10-16-2023-05-CC-LGOZ-CWNRY5-20231016132547

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410519000
Report Date: 10/16/2023
Date Signed: 10/16/2023 01:25:55 PM

Document Has Been Signed on 10/16/2023 01:25 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:	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: 97	DATE:	10/16/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Laurie Cerefice		TIME COMPLETED:	01:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 10/16/2023 at 8:40AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Director, Laurie Cerefice. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate a preschool-age program. Present was the director and 13 staff supervising 97 children. Children present had been properly signed in. Staff presents have criminal record clearances on file. Program utilizes seven classrooms: Lower Building: Pandas (3 year old); Flamingos, (3 year olds); Monkeys (2 year olds); Lamas (3 year olds), Upper Building: Shining Stars (4 year olds); Lady Bugs (4 year olds); and Brown Bears (3- 4 year olds). Facility utilizes three outdoor areas: #1, Main Play Yard; #2, Front Play Yard; and #3, Side Yard. Per director, Side Yard is not currently in use. Days and hours of operation are Monday- Friday 8:00AM- 5:30PM. Per Director, program operates year-around. LPA inspected facility, indoors and outdoors, with director for health and safety hazards. At 9:00AM., LPA observed the following: Classrooms inspected were clean, orderly, with age-appropriate playthings and materials available for the children. Floor/ground surfaces were free of any obstructions or possible hazards. Classrooms were equipped with hangers and cubbies for storage of children's belongings. Accessible furniture, puzzles, books, and art supplies were free of sharp corners or splinters. Classrooms have child- sized tables and chairs for snack and seated activities. LPA observed children’s bathrooms were maintained clean, with fixtures (8 toilets, 8 sinks) in operating condition. Diaper changing table is available onsite for staff. Per director, area is disinfected after each use. Staff bathroom is located separate. For napping services, stackable cots, made of a cleanable material and stored in facility. Per Director, napping supplies are washed every week by families. Facility has acceptable ventilation and lighting. Electrical outlets and trash bins have been covered installed. Classrooms have smoke/ carbon monoxide combination detector, telephone, and several fully charged fire extinguishers: 2A:10BC. First aid kit reviewed is fully stocked. At 10:00AM, LPA inspected the outdoor play areas. Area were completely enclosed, with absorbent material around play structure. Playthings and tricycles inspected were in good repair. Per director, sand is reviewed daily by staff for foreign objects. Play structures had properly anchored, and retractable shaded resting area was available for the children. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

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: SERENDIPITY SCHOOL	FACILITY NUMBER: 410519000
	VISIT DATE: 10/16/2023

NARRATIVE

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(Page 2)
During inspection, LPAs reviewed food preparation/storage area. Food items inspected had been properly stored. Food preparation area was observed clean and free of trash or rubbish.

LPA reminded director to ensure all expired food items are discarded.

At 10:30AM LPAs reviewed facility records including 3 children’s files and 14 personnel files. Staff’s files contained the: Notice of Employee Rights (LIC9052); Education Verification; and Personnel Record (LIC501)

LPA reminded director to ensure staff’s proof of required immunization and Health Screening (LIC503) are stored in facility records. Advisory Note: Technical Violation (LIC9102TV) was issued.

At 10:45AM., Based on record review, LPA confirmed staff's updated 'Mandated Reporter Training' certification (AB1207), missing from facility files. Advisory Note: Technical Violation (LIC9102TV) was issued.

Staff's ‘Cardiopulmonary Resuscitation and First Aid’ certifications on file were current, expiring: 6/1/2025.

Children’s files contained the: Consent for Emergency Medical Treatment (LIC627); Immunization Records, Identification and Emergency Information (LIC700); Personal Rights (LIC613A); and Notification of Parent’s Rights (LIC995).

Emergency disaster drill (Fire and Earthquake) are conducted every six month, with the last drill completed on 9/14/2023, properly logged.

LPA observed required posting in facility, including the: Facility License; Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; Notification of Parent’s Rights (PUB394); Updated Snack Menu; and Child Passenger Safety Laws (PUB369).

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 22-02CCP. 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/. (REFER 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

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: SERENDIPITY SCHOOL	FACILITY NUMBER: 410519000
	VISIT DATE: 10/16/2023

NARRATIVE

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Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Based on today's inspection, no 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 including report was discussed with Director, Laurie Cerefice, and signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was provided and must remain posted for 30 days. Director 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: 10/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2023

LIC809 (FAS) - (06/04)

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