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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000476
Report Date: 04/16/2025
Date Signed: 10/02/2025 09:34:16 AM

Document Has Been Signed on 10/02/2025 09:34 AM - 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:CHAMPIONS-SANDPIPER ELEMENTARYFACILITY NUMBER:
414000476
ADMINISTRATOR/
DIRECTOR:		MCLAUGHLIN, MICHELEFACILITY TYPE:
840
ADDRESS:797 REDWOOD SHORES PARKWAYTELEPHONE:
(650) 780-7322
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94065
CAPACITY: 75TOTAL ENROLLED CHILDREN: 79CENSUS: 56DATE:
04/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:18 AM
MET WITH:Michele McLaughlinTIME VISIT/
INSPECTION COMPLETED:
02:30 PM
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On 4/16/2025, at approximately 11:15 am, Licensing Program Analyst, (LPA) Wadhwa and Olguin- Leon, met with Director, Michele Mclaughlin to conduct an unannounced, annual Inspection. Present during today’s visit were, Director, 7 staff (5 teacher, 2 aides) and 56 school-aged children. All children present today are properly signed in. The facility is operating within capacity limits of the license on this day. The preschool program and the after-school program operate on the same premises.

The facility is located next to Sandpiper Elementary and provides after school program for school age children. Currently the program has 79 school-age children and one preschool child enrolled. Program operates using both classrooms and outdoor play yard. Days and Hours of operation are Mon, Tues, Thurs, Fri, 2 PM- 6:00PM. Wed 12:00PM-6:00PM. TK children join preschool at 12:20pm and Kindergarten joins preschool program at 1:30pm. TK and Kindergarten transition to after-school program at 2pm. Program operates throughout the year.

LPAs inspected facility, indoor and outdoor, with director for health and safety hazards. LPAs observed the classrooms to be clean, orderly with age-appropriate materials available for the children. The classroom is equipped with age-appropriate furniture, desks, tables, and chairs for seated activities. LPAs inspected storage areas, art-supplies, games, toys, and other materials and were found to be in good repair. The classroom is well-lit and properly ventilated. LPAs observed bathrooms to be in proper working condition, with appropriate sanitation products. Cabinets and drawers are made inaccessible to children with safety locks. The facility is equipped with an in-built smoke alarm, multiple fire-alarms, and three fully charged 2A:10BC fire extinguishers. LPAs tested carbon monoxide detector and found it to be in working condition.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/16/2025
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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California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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: CHAMPIONS-SANDPIPER ELEMENTARY
FACILITY NUMBER: 414000476
VISIT DATE: 04/16/2025
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LPAs inspected the kitchen and the food storage areas. The facility provides one snack at 3pm. LPAs inspected food stored in the fridge and found it to be properly dated and sealed and stored appropriately. The food storage areas were observed to be clean, free of trash, poisons, and other cleaning supplies.

LPAs inspected the outdoor play area. The play area is completely enclosed with a 5 feet long metal fence and has one exit door. All outdoor toys were observed to be in good repair and stored properly. The play structure is properly anchored and has rubber padding underneath. There is also a grassy patch on the other side of outdoor area. There is a basketball hoop in the outdoor play area. There are no pools, spas, or other similar bodies of water on the same premises. Per Director, there are no weapons or firearms on the premises.

LPAs reviewed facility records including 5 children’s files and 5 staff records and found them to be complete with all required documents. Children's files were found to be complete with a record of emergency identification information as well as required immunizations. All staff have the required immunizations, a current CPR/First Aid training certificate and Mandated Reporter Training certificate.


LPAs also inspected First Aid supplies and children’s medication and was found to be stored properly, in compliance with regulations. Emergency drills are conducted quarterly at the facility, with the last drill done on 3/10/2025 and properly logged.
The required postings were reviewed and included the Facility License; Notice of Parents Rights (PUB393); Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; and Updated Menu.

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.

This facility provides Incidental Medical Services – IMS. LPAS reviewed storage of medication and equipment. For IMS information, see PIN 22-02-CCP. A 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 publication: Commonly asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
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: CHAMPIONS-SANDPIPER ELEMENTARY
FACILITY NUMBER: 414000476
VISIT DATE: 04/16/2025
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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.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

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

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

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

As of today, no deficiencies were issued under CCR, Title 22, Division 12. Exit interview conducted and report was reviewed with Michele Mclaughlin, and director’s signature of this form acknowledges receipt of these documents.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.
Due to technical difficulties, report was emailed to the Director at mmclaughlin@discoverchampions.com.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2025
LIC809 (FAS) - (06/04)
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