414000481-11-7-2024-05-CC-MZAA-DASW5D-20241107155900

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000481
Report Date: 11/07/2024
Date Signed: 11/07/2024 03:59:08 PM

Document Has Been Signed on 11/07/2024 03:59 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:	BREIDINGER, NADA -LA PETITE MONTESSORI SCHOOL, LLC		FACILITY NUMBER:	414000481
ADMINISTRATOR/ DIRECTOR:	BREIDINGER, NADA Y.		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(650) 401-7789
CITY:	HILLSBOROUGH	STATE: CA	ZIP CODE:	94010
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 14	CENSUS: 10	DATE:	11/07/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:20 PM
MET WITH:	Licensee, Nada Breidinger		TIME VISIT/ INSPECTION COMPLETED:	04:20 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 November 7, 2024 at approximately 1:20pm, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, annual inspection. LPA was greeted and granted access by licensee, Nada Breidniger. At the entrance licensee was explained the purpose of the inspection. Present during LPA's visit included licensee, 1 staff assistant, and 10 preschool age children. Hours of operation are Monday through Friday 8:00am to 5:30pm. Licensee lives in the one-level home with their spouse. All adults living in the home and staff present, have fingerprint clearance on file. The DAY CARE AREAS the daycare room, bathroom, and the deck in the backyard. The OFF LIMIT AREAS the rest of the home. Off limit areas are made inaccessible to children. Doors are kept closed and locked. LPA toured day care areas of home with licensee. LPA observed home to be in good repair with proper temperature and ventilation. Home is equipped with a variety of toys and materials that were observed to be in good condition. LPA observed electrical outlets to be made inaccessible with child safety covers. Cleaning supplies, poisons and hazardous materials are stored in home's high shelves and/or in the homes off limit areas. Home is equipped with a fully charged fire extinguishers and a smoke and carbon monoxide detector. LPA was unable to test Smoke alarm during visit. Per licensee, smoke alarm is hardwired and linked to the Hillsborough police station. LPA tested a carbon monoxide detector, that was observed to be in working condition. There are no pools, and bodies of water in the premises. Napping area (daycare room) was observed to be equipped with cots for napping children. Per licensee, licensee provides sheets and blankets for children in care. Per licensee, they wash blankets when needed, or weekly. Per licensee, there are currently no infant children enrolled in the childcare that nap in the facility. Bathroom was observed to be in proper working condition. There is appropriate sanitation and toileting equipment for children in care. Per licensee, children’s families provide diapers and wipes for enrolled children. LPA observed cleaning supplies to be stored in bathrooms high shelves, made inaccessible to children. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

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: BREIDINGER, NADA -LA PETITE MONTESSORI SCHOOL, LLC	FACILITY NUMBER: 414000481
	VISIT DATE: 11/07/2024

NARRATIVE

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Per licensee, they provide a food service that is, lunch and snack. Per licensee, children are allowed to bring food from home. Per licensee, there are currently no children enrolled with food allergies. LPA observed, children’s lunch bags to be labeled with each individual child’s name on it.

Outdoor area is in the backyard deck of the home. LPA observed the backyard to have many toys and materials for children to play with. Backyard was observed to be fully fenced. LPA observed plastic play toys for children in care. LPA observed outdoor area to have a trash can with a lid on it. LPA did not observe and bodies of water outdoors.

LPA reviewed 6 children’s record which were complete. LPA reviewed licensee’s and staff who were present records. LPA reminded the licensee CPR/First Aid and Mandated Reporter training certificates must be renewed every two years. Based of record review LPA observed licensee and staff assistant to have expired mandated reporter certification. Due to this, there was a potential health and safety risk for the children in care. Please see LIC 809D for more details and deficiencies cited today.

Emergency disaster drills are conducted and are appropriately documented. Last disaster drill was conducted 07/14/2024. LPA observed licensing documentation to be properly posted, made available for review. Facility maintains a childcare roster that was also made available for review. Per licensee, there are no weapons or firearms in the home.

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.

Licensee was reminded that all adults 18 and over living or working in the home, 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 licensed Family Child Care Home. 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.
(Continue Report on Page 3...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

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: BREIDINGER, NADA -LA PETITE MONTESSORI SCHOOL, LLC	FACILITY NUMBER: 414000481
	VISIT DATE: 11/07/2024

NARRATIVE

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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee 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, a Plan for Providing 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: https://www.ada.gov/resources/child-care-centers/.

Licensee 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.

During the exit interview, the licensee, Nada Breidniger, confirmed that there are no Registered Sex Offenders living in the facility and LPA completed a Megan’s Law search on 10/30/2024.

This report contains one deficiency cited on todays day, 11/17/24. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the licensee, Nada Breidniger.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 11/07/2024 03:59 PM - It Cannot Be Edited

Created By: Melissa Zaragoza On 11/07/2024 at 03:35 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BREIDINGER, NADA -LA PETITE MONTESSORI SCHOOL, LLC	FACILITY NUMBER: 414000481
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/07/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above, no staff present have a current mandated reporter training certifiacte, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/21/2024
	Plan of Correction
1 2 3 4	Licensee plans to completed their mandated reporter training certifacte before the POC due date, and submit proof to LPA.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME:

Marie Rodriguez

LICENSING EVALUATOR NAME:

Melissa Zaragoza

LICENSING EVALUATOR SIGNATURE:

DATE: 11/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024

LIC809 (FAS) - (06/04)

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