414000798-1-24-2024-05-CC-LGOZ-CZSRVW-20240124122213

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414000798
Report Date: 01/24/2024
Date Signed: 01/24/2024 12:22:19 PM

Document Has Been Signed on 01/24/2024 12:22 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:	SAN MATEO MONTESSORI		FACILITY NUMBER:	414000798
ADMINISTRATOR:	TINA PROZELL		FACILITY TYPE:	850
ADDRESS:	15 - 14TH AVENUE		TELEPHONE:	(650) 571-5095
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY: 21	TOTAL ENROLLED CHILDREN: 21	CENSUS: 19	DATE:	01/24/2024
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Tina Prozell		TIME COMPLETED:	12:30 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 1/24/2024 at 8:55AM., Licensing Program Analyst (LPA), Luis Gomez and Director/ Licensee, Tina Prozell. Purpose of the inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate a preschool program. Present during inspection was the director and two staff supervising 19 children. Children present had all been properly signed in. Facility staff have criminal record clearances of file. The childcare program utilizes one classroom and the outdoor play area. LPA inspected facility for health and safety hazards. At 9:10AM., the following was observed: Classroom was clean and orderly, with age-appropriate materials available for the children. LPA observed floor and ground surfaces were clear of obstructions or hazards. The facility classroom, consisting of several adjoining room are divided into different activity areas. Classroom has child- sized tables and chairs. Facility was equipped with stackable bins, located in entry for storage of children's belongings. Accessible furniture was free of any sharp corners or splinters, and the fireplace had been barricaded. The children’s bathroom was clean with fixtures in operating condition. Per Director, the staff bathroom is on the upper level. For nap services, LPA observed foldable mat stored in facility closet. Mats inspected are made from a cleanable plastic material. Per director, napping linins are washed weekly by families. The facility had adequate ventilation and was a comfortable temperature. Classroom had sufficient lighting for the children. Facility's disinfectants, cleaning solutions, poisons and other items that could pose a danger, had been stored in the off-limit areas. Facility has a testable carbon monoxide detector, smoke detector, telephone service, and fire extinguishers: 2A:10:BC. Per director, the local fire authority makes yearly visits to the center. LPA reviewed the facility’s first aid kit during inspection. (REFER TO 809c, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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: SAN MATEO MONTESSORI	FACILITY NUMBER: 414000798
	VISIT DATE: 01/24/2024

NARRATIVE

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At 9:05AM., LPA inspected the outdoor play area. The outdoor area was completely enclosed with a shaded rest area available. An absorbent material had been installed on the ground surface for added safety. Per director, staff review sand area daily for foreign objects. Playthings inspected were in good repair. Per director, water services are provided both inside and outside with refillable cups.

At 10:05AM., LPA reviewed facility records including: 5 children’s files and 3 personnel files. Facility’s personnel files were reviewed and contained the: Teachers Qualifications, Notice of Employee Rights (LIC9052), Personnel Record; Proof of required Immunization; and staff's ‘Mandated Reporter Training’ (AB1207) Certifications.

Facility’s children’s files were reviewed and contained the: Immunization Records, Identification and Emergency Information (LIC700); Notification of Parent’s Rights (LIC995); Personal Rights (LIC613A); and ‘Written Medical Assessments’.

Facility personnel have the cardiopulmonary resuscitation / 1^st aid certification on file, expiring on 8/2024.

The required emergency disaster drills are being conducted every six months, with last drill completed on 8/9/2023, properly logged by director.

LPA observed required postings, posted near entryway including the: Facility License; Notification of Parent’s Rights (PUB394); Passenger Safety Law (PUB269); and Emergency Disaster Plan (LIC610).

LPA reminded director to ensure food menu is posted at least one week in advance. LPA issued Advisory Note, Technical Violation (LIC9102TV) during inspection.

The food preparation/ storage area was reviewed during inspection. Area was free of any trash or rubbish. (REFER TO 809c, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

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: SAN MATEO MONTESSORI	FACILITY NUMBER: 414000798
	VISIT DATE: 01/24/2024

NARRATIVE

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Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five 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- CCP.

Incidental Medical Services (IMS) policy was discussed. 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/.

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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

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. Exit interview and facility evaluation report was discussed with Director/ Licensee, Tina Prozell. Licensee's signature on 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: 01/24/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/24/2024

LIC809 (FAS) - (06/04)

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