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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001220
Report Date: 08/14/2024
Date Signed: 08/14/2024 03:03:04 PM

Document Has Been Signed on 08/14/2024 03:03 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:MENLO SCHOOL CHILD CARE CENTERFACILITY NUMBER:
414001220
ADMINISTRATOR/
DIRECTOR:		LISA WILLIAMS, DIRECTORFACILITY TYPE:
850
ADDRESS:50 VALPARAISO AVENUETELEPHONE:
(650) 330-2001
CITY:ATHERTONSTATE: CAZIP CODE:
94027
CAPACITY: 17TOTAL ENROLLED CHILDREN: 17CENSUS: 0DATE:
08/14/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Director, Lisa WilliamsTIME VISIT/
INSPECTION COMPLETED:
03:40 PM
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On August 14th, 2024 at approximately 9:15 AM, Licensing Program Analyst (LPA) Tapia-Mandujano arrived at the facility. LPA met with Director, Lisa Williams. The purpose of inspection was explained and was for an unannounced- Case Management inspection for Room Change and Increase in Capacity. Per director, site is currently closed for summer break. Present in the facility are Director and some staff setting up the classrooms.

Facility has requested to increase capacity from 17 to 30 preschool-age children. As well as move the Preschool Classrooms from Building #2 to Building #1. Building #1 consist of 2 classrooms. Building #2 also consist of a Kitchen, Laundry Room, Director's office, Breakroom, Storage/isolation Room, and a Staff restroom that will be off limits. The day and hours of operation Monday- Friday from 7:30AM to 4:30PM. Preschool ages to serve are 2-5 years old. LPA measured facility indoors and outdoors, and inspected for health and safety hazards.

LPA measured Classroom #1 and Classroom #2 had a total useable indoor square footage of 1,312.111. Total usable sqft. divided by 35 equals to 37 preschool-age children. Classroom #1 consists of 2 toilets, 1 child size sink, and adult size sink. Classroom #2 consists of 2 toilets, 1 child size sink, and adult size sink. Total capacity of toilets and sink are sufficient for the desired capacity of 30 preschool-age children.

Facility is still in the process of setting up each classroom with age-appropriate materials, equipment, and toys. Classroom must be fully set up for approval. Overall, the indoor spaces has a comfortable temperature with adequate ventilation and lighting. Floors are free obstructions or hazards. Each classroom is equipped with storage for children's belongings. Each classroom is equipped with a Fire Extinguisher, Fire alarm system, and carbon monoxide alarms. Fire clearance is still pending. Per director, isolation of ill children will be in the isolation room and she will sit with the child until child is picked up.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: MENLO SCHOOL CHILD CARE CENTER
FACILITY NUMBER: 414001220
VISIT DATE: 08/14/2024
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Children's mats are set up hanging in each classroom. Children's sheets and blankets are provided by facility and washed twice a week or as needed. Per Director, facility will provide breakfast, and two snacks. Families will provide lunch for their children. Per director, water services will be readily available inside and outside. Facility provides water cups and refill as needed.

LPA re-measured outdoor play area. Outdoor area are divided into two play yards. Total useable square footage measures 3660.38; divided by 75 allows for a total of 48 preschool-age children.

The outdoor play spaces were fully enclosed with fencing and gates. Outdoor Area is still being set up. Facility agrees to have age-appropriate materials and toys for preschool-age children. Shading Areas are installed throughout the play yards. Prior for approval of new outdoor space, area must be fully set up.

Postings still need to be posted. Required posting must be in a centralized, visible location and include the: License; Passenger Safety Laws; Notice of Parent Rights; Personal Rights; Emergency Disaster Plan; Earthquake Preparedness Checklist.

Facility provides Incidental Medical Services – IMS. LPA reviewed storage area for medication and equipment/supplies, and reviewed forms that will be used. For IMS information see Title 22 Regulations sections 101173 and 101226. 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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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: MENLO SCHOOL CHILD CARE CENTER
FACILITY NUMBER: 414001220
VISIT DATE: 08/14/2024
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During today's inspection, LPA received: LIC 200A, LIC 500, Floor plan of overall Building #1 and #2, and Copy of the Courtesy Lead results.

Prior for approval of Increase of Capacity and Room change, facility must submit or have the following completed:
*Classrooms must be fully set up with age appropriate materials, objects, and equipment including making classroom free of any potential hazards.
*Outdoor Area must be fully set up with age appropriate materials, objects, and equipment including making area free of any potential hazards.
*Required Postings must be posted in a centralized, visible area for all parents to see
*Fire Clearance from Menlo Park Fire Department
*Required paperwork that is pending review
*Lead Results posted on Waterboard Website

Based on today's inspection, deficiencies were not observed, according to California Title 22, Health and Safety Code of Regulations.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Director, Lisa Williams.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3