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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001724
Report Date: 09/19/2024
Date Signed: 09/19/2024 12:01:14 PM

Document Has Been Signed on 09/19/2024 12:01 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:TEMPORARY TOT TENDINGFACILITY NUMBER:
414001724
ADMINISTRATOR/
DIRECTOR:		GAUTHIER, BRIGETTEFACILITY TYPE:
850
ADDRESS:1283 TERRA NOVA BOULEVARDTELEPHONE:
(650) 355-5026
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY: 21TOTAL ENROLLED CHILDREN: 21CENSUS: 16DATE:
09/19/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:40 AM
MET WITH:Brigette GauthierTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
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On September 19th, 2024 at approximately 9:40 AM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with director, Brigette Gauthier, and explained the purpose of the inspection.

Temporary Tot Tending operates at Ortega Elementary School, Monday to Friday, from 7:00 AM to 6:00 PM. Present during inspection included 16 children with 4 staff members (including director). Facility is operating within capacity requirements and ratios at time of LPA's inspection. Facility operates out of one portable classroom(E1).

LPA and director inspected facility, indoors and outdoors, for health and safety hazards. LPA observed classroom to be clean, equipped with age appropriate toys, materials, and furniture. LPA observed electrical outlets to be made inaccessible with outlet covers and furniture. LPA also observed a covered trash can in classroom. Storage for children's belongings are located inside the classroom. Preschool program uses children's sleep mats for nap time. Per director, authorized representatives take home sheets and wash them weekly. Facility has no enrolled children on IMS Plans on date of inspection.

Facility has an implemented fire alarm system. LPA observed a carbon monoxide detector in E1 portable. Facility has one fully stocked and accessible first aid kit backpack located in the classroom. Facility has one fully charged fire extinguisher. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children locked on facility's high shelves.

LPA observed children's bathrooms to be clean and in proper working condition. Per lead teacher, children bathroom sinks do not provide hot water. Facility provides snack only. Menus are posted available for authorized representatives to review. Water is available to children indoors and outdoors with children's water bottles.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE: DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/19/2024
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: TEMPORARY TOT TENDING
FACILITY NUMBER: 414001724
VISIT DATE: 09/19/2024
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Outdoor area is fully enclosed and has age appropriate toys and materials that were in working condition. LPA observed a play structure to contain padding underneath.

Children are signed in and out of facility through One Core App system. All children were signed in correctly during LPA's visit. Facility has license documentation and information properly posted and available for review in main entrance of facility. Facility conducts disaster drills once every month. Last conducted disaster drill was on 08/23/2024.

LPA reviewed 10 children's files and 4 staff files. Children's files were complete with a record of emergency identification information on file. Director has a valid CPR/First Aid certificate that will expire 04/2025. All staff also have proof of required immunization that were made available for review. Mandated Reporter Training Certificates were not current and on file for each staff. LPA reminded director that all Mandated Reporter Certificates must be renewed every 2 years.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

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. LPA observed the completed certificate on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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 a Child Care Center. A civil penalty of $100.00 minimum/day up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
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: TEMPORARY TOT TENDING
FACILITY NUMBER: 414001724
VISIT DATE: 09/19/2024
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. 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/.

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.

No deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.

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

Exit interview conducted and report was reviewed with director, Brigette Gauthier.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 09/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024
LIC809 (FAS) - (06/04)
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