414001725-9-19-2024-05-CC-JGIL-D99TR5-20240919145659

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001725
Report Date: 09/19/2024
Date Signed: 09/19/2024 02:57:04 PM

Document Has Been Signed on 09/19/2024 02:57 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 TENDING		FACILITY NUMBER:	414001725
ADMINISTRATOR/ DIRECTOR:	GAUTHIER, BRIGETTE		FACILITY TYPE:	840
ADDRESS:	1283 TERRA NOVA BOULEVARD		TELEPHONE:	(650) 355-5026
CITY:	PACIFICA	STATE: CA	ZIP CODE:	94044
CAPACITY: 100	TOTAL ENROLLED CHILDREN: 100	CENSUS: 20	DATE:	09/19/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:30 PM
MET WITH:	Brigette Gauthier		TIME VISIT/ INSPECTION COMPLETED:	03:35 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 September 19th, 2024, at approximately 1:30 PM, 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 20 school age children with 2 staff members (including director). Facility is operating within capacity requirements and ratios at time of LPA's inspection. Facility operates out of three portable classroom(E2, E3, P39). Facility also has separate Preschool license that operates in portable classroom E1. LPA and director inspected facility, indoors and outdoors, for health and safety hazards. LPA observed portable classrooms 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 each portable classroom. Storage for children's belongings are located inside each classroom. Per director, facility does not have designated nap time due to it being a school age program. 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 each portable classroom. Facility has one fully stocked and accessible first aid kit located in each classroom. Per director they have a larger first aide kit available in portable classroom E2. Facility has one fully charged fire extinguisher in each classroom. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children locked in classroom storage cabinets. LPA observed children's bathrooms to be clean and in proper working condition. Per director, 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. Continue on Page 2...

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: 414001725
	VISIT DATE: 09/19/2024

NARRATIVE

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Outdoor area is fully enclosed. LPA observed two available play structures to contain padding underneath. Per director, facility has exclusive after school use.

Children are signed in and out of facility through One Core App system. All children were signed in correctly during LPA's visit. Staff sign in children and authorized representatives sign them out. Facility has license documentation and information properly posted and available for review in main entrance of facility in Portable E2. Facility conducts disaster drills once every month. Last conducted disaster drill was on 08/23/2024.

LPA reviewed 10 children's files and 2 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 also current and on file for each present staff.

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: 414001725
	VISIT DATE: 09/19/2024

NARRATIVE

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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.

Director had to leave exit interview to sign in school age children. Exit interview conducted and report was reviewed with facility's executive director, Rachel Heck.

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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