414001933-6-3-2024-05-CC-JGIL-D5VPZL-20240603114543

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414001933
Report Date: 06/03/2024
Date Signed: 06/03/2024 11:45:53 AM

Document Has Been Signed on 06/03/2024 11:45 AM - 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-FOSTER CITY SCHL DIST - PARKSIDE SCHOOL		FACILITY NUMBER:	414001933
ADMINISTRATOR/ DIRECTOR:	CRISTINA HALEY		FACILITY TYPE:	850
ADDRESS:	1685 EISENHOWER STREET		TELEPHONE:	(650) 638-3171
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY: 120	TOTAL ENROLLED CHILDREN: 120	CENSUS: 19	DATE:	06/03/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:07 AM
MET WITH:	Cristina Haley and Sonia Bora		TIME VISIT/ INSPECTION COMPLETED:	12:20 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 June 3rd, 2024 at approximately 9:10 AM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with principal, Cristina Haley, and Lead teacher, Sonia Bon, and explained the purpose of the inspection. Present during LPA's inspection included 19 enrolled children, principle, and 3 staff members. Preschool program is operating within its capacity requirements and ratios during LPA's visit. All staff members working in preschool program are fingerprint cleared through SMFCSD. Preschool operates at Parkside Elementary School and is licensed to operate out of classroom #1-#5 and #8. During LPA's inspection, principle let LPA know they will no longer expand Preschool program and instead will continue to operate only from room 8 with a capacity of 22. Preschool program operates Monday through Friday 8:30 AM to 3:00 PM. LPA inspected inside the preschool classroom and the outdoor area for health and safety hazards. Program operates as a Montessori program. Classroom has a working telephone on site. Entire facility has installation of smoke and fire alarm system. LPA observed classroom to have multiple carbon monoxide detectors and one fully charged fire extinguisher by the exit door. All cleaning solutions, poisons and other chemicals are stored inaccessible to children on facility's high shelves in the bathroom area. Classroom has age appropriate furniture and materials that are in working condition. Storage for children's belongings are located both inside and outside the classroom, labeled with children's individual names. LPA observed all electrical outlets were made inaccessible to children in care with outlet covers. Classroom has two toilets and one sink. Bathrooms were observed to be in working condition with appropriate sanitation products. Accessible sinks do not produce any hot water. There was no hazardous items in the bathrooms. Continue on Page 2....

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024

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-FOSTER CITY SCHL DIST - PARKSIDE SCHOOL	FACILITY NUMBER: 414001933
	VISIT DATE: 06/03/2024

NARRATIVE

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Preschool program is part of facility's school district food program. All food is stored and prepared in facility's kitchen. Facility has sufficient amount of sleeping mats available. Sleeping mats are labeled and separated in white bags. Per principle, sheets and blankets are taken home by families once a week for a wash.

Drinking water is available to children indoors and outdoors. All children in care have individual drinking bottles and accessible water fountains.

Preschool program has exclusive use of outdoor area that is separate from entire facility's outdoor area. LPA observed outdoor area to have age appropriate materials that are in good working condition. Resilient padding is located under climbing structure.

LPA observed preschool program to use paper sign in/out system located on the outside of the classroom next to the front door. At time of inspection, all children were properly signed in to program with parents' full signatures. Classroom has license and all other required documents posted and visible for the public. Preschool program conducts monthly disaster drills with Parkside Elementary School. Last drill was conducted on 4/24/2024.

LPA reviewed 5 children's files, principle's file. and all three staff files. Children's and staff files were complete with a record of emergency identification information on file. Lead teacher has a valid CPR/First Aid certificate that will expire 10/2025. Per Principle all staff complete Mandated Reporter Training through Vector Solutions annually through the School District. Last Training was conducted on 8/2/2023 for all present staff.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare 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.

The 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 completion certificate on al files except one(S2). LPAs encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024

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-FOSTER CITY SCHL DIST - PARKSIDE SCHOOL	FACILITY NUMBER: 414001933
	VISIT DATE: 06/03/2024

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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.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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.

Facility failed to test for lead water before January 1st, 2023. Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D.

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

Exit interview conducted and report was reviewed with principle, Cristina Haley.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 06/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 06/03/2024 11:45 AM - It Cannot Be Edited

Created By: Janet Gil On 06/03/2024 at 11:14 AM

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: SAN MATEO-FOSTER CITY SCHL DIST - PARKSIDE SCHOOL	FACILITY NUMBER: 414001933
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 06/03/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above in testing for lead in a child care center before January 1, 2023 which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 06/03/2024
	Plan of Correction
1 2 3 4	Facility tested all water samples on 4/4/2024 and had no exceedances over 5.5 pbb.

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:

Garfield Leung

LICENSING EVALUATOR NAME:

Janet Gil

LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2024

LIC809 (FAS) - (06/04)

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