414002368-7-5-2023-05-CC-AMEN-CTFS9Q-20230705134107

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002368
Report Date: 07/05/2023
Date Signed: 07/05/2023 01:41:10 PM

Document Has Been Signed on 07/05/2023 01:41 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	GENENTECH 2ND GENERATION @ ALLERTON		FACILITY NUMBER:	414002368
ADMINISTRATOR:	CAITLIN SPADARELLA		FACILITY TYPE:	830
ADDRESS:	444 ALLERTON AVENUE		TELEPHONE:	(650) 225-3666
CITY:	SOUTH SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY:	199	CENSUS: 79	DATE:	07/05/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Debbie Angeles		TIME COMPLETED:	01:45 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	Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this required annual licensing visit. Purpose of visit explained. There are 79 infants present. Facility meets teacher/child ratio today. Facility is licensed as a combination center which includes: infant center, preschool, and school aged programs. Days and hours of operation are Monday-Friday 6:30AM-6:30PM. There are changing tables available in each infant classroom near a sink. Individual cubbies are available for children's use. Separate staff bathrooms are present. Physical plant toured to inspect for health and safety hazards. Water is available for children. Parents provide formula or breast milk. If there is breast milk, it is stored and labeled in a small refrigerator inside the classroom. Sinks are present in classrooms. No pools, spas, hot tubs, fish ponds, or similar bodies of water are present. Per staff, there are no firearms or weapons on site. Disinfectants, cleaning solutions, poisons, and other items that may be dangerous are inaccessible to children. Variety of age appropriate toys and materials for children are available in the classrooms. Classrooms are set up for child care and furniture and equipment for children is present. Sick children will be separated from the group and wait for parent to pick up in the staff office. Facility provides snacks and meals. Facility has posted all the required licensing forms (License, Notification of Parent's Rights, Notification of Personal Rights, Earthquake preparedness checklist, and Emergency Disaster Plan). LPA reviewed staff and children's files. In the files reviewed, all are complete. All staff have verification of the mandated child abuse reporter training as compliant with AB1207; all staff have current Pediatric First Aid and CPR certification; all staff have the required staff immunizations: measels (MMR) and pertussis (TDap). (continued on next page 809-C)

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023

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 2

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GENENTECH 2ND GENERATION @ ALLERTON	FACILITY NUMBER: 414002368
	VISIT DATE: 07/05/2023

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
26
27
28
29
30
31
32

Incidental Medical Services (IMS) policy discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA is 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. Facility informed that effective 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.

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/process.

This report is reviewed with facility representative and a copy of this report must be made available for public review upon request.

Notice of Site Visit posted and shall remain posted for 30 days.

SUPERVISOR'S NAME: Daniel J Oquendo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Andrea Medlin	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2023

LIC809 (FAS) - (06/04)

Page: 2 of 2