414002467-11-27-2023-05-CC-LGOZ-CXZ32D-20231127165147

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002467
Report Date: 11/27/2023
Date Signed: 11/27/2023 04:51:57 PM

Document Has Been Signed on 11/27/2023 04:51 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:	BERESFORD MONTESSORI		FACILITY NUMBER:	414002467
ADMINISTRATOR:	REGINA MASLOG		FACILITY TYPE:	850
ADDRESS:	1717-1719 GUM STREET		TELEPHONE:	(650) 571-8749
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY: 41	TOTAL ENROLLED CHILDREN: 41	CENSUS: 24	DATE:	11/27/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Karina Garcia- Barbera		TIME COMPLETED:	04:55 PM

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On 11/27/2023 at 2:00PM., Licensing Program Analyst (LPA), Luis J. Gomez met with Licensee, Karina Garcia- Barbera. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate a preschool-age program. Present was the licensee, director and 5 staff supervising 24 children. Children present had been properly signed in. Staff’s criminal record clearances are on file. Preschool program utilizes two classrooms: Daisy Classroom, 2- 5 years old; Sunflower Classroom, 2-5 years old; and one, shared Outdoor Play Area. Days and hours of operation are Monday- Friday 8:30am- 5:00pm. The montessori program operates year around. LPA inspected facility, indoors and outdoors, with licensee for health and safety hazards.

At 2:10PM., the following was observed: Classrooms were clean, orderly, with age-appropriate supplies available for the children. Floor/ ground surfaces were clear of obstacles or any potential hazards. Storage cubbies are available in lobby, for children's belongings. Accessible supplies, manipulative, and puzzles inspected were free of sharp corners or splinters. Classrooms were equipped with child- sized tables and chairs for seated activities. Children’s bathrooms were maintained clean, with fixtures tested in operating condition. Staff bathroom is located separate from the children's bathroom. Per licensee, napping supplies are available for the children. Napping cots inspected were made of a cleanable material. Per Licensee, children napping supplies are washed weekly by families.

LPA reminded licensee to ensure quiet rest time is scheduled for each child daily. Advisory Note: Technical Violation (LIC9102TV) was issued during inspection.

Facility had proper ventilation and lighting. Trash bins and outlets have coverings installed. Classrooms had built-in smoke, and testable carbon monoxide detectors, functioning telephone, and fire extinguishers: 3A:40BC, fully charged. Facility’s first aid kit was reviewed. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023

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: BERESFORD MONTESSORI	FACILITY NUMBER: 414002467
	VISIT DATE: 11/27/2023

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At 2:30PM., LPA inspected the outdoor play area. Area was completely enclosed, with playthings available for the children. Absorbent material had been installed around climbing structure. Structure inspected was properly anchored. Per licensee, water is provide outside with labeled water bottles.

During inspection, LPA reviewed food preparation/storage room. Food items inspected had been properly stored. Area was observed clean and without trash or rubbish.

At 2:55PM LPA reviewed facility records including 5 children’s files and 7 personnel files. Staff’s files were reviewed and contained the: Notice of Employee Rights (LIC9052); Proof of required Immunization; Teacher Qualifications; and Personnel Record (LIC501).

LPA reminded licensee to ensure all staff update their required 'Mandated Reporter Training' Certification (AB1207). Advisory Note: Technical Violation (LIC9102TV) was issued.

Children’s files were reviewed and contained the: Consent for Emergency Medical Treatment (LIC627), Identification and Emergency Information (LIC700); Personal Rights (LIC613A); Notification of Parent’s Rights (LIC995); and ‘Written Medical Assessments’.

LPA advice licensee to ensure children required immunization record are stored in the facility records.

Staff’s updated CPR/ 1^st aid certification was on file, expiring on: 3/11/2024.

Emergency disaster drill are conducted monthly, with last drill completed on 10/17/2023, properly logged.

LPA observed required posting in facility, including the: Facility License; Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; Notification of Parent’s Rights (PUB394); Updated Snack Menu; and Child Passenger Safety Laws (PUB269). (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023

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: BERESFORD MONTESSORI	FACILITY NUMBER: 414002467
	VISIT DATE: 11/27/2023

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For IMS information see PIN 22-02CCP. 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, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN21-21- CCP.

Licensee was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, 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 for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Based on today's inspection, no deficiencies were cited in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. Exit interview and report was discussed with Licensee, Karina Garcia- Barbera. Signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was given and must remain posted for 30 days. Licensee was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023

LIC809 (FAS) - (06/04)

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