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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002817
Report Date: 07/01/2024
Date Signed: 07/01/2024 04:10:34 PM

Document Has Been Signed on 07/01/2024 04:10 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:WELCOME AMIGOS SPANISH IMMERSION ED.CTR.FACILITY NUMBER:
414002817
ADMINISTRATOR/
DIRECTOR:		VILLAGOMEZ, ELIZABETHFACILITY TYPE:
850
ADDRESS:2825 ALAMEDA DEL LAS PULGASTELEPHONE:
(650) 245-7788
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 14DATE:
07/01/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:35 PM
MET WITH: Karla Monzalvo and Elizabeth VillagomezTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
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On July 1st, 2024, at approximately 12:35 PM, Licensing Program Analyst (LPA), Janet Gil, and Licensing Program Manager (LPM), Garfield Leung conducted an unannounced annual inspection. LPA met with lead teacher, Karla Monzalvo, and explained the purpose of the inspection. At the time of arrival for the inspection, center director was away for a appointment. Lead teacher is designated with facility responsibility. At approximately 1:00 PM, Director Elizabeth Villagomez arrived at the facility.

Present during LPA's visit included 13 enrolled children (all preschool age) and 5 staff members. Facility is operating within capacity limits and ratios during LPA's visit. Hours of operation are Monday to Friday from 8:00 AM to 5:30 PM.

With director and lead teacher, LPA and LPM inspected day care areas inside and outside for health and safety hazards. Program is located in Grace Lutheran Church and School in three classrooms for preschoolers and kindergarteners only. Facility is a multi-level building. Per lead teacher, facility operates from first floor only, and the second floor has a classroom that is rented out for a separate music program. LPA reminded lead teacher to ensure all accessible stair ways are properly barricaded to the children in care.

All three classrooms are equipped with multiple first aid kits, a working telephone, and working carbon monoxide detectors. Entire facility has a smoke, fire alarm system and fully charged fire extinguisher implemented by Grace Lutheran Church and School. LPA and LPM observed all cleaning solutions, poisons and other chemicals to be made inaccessible in a storage closet located outside next to the children's bathrooms. The storage closet was locked and inaccessible to children in care. Storage cubbies for children's belongings are located inside each classroom, labeled with children's individuals names.

LPA and LPM observed classrooms to have age appropriate toys, furniture, and materials that were clean and in working condition. Program uses two school bathrooms located outside the classrooms. LPA observed bathrooms to be in working condition with appropriate sanitation products.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE: DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/01/2024
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: WELCOME AMIGOS SPANISH IMMERSION ED.CTR.
FACILITY NUMBER: 414002817
VISIT DATE: 07/01/2024
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LPA observed electrical outlets in classrooms to be made inaccessible with child safety outlet covers. Children are signed in and out of program with parent's written signatures in a binder located in Room 3. LPA observed all children present to be properly signed into program on the date of the inspection. All licensing documentation are properly posted outside of classrooms and are available for review.

Water is made accessible to children, indoors and outdoors, with children's individual water bottles. LPA observed two play areas utilized for preschool program to be fully enclosed and fenced. LPA observed outdoor area to have age appropriate materials that are in working condition. LPA observed a playground with foam padding underneath and a sand box with proper coverage when not in use. Outdoor area has sufficient shaded area. Facility conducts drills every month during the school year. Last conducted disaster drill was on 06/20/2024.

Program does not provide a food service. Children bring their own food that is stored in children's backpacks or lunch boxes. Per lead teacher, if food brought from home needs to be refrigerated, or heated up they do offer that option to children in care. Classrooms have sufficient amount of sleeping mats that are utilized for nap time. Per lead teacher, sheets and blankets are taken home once a week and washed by children families.

LPA reviewed 6 children's files and 5 staff files. Children's files were complete with a record of emergency identification information on file. Staff files were incomplete. Lead teacher was the only staff with a Mandated Reporter Training Certificate on file. Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D. All staff does have a valid CPR/First Aid certificate that will expire 10/2025. All staff do have proof of required immunization that were made available for review.

Director and lead teacher are aware that all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA encourages director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Director and lead teacher were 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.


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

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
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: WELCOME AMIGOS SPANISH IMMERSION ED.CTR.
FACILITY NUMBER: 414002817
VISIT DATE: 07/01/2024
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Director and lead teacher were 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.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

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.

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

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 07/01/2024 04:10 PM - It Cannot Be Edited


Created By: Janet Gil On 07/01/2024 at 03:20 PM
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: WELCOME AMIGOS SPANISH IMMERSION ED.CTR.
FACILITY NUMBER: 414002817

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/01/2024

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
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Based on interview and record review, the licensee did not comply with the section cited above in testing for lead in acessible water faucets/water fountains to children in care which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 08/01/2024
Plan of Correction
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LPA will send lead teacher links and lead teacher and director plan to scheduale for a certified tester to come in to facility as soon as possible.The testing must be completed by the due date mentioned above, and a full report must be submitted to the department for approval.
Type B
Section Cited
HSC
1596.8662(b)(1)
Administration of Child Day Care Licensing
(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above in having all staff complete Mandatory Mandated Reporter Online Training every two years which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 07/15/2024
Plan of Correction
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Director plans to have all staff with missing MR certificates complete online traing this week and email LPA Gil the missing certificates then place them in staff file.
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: 07/01/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/01/2024


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: WELCOME AMIGOS SPANISH IMMERSION ED.CTR.
FACILITY NUMBER: 414002817
VISIT DATE: 07/01/2024
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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. An additional Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, due to multiple staff missing current Mandated Reporter Training Certificates.

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

Exit interview conducted and report was reviewed with lead teacher, Karla Monzalvo.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
LIC809 (FAS) - (06/04)
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