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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002925
Report Date: 05/24/2024
Date Signed: 05/24/2024 12:02:26 PM

Document Has Been Signed on 05/24/2024 12:02 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:SAN MATEO-FOSTER CITY SCHL DIST - FIESTA GARDENSFACILITY NUMBER:
414002925
ADMINISTRATOR/
DIRECTOR:
CRISTINA HALEYFACILITY TYPE:
850
ADDRESS:1001 BERMUDA DRIVETELEPHONE:
(650) 312-7737
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY: 48TOTAL ENROLLED CHILDREN: 48CENSUS: 0DATE:
05/24/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:46 AM
MET WITH:Vanessa Rosales and Amanda DriscollTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
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On May 24, 2024, at approximately 9:40 AM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with lead teacher, Geraldine Vanessa Rosales, and explained the purpose of the inspection. Principal Amanda Driscoll arrived at 10:18 AM via of LPA's visit.

Preschool program operates on Fiesta Gardens International Elementary School. Program is licensed to operate in classrooms #20 and #21. On date of LPA's visit, program is operating out of classroom #21 only.

Present during inspection included 0 enrolled children, one lead teacher and principal. Preschool program was closed to children in care on this day due to parent teacher conferences. Per teacher, there are 21 children enrolled in Preschool program. All staff members working in preschool program are fingerprint cleared through SMFCSD. Preschool program currently operates Monday through Friday 8:30am to 3:00pm.

LPA, lead teacher, and principle inspected preschool program, indoors and outdoors, for health and safety hazards. Classroom has a working telephone on site, carbon monoxide detector and fire extinguisher on site. Entire facility has smoke and fire alarm system implemented by school district. LPA observed cleaning solutions, poisons and other chemicals are stored inaccessible to children in classroom's high cabinets. LPA observed all sharp objects are stored in classroom's office, off limits to enrolled children.

Storage for children's belongings is located inside the classroom. Storage areas are labeled with each child's individual names. Classroom has age-appropriate furniture and materials that are in good working condition. Classroom has proper temperature and is properly ventilated. LPA observed classroom has one accessible children's sink. The bathrooms located in classroom also have two additional accessible sinks and two toilets. All accessible sinks are free of poisons or hazardous materials and do not produce hot water. LPA observed bathroom to be clean and in proper working condition.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE: DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/24/2024
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 - FIESTA GARDENS
FACILITY NUMBER: 414002925
VISIT DATE: 05/24/2024
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Preschool program provides lunch and snack. Enrolled children also bring their own lunch to the facility from home. Children's items are properly stored in individual cubbies. Drinking water is available to children, indoors and outdoors, with children's individual drinking bottles and accessible water fountains.
LPA observed classroom has enough sleeping mats available for children in napping program. Facility has plastic storage bags for children’s sheets. Sheets are separated and labeled. Sheets are taken home by families weekly to wash.

Preschool program shares outdoor area with elementary school's Kindergarten. Outdoor area is not shared with elementary school. LPA observed outdoor area to have age-appropriate materials that are in good working condition. Padding is located under climbing structure. Outdoor waiver was reviewed and is properly posted.
LPA observed preschool program to use paper sign in/out system. Classroom has license and all other required documents posted and visible for the public. Preschool program conducts monthly disaster drills with Fiesta Gardens International Elementary School. Last conducted disaster drill was on 05/15/2024.

LPA reviewed 5 children's files and 3 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 04/2025. Teachers' also has proof of required immunization that were made available for review. District requires all staff to take annual Mandated Reporter Training through Vector Solutions.

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: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
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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 - FIESTA GARDENS
FACILITY NUMBER: 414002925
VISIT DATE: 05/24/2024
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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, Amanda Driscoll.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:

DATE: 05/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/24/2024
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Document Has Been Signed on 05/24/2024 12:02 PM - It Cannot Be Edited


Created By: Janet Gil On 05/24/2024 at 11:37 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 - FIESTA GARDENS

FACILITY NUMBER: 414002925

DEFICIENCY INFORMATION FOR THIS PAGE:

VISIT DATE: 05/24/2024

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 observation and record review, the licensee did not comply with the section cited above in failing to test for lead water before January 1st, 2023, which posed a potential health, safety or personal rights risk to persons in care.
POC Due Date: 05/24/2024
Plan of Correction
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Facilty tested for lead in 4/5/2024, and have results under 5.5 pbb.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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: 05/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/24/2024


LIC809 (FAS) - (06/04)
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