414004152-10-22-2024-05-CC-CQUO-DAAQ53-20241022115116

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004152
Report Date: 10/22/2024
Date Signed: 10/22/2024 11:51:23 AM

Document Has Been Signed on 10/22/2024 11:51 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:	STAR ACADEMY PRESCHOOL		FACILITY NUMBER:	414004152
ADMINISTRATOR:	CHETTY, JOSEPHINE		FACILITY TYPE:	850
ADDRESS:	444 EAST MARKET STREET		TELEPHONE:	(650) 756-1581
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94014
CAPACITY:	45	CENSUS: 2	DATE:	10/22/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Josephine Chetty		TIME COMPLETED:	12:00 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 October 22, 2024 at approximately 8:50am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with licensee, Josephine Chetty, and explained the purpose of the visit. Present during LPA's visit included 2 preschool children. Facility is operating within capacity limits and ratio during LPA's visit. Preschool program operates on Colma Elementary School Site in classroom #11 and #12 only. Currently, licensee is only operating program in classroom #12. Hours of operation are Monday through Thursday, 8:00am to 4:00pm. LPA inspected the preschool classroom that is currently in use and the outdoor area for health and safety hazards. LPA observed classroom to be clean and appropriately ventilated. Flooring in classroom includes carpet and rugs that are free of stains. There are a variety of children's toys, materials and furniture that were observed to be age appropriate and in good working condition. Storage for children's belongings are located inside the classroom, labeled with children's individual names. LPA did not observe any accessible cleaning solutions or chemicals. LPA observed cleaning solutions to be stored in classroom's high shelves. There are storage cabinets in the classroom that did not have child safety locks installed. LPA did not observe hazardous materials in cabinets without child safety locks. There is an accessible sink in the classroom that was observed to be in working condition. There is also a water fountain in the classroom that is not used for drinking. Classroom includes multiple smoke detectors, carbon monoxide detector, fire alarm system, fire hose and fully charged fire extinguisher. LPA was unable to test carbon monoxide detector during visit due to detector being in high ceilings. Per licensee, fire department tested detectors October 15, 2024. Licensee provided LPA proof of recent fire inspection visit. Children sleep in the classroom on floor mats. LPA observed sleeping mats to be appropriately stored in children's cubbies to avoid touching other mats. Per licensee, sheets are provided by licensee while blankets are brought from children's homes. Licensee launders sheets weekly while blankets are sent home weekly. Per licensee, mats are also sanitized weekly or as needed. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

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: STAR ACADEMY PRESCHOOL	FACILITY NUMBER: 414004152
	VISIT DATE: 10/22/2024

NARRATIVE

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Restroom is located in the classroom. LPA observed toilet and sink in restroom to be in working condition. Sink includes appropriate sanitation products. Restroom also includes a stall that is designated for adult use only. LPA observed garbage bin in facility to have a tight fitting lid. Per licensee, garbage is disposed of daily or every other day.

Outdoor area is fully fenced and enclosed. Outdoor area includes a variety of outdoor toys and equipment that are in good condition. There is a storage shed in the outdoor area that is locked. There is a play structure in the outdoor area with resilient padding underneath. LPA did not observe any pools, spas or bodies of water on site. Drinking water is made available both indoors and outdoors, with children's individual water bottles that can be refilled at center with bottled water.

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. LPA referred licensee to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Program provides a food service that includes morning and afternoon snack only. Children bring their lunch daily that is appropriately stored. Program does not currently provide a hot lunch food service.

Children are signed in and out of facility by authorized representative's written signatures. LPA reviewed sign in/out sheets from August through October. Sign in sheets includes the child's name, time they are signed into and out of program and the child's authorized representative signatures. Children present during today's visit are appropriately signed in.

LPA observed licensing documentation and information properly posted and available for review. Emergency disaster drills are conducted monthly and are appropriately documented. Last disaster drill was conducted 10/10/2024.

LPA reviewed children's and staff's records. Children's records include emergency contact information and immunizations. Staff files include appropriate education transcripts and required immunizations. LPA observed licensee's CPR/First Aid certification has expired. LPA reminded licensee at least one staff member on site must have a current CPR/First Aid certification. LPA reminded licensee all staff are required to complete Mandated Reporter training every two years.
(Continue Report on Page 3...)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

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: STAR ACADEMY PRESCHOOL	FACILITY NUMBER: 414004152
	VISIT DATE: 10/22/2024

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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/.

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

Licensee was reminded that all adults 18 and over, 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.

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

LPA issued a Type B citation for no teaching staff on site having a current CPR/First Aid certification. Please refer to 809D for more information. A POC was discussed with licensee. Appeal rights were provided during visit.

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

Exit interview conducted and report was reviewed with licensee, Josephine Chetty.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/22/2024 11:51 AM - It Cannot Be Edited

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: STAR ACADEMY PRESCHOOL	FACILITY NUMBER: 414004152
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/22/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216(f)

Personnel Requirements

(f) At least one staff member who is trained in pediatric cardiopulmonary resuscitation and pediatric first aid pursuant to Health and Safety Code Section 1596.866 shall be present when children are at the child care center or offsite for center activities. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above. No teaching staff on site have a current CPR/First Aid certification which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/22/2024
	Plan of Correction
1 2 3 4	LPA reminded licensee at least one teaching staff on site must have a current CPR/First Aid certification at all times. Licensee provided LPA proof of correspondence to renew certification. Licensee will renew CPR/First Aid certification by POC due date. LPA reminded licensee CPR/First Aid certification must be EMSA certified. Proof of completed certificate will be submitted to LPA no later than POC due date.

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: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 10/22/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2024

LIC809 (FAS) - (06/04)

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