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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004281
Report Date: 04/03/2024
Date Signed: 04/03/2024 02:11:28 PM

Document Has Been Signed on 04/03/2024 02:11 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:THUMBELINA NURSERY SCHOOLFACILITY NUMBER:
414004281
ADMINISTRATOR:
ADMINISTRATOR/
DIRECTOR:		ATWELL, TAMMYFACILITY TYPE:
850
ADDRESS:20 HORGAN AVENUETELEPHONE:
(650) 364-5165
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 45TOTAL ENROLLED CHILDREN: 17CENSUS: 14DATE:
04/03/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
TIME VISIT/
INSPECTION BEGAN:
11:31 AM
MET WITH:Tammy Atwell & Myrna TrujilloTIME COMPLETED:
TIME VISIT/
INSPECTION COMPLETED:
02:25 PM
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On April 3, 2024, at approx. 11:30AM Licensing Program Analyst (LPA) Maria Olguin-Leon met with Director Tammy Atwell for an unannounced annual inspection visit. Purpose of inspection was explained. Present today, Director, 4 staff and 14 children. Facility is operating within capacity and in compliance with staff/child ratio. All staff have criminal background clearances. Facility operates preschool program from Monday to Friday 7:00 AM to 6:00 PM.

LPA and Director toured the facility for health and safety hazards. Facility operates a preschool program in four classrooms: Fairy classroom, Dragon classroom, Gargoyle classroom and main classroom. Facility is clean with proper temperature and ventilation. There are plenty of age-appropriate toys, furniture, learning materials and sleeping mats all in good repair. Storage bins are available for children to store personal items and belongings. There are two separate bathrooms for children; toilets are in working condition and there is no hot running water in sinks. There is a separate staff bathroom. All trash cans are equipped with tight fitting lids. Kitchen is equipped with a half door for inaccessibility to children. All cleaning products, chemicals and toxins are stored and locked in cabinet and inaccessible to children. Facility has plenty of sleeping mats available for napping. Parents provide sheet and are sent home weekly for laundering. Playground is equipped with a large age-appropriate play structure, ride on toys and a sandbox area all in good condition. There is a locked storage room located in backyard Playground is surrounded with a 5 ft. fence. Playground is also surrounded with sand and cement walkways for children to play. There are no pools or bodies of water. Per Director, there are no weapons or firearms on the premises.

Facility provides breakfast, lunch, and snacks for children in care. Menus are available and posted. Kitchen storage area was observed to be clean, and food stored properly to prevent contamination. Facility provides water to children with Brita filtered water. First aid kit is fully stocked with medical supplies. Incidental Medical Services were discussed. Sick children are isolated in gargoyls room when not in use and away from other children.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/03/2024
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: THUMBELINA NURSERY SCHOOL
FACILITY NUMBER: 414004281
VISIT DATE: 04/03/2024
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Facility uses sign in and sign out sheets. LPA reminded Director to have parents sign with full signatures. Facility is equipped with fully charged fire extinguishers, working carbon monoxide/smoke detectors and smoke alarm system. Last emergency drill was conducted on 03/15/2024 and properly documented. Facility uses cell phone for communication with staff and parents.

LPA reviewed 6 children’s records 4 staff record. All the children's and staff records were complete. The facility has all necessary paperwork posted, Facility License, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan.

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/.

For IMS information see PIN 22-02-CCP. 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/.

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.


Cont. page 3...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
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: THUMBELINA NURSERY SCHOOL
FACILITY NUMBER: 414004281
VISIT DATE: 04/03/2024
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Director 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.

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. Lead testing was completed after due date.


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 encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Director 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.

Cont. page 4...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
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: THUMBELINA NURSERY SCHOOL
FACILITY NUMBER: 414004281
VISIT DATE: 04/03/2024
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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

Type B violation is being cited on this day in accordance with the California Health & Safety Code, see LIC 809D.

A notice of site visit was given and must remain posted for 30 days. LPA provided Appeal rights.

Exit interview conducted and report was reviewed with Assistant Director, Myrna Trujillo.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 04/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 04/03/2024 02:11 PM - It Cannot Be Edited


Created By: Maria Olguin-Leon On 04/03/2024 at 01:50 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: THUMBELINA NURSERY SCHOOL
FACILITY NUMBER: 414004281

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/03/2024

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 upon record review, the facility did not test for lead until 4/24/2023. This posed a potential health, safety, or personal rights risk to the persons in care.
POC Due Date: 04/03/2024
Plan of Correction
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The facility is now in compliance with lead testing and the deficiency will cleared the same day of the visit, 04/03/2024.
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:Marie Rodriguez
LICENSING EVALUATOR NAME:Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:
DATE: 04/03/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/03/2024


LIC809 (FAS) - (06/04)
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