414004288-6-11-2024-05-CC-CQUO-D65SF7-20240611134951

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004288
Report Date: 06/11/2024
Date Signed: 06/11/2024 01:49:55 PM

Document Has Been Signed on 06/11/2024 01:49 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:	MILESTONE ACADEMY PRESCHOOL ONE		FACILITY NUMBER:	414004288
ADMINISTRATOR/ DIRECTOR:	WIN, KAY K AND WIN, PHYU N		FACILITY TYPE:	850
ADDRESS:	164 SCHOOL STREET		TELEPHONE:	(650) 994-2020
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94014
CAPACITY: 20	TOTAL ENROLLED CHILDREN: 9	CENSUS: 6	DATE:	06/11/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:25 PM
MET WITH:	Phyu Win		TIME VISIT/ INSPECTION COMPLETED:	02:30 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 June 11, 2024 at approximately 12:25pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with co-licensee/director, Phyu Win, and explained the purpose of the visit. Present during LPA's visit included director, lead teacher and 6 preschool children. Program is operating within capacity limits and ratio during LPA's visit. All teaching staff present have fingerprint clearance on file. Hours of operation are Monday through Friday 7:30am to 5:30pm. LPA inspected facility, indoors and outdoors, for health and safety hazards. LPA observed a variety of toys and materials that are in good condition LPA observed areas in classroom for academic work, eating, playing and rest and relaxation. There is age appropriate furniture that was observed to be in good condition. There are carpets in the classrooms that are in good condition, free of stains. LPA observed electrical outlets in classrooms to be made inaccessible with child safety covers. LPA observed a fully charged fire extinguisher, fire alarm system and a first aid kit on site. There is a carbon monoxide detector that was tested during visit and observed to be working. LPA did not observe accessible poisons or cleaning solutions in facility. Children's restroom was observed to be clean and in working condition. There is appropriate toileting equipment and hand washing materials for children's use. LPA observed garbage bin to have a tight fitting lid. Sinks children have access to do not provide water that is warmer than 120 degrees Fahrenheit. There is a lobby area that includes cubby and storage space for children. LPA observed cubbies to be labeled with children's individual names. Children are signed into and out of program using authorized representatives' written signatures. During today's visit, LPA observed all children present to be properly signed into program. Required licensing documentation that includes facility's lead testing results was observed to be properly posted and available for review in lobby area. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

Page: 1 of 3

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: MILESTONE ACADEMY PRESCHOOL ONE	FACILITY NUMBER: 414004288
	VISIT DATE: 06/11/2024

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
26
27
28
29
30
31
32

(Continued, Page 2...)
Children sleep on floor mats. LPA observed floor mats to be in good condition. Floor mats are color coded so that the sleeping side is distinguished from the floor side. Children's napping sheets are appropriately stored in children's cubbies, so that they are not touching each other. Per director, sheets are sent home weekly or as needed to be laundered. There are additional sheets on site, if needed.

Program provides a food service that includes snack and lunch. Children are able to bring their own food from home as well. Per director, food that is not eaten at the facility are sent home daily. LPA observed kitchen area to be made inaccessible to children with a child safety gate. LPA did not observe any cleaning solutions to be in kitchen area. Children's food allergy list is posted and made available for review.

Drinking water is made available to children, indoors and outdoors, through children's individual water bottles that can be refilled on site through water fountains or refrigerator filter.

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 verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

Entire outdoor area is enclosed and fenced. LPA observed outdoor area to be clean, equipped with appropriate outdoor toys and materials. There are play structures in outdoor area that have resilient padding underneath. Flooring in outdoor area was observed to be free of loose debris. Per director, outdoor materials are cleaned daily. There is sufficient shade, if needed. LPA did not observe any pools, spas or bodies of water on site.

LPA reviewed 6 random children's records, which were observed to be complete. Children's files include admission agreements and emergency information. Program conducts emergency disaster drills that are documented and maintained. Last disaster drill was conducted 4/18/2024. LPA reviewed records for staff present. All staff present have a current CPR/First Aid certification. LPA reminded director Mandated Reporter training certification must be renewed every two years by all staff working with children. All staff present have required immunizations available for review.
(Continue Report on Page 3...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: MILESTONE ACADEMY PRESCHOOL ONE	FACILITY NUMBER: 414004288
	VISIT DATE: 06/11/2024

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
26
27
28
29
30
31
32

(Continued, Page 3...)
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.

LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpagehttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed licensee 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.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records. 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-carecenters/.

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.

No deficiencies were issued during today's visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with licensee, Phyu Win.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2024

LIC809 (FAS) - (06/04)

Page: 3 of 3