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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004416
Report Date: 10/31/2024
Date Signed: 11/07/2024 08:37:29 AM

Document Has Been Signed on 11/07/2024 08:37 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:NEWTON AT LAUREL SMFACILITY NUMBER:
414004416
ADMINISTRATOR/
DIRECTOR:		CARMEN ZUNIGAFACILITY TYPE:
840
ADDRESS:303 36TH AVE.TELEPHONE:
(650) 346-7939
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY: 70TOTAL ENROLLED CHILDREN: 70CENSUS: DATE:
10/31/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:30 PM
MET WITH:Director Carmen ZunigaTIME VISIT/
INSPECTION COMPLETED:
04:28 PM
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On 10/31/2024, Centralized Application Bureau (CAB) Licensing Program Analyst Jamel Maiwandi met with Facility Director Carmen Zuniga, Program Director Anny Kazmi, and program director Ruby Andrade for the purpose of an unannounced capacity increase case management inspection. This is an application requesting for a capacity increase from 70 school age children ages TK-5 to 90. The facility's hours of operation are Monday through Friday from 12:50 PM to 6:00 PM. The fire clearance was granted on 10/7/2024.
LPA conducted a health and safety inspection in all areas accessible to school age children. There are five existing school age classrooms: Room #1,#5,#6,#7,#8 and Wesley Hall. The licensee is not adding additional classrooms. The classroom space and Wesley hall contains a total of 5,084.55 square feet, which will accommodate the requested capacity of 90 school age children. There are 22 toilets and 8 sinks available to children, and a separate staff restroom is available. Children who become ill during the day will be isolated in the office and will use the staff restroom, if necessary. All outdoor and indoor passageways, stairways, inclines, ramps, open porches and other areas of potential hazard were observed to be free of obstruction. The child care center was observed be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. Floors of all rooms have a surface that is safe and clean.
A comfortable temperature for children shall be maintained at all times. Furniture and equipment were observed to be sufficient in quantity, maintained in good condition, free of sharp, loose or pointed parts. Tables and chairs were observed to be meet the needs of the children. All play equipment and materials used by children were observed to be age-appropriate. LPA observed sufficient individual permanent or portable storage space for each child’s clothing, personal belongings and/or bedding. All materials and surfaces accessible to children, including toys, shall be free of toxic substances. A functional carbon monoxide detector was observed in the facility. Disinfectants and medications were observed to be inaccessible and appropriately stored. LPA observed an electronic sign-in/sign-out system.

Report continues on LIC 809 page 2
Mai LorTELEPHONE: (916) 491-0182
Jamel MaiwandiTELEPHONE: (279) 220-0549
DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/31/2024
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: NEWTON AT LAUREL SM
FACILITY NUMBER: 414004416
VISIT DATE: 10/31/2024
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There are two outdoor areas designated for school age children. The outdoor play area located at Newton and Laurel elementary school is fenced with a wrought iron fence that is at least four feet tall. There is a play structure with a safety label and age rating for children ages three years and up as per program director Annie Kazmi at the Newton site and as well as at the Laurel site. Facility staff was reminded to follow the safety labels and adhere to the age rating. Staff will provide supervision to ensure children under the age of 2 will not be using the play structures at both Newton and Laurel elementary school. LPA observed sufficient amount of equipment and toys. There are shaded areas supplied by hallway overhangs in the play yard at Newton, and shaded structures at the Laurel elementary school site.

The outdoor activity area at Newton contains a total of 5,473.65 square feet, and the outdoor activity area at Laurel elementary contains a total of 47,066.67 square feet, for a total outdoor area of 52,540.32 square feet, which will accommodate the Licensee's request for 90 school age children.

Facility staff was reminded any construction or equipment that could pose a hazard in the outdoor activity area shall be made inaccessible to children in care. This shall include, but not be limited to, incinerators, air- conditioning equipment, water heaters, and fuse boxes.

Director and staff were 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.

Report continues on LIC 809 page 3
SUPERVISOR'S NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Jamel MaiwandiTELEPHONE: (279) 220-0549
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
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: NEWTON AT LAUREL SM
FACILITY NUMBER: 414004416
VISIT DATE: 10/31/2024
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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.
Licensee and staff 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.

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

Exit interview conducted and report was reviewed with the director Carmen Zuniga and program managers Ruby Andrade and Annie Kazmi.
SUPERVISOR'S NAME: Mai LorTELEPHONE: (916) 491-0182
LICENSING EVALUATOR NAME: Jamel MaiwandiTELEPHONE: (279) 220-0549
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC809 (FAS) - (06/04)
Page: 3 of 3