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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004531
Report Date: 03/22/2023
Date Signed: 03/22/2023 05:10:57 PM

Document Has Been Signed on 03/22/2023 05:10 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:ROOTS N WINGS MONTESSORIFACILITY NUMBER:
414004531
ADMINISTRATOR:MOTA BRITO QIU, DEBORAFACILITY TYPE:
850
ADDRESS:2323 EUCLID AVENUETELEPHONE:
(650) 568-1756
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94061
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 33DATE:
03/22/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:Mary Nokom-GonzalezTIME COMPLETED:
02:50 PM
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On March 22, 2023 at 12:05 PM Licensing Program Analyst (LPA) Maria Olguin-Leon met with Mary Nokom Gonzalez & Site Supervisor Debora Mota Brito for required annual inspection. Purpose of inspection was explained. Present today was Site Supervisor, 6 teachers and 32 preschoolers. Facility is operating within the capacity and in compliance with staff child ratio. Facility operates preschool program from Monday to Friday 8:30AM to 5:30PM.

LPA toured the facility for health and safety hazards. Building consists of two large classrooms and office/kitchen area. Facility is clean with proper temperature and ventilation. There are plenty of age-appropriate toys, furniture and learning materials all in good repair. Storage Cubbies are available for children to store personal items and belongings. Children’s restroom are working properly and sink is available for hand washing with no hot water. LPA reminded Site Supervisor to regularly clean bathroom floor and stepping stools. There is a separate bathroom for staff usage available. All trash containers in bathroom and in classroom have fitted lids. All cleaning products, chemicals and toxins are stored and locked in cabinet and inaccessible to children. Facility provides sleeping mats for all children. Parents provide sheets/blankets and are sent home weekly for washing.

Outdoor Area has plenty of play equipment, toys and climbing structures that are in good condition and repair. Playground flooring is cushioned with tanbark, a small artificial grass area and cement flooring. Playground is surrounded with a 5 ft. fence. There are no pools or bodies of water. Per Site Supervisor, there are no weapons or firearms on the premises.

Children bring lunch from home and stored in cubbies. Facility provides snacks that are properly stored to avoid contamination. Fresh fruit is stored in refrigerator. Labeled water bottles with children’s names are brought from home for use indoors and outdoors. Outdoors is equipped with a wall mounted Brita water filtering station for children to refill water bottles. First aid kit is stored in bathroom. LPA reminded staff to replenish first aid supplies regularly. Incidental Medical Services were discussed with staff and LPA observed medication to be properly stored, labeled, and inaccessible to children. Isolation area for sick children will be in office/kitchen area until parent arrives.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2023
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ROOTS N WINGS MONTESSORI
FACILITY NUMBER: 414004531
VISIT DATE: 03/22/2023
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Facility uses Brightwheel app. for sign in/out. Facility is equipped with a fully charged fire extinguishers, combo smoke detector/carbon monoxide detector and has on site cordless phone available.

LPA reviewed 5 children’s records and 5 staff record. All the children's records were complete. Staff mandated reporting certificates have expired, technical assistance cited. Site Director CPR/First Aid is current and expires 08/2023. LPA reminded Site Supervisor of the importance of maintained staff files current. Technical Assistance was cited. 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. Last emergency drill was conducted 02/15/2023 and documented every 6 months.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm
Facility has IMS policy on file with Regional Office.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Director 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. http://www.mandatedreporterca.com/

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.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ROOTS N WINGS MONTESSORI
FACILITY NUMBER: 414004531
VISIT DATE: 03/22/2023
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To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

No deficiencies were issued today.

Exit interview conducted and report was reviewed with the Director Debora Mota Brito.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/22/2023
LIC809 (FAS) - (06/04)
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