414004532-11-13-2023-05-CC-LGOZ-CXJSS2-20231113130710

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004532
Report Date: 11/13/2023
Date Signed: 11/13/2023 01:07:22 PM

Document Has Been Signed on 11/13/2023 01:07 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:	SAFARI KID SAN MATEO		FACILITY NUMBER:	414004532
ADMINISTRATOR:	WEINHAUER, RESHMI		FACILITY TYPE:	850
ADDRESS:	521 E 5TH AVENUE		TELEPHONE:	(650) 235-9198
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY:	72	CENSUS: 28	DATE:	11/13/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Reshmi Weinhauser		TIME COMPLETED:	01:15 PM

NARRATIVE

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On 11/13/2023 at 9:05AM., Licensing Program Analysts (LPA), Luis J. Gomez and Yasha Nasiripour met with Director, Reshmi Weinhauer. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate a preschool-age program with toddler option. Present was the director and 8 staff supervising 38 children. Children present had been properly signed in. Staff’s criminal record clearances are on file. Program utilizes three classrooms: Toddler (18-36 months); Preschool (3-4 years old); and Pre-K (4- 5 years old), and one, shared outdoor play yard. LPA reminded director to ensure waivers are posted in visible location. Per director, preschool program operates year around. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 9:15AM., the following was observed: Classrooms were clean, orderly, with age-appropriate playthings and items available for the children. Floor/ ground surfaces were clear of obstacles or potential hazards. Storage cubbies and hangers are available for children's belongings. Children’s books, art supplies, and puzzles inspected were free of sharp corners or splinters. Classrooms were equipped with child- sized tables and chairs. Children’s bathrooms were maintained clean, with fixtures tested in operating condition. The staff bathroom is located separate.

For napping services, stackable cots are stored in each classroom. Napping cots are made of a cleanable material. Per director, children napping supplies are washed weekly by families. Classrooms had adequate ventilation and lighting.

At 9:50AM., Based on observations, LPAs confirmed damaged ceiling tiles located in toddler, preschool and Pre-K classrooms.

Trash bins and outlets have proper coverings installed. Classrooms had smoke/ carbon monoxide combination detectors, functioning telephone, and fire extinguishers: 2A:10BC in hallway and classroom. Facility’s first aid kit was reviewed and was fully stocked. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023

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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Document Has Been Signed on 11/13/2023 01:07 PM - 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: SAFARI KID SAN MATEO	FACILITY NUMBER: 414004532
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 11/13/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101238(a)

Buildings and Grounds

(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	At 9:50AM., Based on observations, LPAs confirmed damaged ceiling tiles located in toddler, preschool and Pre-K classrooms. This poses a potential health and safety risk to children in care.
	POC Due Date: 11/20/2023
	Plan of Correction
1 2 3 4	Director will ensure damaged ceiling titles (3) are replaced by the due: 11/20/2023. Proof of correction will be submitted to the department via email.

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: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SAFARI KID SAN MATEO	FACILITY NUMBER: 414004532
	VISIT DATE: 11/13/2023

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(Page 2)
At 9:55AM., LPAs inspected the outdoor play area. Area was completely enclosed with playthings in good repair. Absorbent rubber padding has been installed around climbing structure for added safety. Shaded resting area was made available for the children. Per director, water services are provided inside and outside, using with refillable water bottles.

During inspection, LPAs reviewed food preparation/storage room. All food items inspected had been properly stored. Storage area was observed clean and without trash or rubbish.

At 10:40AM., LPA reviewed facility records, including 3 children’s files and 8 personnel files. Staff files were reviewed and contained the: Notice of Employee Rights (LIC9052); Teacher Qualifications; and Personnel Record (LIC501).

At 11:15AM., Based on record review, LPAs confirmed staff missing current 'Mandated Reporter Training' certifications on file. Advisory Note: Technical Violation (LIC9102TV) was issued.

LPAs reminded director ensure staff's proof of required immunization are stored in facility records. Advisory Notes: Technical Violation (LIC9102TV) was issued.

Children’s files were reviewed and contained the: Consent for Emergency Medical Treatment (LIC627); Immunization Record; Identification and Emergency Information (LIC700); Personal Rights (LIC613A); Notification of Parent’s Rights (LIC995); and Physicians Report.

Facility staff is conducting and documenting infant napping check for qualifying children in toddler classroom.

Staff’s updated CPR/ 1^st aid certification was on file, expiring on: 01/2024

Emergency disaster drill are conducted monthly, with last drill completed on 10/18/2023, properly logged.

LPA observed required posting in facility, including the: Facility License; Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; Notification of Parent’s Rights (PUB394); Updated Snack Menu; and Child Passenger Safety Laws (PUB269). (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SAFARI KID SAN MATEO	FACILITY NUMBER: 414004532
	VISIT DATE: 11/13/2023

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

LPA referred Director to the Department website regarding Lead: https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information

Director was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Based on today's inspection, deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations and cited on 809D. Exit interview, appeal rights, plan of correction, and report was discussed with Director, Reshmi Weinhauer. Signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was given and must remain posted for 30 days. Director was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/13/2023

LIC809 (FAS) - (06/04)

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