414004632-8-12-2021-05-CC-CINO-C5TSKC-20210812135632

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004632
Report Date: 08/02/2021
Date Signed: 08/12/2021 01:56:37 PM

Document Has Been Signed on 08/12/2021 01:56 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	L'ACADEMY PRESCHOOL REDWOOD CITY		FACILITY NUMBER:	414004632
ADMINISTRATOR:	UNKNOWN		FACILITY TYPE:	850
ADDRESS:	2336 EL CAMINO REAL		TELEPHONE:	(415) 361-1879
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94063
CAPACITY: 72	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	08/02/2021
TYPE OF VISIT:	Prelicensing	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Applicant, Zhen Zhen Li, Site Director, Bernadette Clarisse Pioroda and two staff		TIME COMPLETED:	12:30 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	Licensing Program Manager (LPM), Cindy Interiano conducted a PreLicensing inspection and met with Applicant, Zhen Zhen Li, Site Director, Bernadette Clarisse Pioroda and two staff. Purpose of the inspection was explained to Applicant. Facility has requested a license capacity of48 preschool children (ages 2 years to entry into first grade). Facility operates in Preschool Classroom #1 and #2. The facility will operate as a combination center with infants and preschool children, Monday - Friday from 8:30 AM to 5:30 PM. The facility was inspected indoor and outdoor today for health and safety hazards and measured to calculate capacity. Indoor: Classroom #1 and #2 each measures about 830 square feet allowing for a total capacity of 24 preschool children in each room, with a total capacity of 48 Peschool children. Classroom #1 and #2 has sufficient toys, cubbies, and equipment for children. Rooms are equipped with an industrial fire alarm, a smoke and carbon monoxide detector, and a fire extinguisher. Rooms have an accessible, functioning telephone. Classroom #1 has a restroom with 2 toilets and 2 sinks. Classroom #2 has a restroom with 3 toilets and 2 sinks. Staff restrooms are located near the hallway. Classrooms have a fully supplied Emergency kit. Isolation area of ill children will be in the office and/or lobby area and a staff bathroom will be used, if needed, until Guardian arrives for pick up. Children’s medication will be kept in the main office or kitchen area. Drinking water is readily available for children. All mandatory postings are posted in the classroom, including menus. Outdoor: The outdoor area measures 1130 square feet allowing for a total capacity of 15 Preschool children. Outdoor play area is equipped with an age appropriate play structure and soft floor cushioning. Drinking water is available for children. Play area is enclosed by a fenced area and has shaded rest area for the children. See facility sketch and capacity worksheet. See Page 2. . .

SUPERVISORS NAME: Suzanne Roman-Clark
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY PRESCHOOL REDWOOD CITY	FACILITY NUMBER: 414004632
	VISIT DATE: 08/02/2021

NARRATIVE

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Page 2. . .

>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 was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care 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.
>Applicant and Director were informed about the Provider Information Notices (PINs) on CCLD website.
>Applicant and Director were advised of Mandated Reporter Training available on CCLD website. Training must be renewed by all staff every 2 years.
>Applicant and Director were advised of the new Lead Bill (effective 01/01/19), requiring Facilities to distribute a two-page flyer to Guardians with information on lead poisoning facts, as well as additional requirements for Child Care Centers. Review PIN 21-21-CCP for additional information/instructions.
>Covid-19 guidelines was discussed.
>Applicant and Director was reminded at least 1 staff must have current CPR/First Aid.
>Applicant and Director was reminded to conduct fire drills at least once every six months and properly log drill.
>Applicant and Director were reminded of records to be maintained at the facility.

See Page 3. . .

SUPERVISORS NAME: Suzanne Roman-Clark
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY PRESCHOOL REDWOOD CITY	FACILITY NUMBER: 414004632
	VISIT DATE: 08/02/2021

NARRATIVE

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Page 3. . .

Prior to approving license for a capacity of 48 Preschool children,
1) Fire Clearance must be received
2) Install baby gate at main door of the classrooms
3) Postings to be re-posted on the outside of the classrooms
4) Sink in Classroom #2 should have safety bumps, or place a visible object (to avoid children hitting/bumping into sink)

Outdoor play area
5) Each side gate must have a sensor alarm installed
6) Additional shading should be installed

7) Applicant will send photos of requested information
8) Updated forms will be requested
9) Outdoor play waiver will be pending review

>Report will be emailed to Applicant at zhenzhen@lacademy.co by end of business day today, 08/02/2021. Confirmation of receipt is required. Report must be available for public review. Any additional questions to call Office, M-F, 8a-5p, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISORS NAME: Suzanne Roman-Clark
LICENSING EVALUATOR NAME: Cindy Interiano
LICENSING EVALUATOR SIGNATURE:	DATE: 08/02/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2021

LIC809 (FAS) - (06/04)

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