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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004790
Report Date: 08/24/2022
Date Signed: 08/24/2022 01:51:02 PM

Document Has Been Signed on 08/24/2022 01:51 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:ALL FIVEFACILITY NUMBER:
414004790
ADMINISTRATOR:THOMSEN, CAROLFACILITY TYPE:
830
ADDRESS:415 IVY DRIVETELEPHONE:
(650) 394-7328
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 18TOTAL ENROLLED CHILDREN: 18CENSUS: 0DATE:
08/24/2022
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Carol ThomsenTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted an announced case management inspection and met with Licensee Carol Thomsen. Licensee is requesting an increase in capacity to 30 children (6 infants and 24 toddlers) and the addition of classroom P15. Present at the facility are the Licensee and two staff members. There are no children in care due to the facility being closed this week. Facility will reopen on August 29, 2022. Facility operates Monday to Friday from 7:30 am to 5:30 pm. Main entry to the facility is at 1391 Chilco Street. Facility also has preschool license #414004132 on the premises. Facility was inspected today for health and safety hazards and measured to calculate capacity.

Indoor: Classrooms P13 and P14 will be used for the toddler program. Classroom P15 will be used for the infant program. Total useable indoor area for all three classrooms measures at 2,147.55 sq ft divided by 35 sq ft equals 61 children. Licensee is requesting an increase in capacity to 30 children.

The indoor space for children in both toddler classrooms are observed today to be clean and all furnishings, toys, and equipment observed to be age appropriate, safe, and in good condition. There is a storage space for children's personal belongings in each classroom. Cots will be utilized for napping children in the toddler classrooms. Facility will provide a sheet and blanket for each child and bedding will be sent home to be laundered weekly. Cots will be cleaned every evening or more often if needed.

There are two toilets and two sinks accessible for children's use in the toddler classrooms (one sink in the bathroom and one sink outside of the bathroom). Bathroom is located in-between the toddler classrooms. There is a designated space for a diaper changing station in each classroom and will be cleaned after each use. The bathroom will be cleaned and disinfected in-between use by each child. The bathroom was observed to be clean and with no health and safety hazards. Sinks accessible to children will deliver cold and warm water. A separate bathroom is available for staff on the premises.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE: DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/24/2022
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: ALL FIVE
FACILITY NUMBER: 414004790
VISIT DATE: 08/24/2022
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Classroom P15 has one bathroom with two toilets (one child and one adult sized) and two sinks (one child and one adult sized). Cribs are assigned for each infant. Indoor space for infants are observed today to be clean and all furnishings, toys, and equipment observed to be safe, age appropriate, and in good condition. There is a storage space for infants' personal belongings. There is a designated space for a diaper changing station and will be cleaned after each use. A sink is located next to the diaper changing table.

Each classroom is equipped with a fire extinguisher, smoke and carbon monoxide detectors, a separate kitchen area where food will be stored, garbage cans with tight-fitting lids, a first aid kit, and emergency supplies. All toxins and other hazardous items will be stored in a cabinet above the sink and will be inaccessible to children. Medications will be stored in a cabinet in a locked box in each classroom inaccessible to children. Isolation of ill children will be in the Director's office and staff bathroom will be used for an ill child.

Outdoor: Classroom P15 will utilize the front porch and back porch of classroom for infants. Total measurable outdoor area is 581.71 sq ft divided by 75 sq ft equals 7 children. Porches have age appropriate toys and equipment that are safe and in good condition. Back porch has an overhead awning built in for shade. Front porch has a portable shade structure. Main outdoor play area in front of classrooms P13 and P14 will be used for the toddler program and is also available for older infants. Main outdoor play area has 4170.99 sq ft. divided by 75 sq ft equals 55 children. Water will be available to children and provided by staff through a water dispenser and reusable cups.

LPA will approve increase of capacity to 30 children and addition of classroom P15 as of today, August 24, 2022. Fire clearance inspection was conducted and granted on August 23, 2022.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

Licensee 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, 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.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022
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: ALL FIVE
FACILITY NUMBER: 414004790
VISIT DATE: 08/24/2022
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LPA discussed the safe sleep regulations with licensee and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/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 plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A 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.

LPA reviewed with licensee the LIC 311A, Records To Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platform.

To receive important licensed-related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-care-licensing/subscribe and select the Child Care option to receive email communication.

A notice of site visit was given and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days.

Exit interview conducted and report was reviewed with the licensee Carol Thomsen.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:

DATE: 08/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2022
LIC809 (FAS) - (06/04)
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