414004794-10-10-2023-05-CC-JTSE-CWGTZG-20231010151019

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004794
Report Date: 10/10/2023
Date Signed: 10/10/2023 03:10:50 PM

Document Has Been Signed on 10/10/2023 03:10 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	L'ACADEMY PRESCHOOL REDWOOD CITY		FACILITY NUMBER:	414004794
ADMINISTRATOR:	PIORODA, BERNADETTE		FACILITY TYPE:	830
ADDRESS:	2336 EL CAMINO REAL		TELEPHONE:	(650) 362-3266
CITY:	REDWOOD CITY	STATE: CA	ZIP CODE:	94063
CAPACITY: 14	TOTAL ENROLLED CHILDREN: 8	CENSUS: 7	DATE:	10/10/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Director, Bernadette Pioroda-Cruz		TIME COMPLETED:	02:05 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	On 10/10/2023, at approximately 10:15am, Licensing Program Analysts (LPAs) Jonathan Tse and Leslit Tapia-Mandujano conducted an unannounced annual visit to L'Academy Preschool Redwood City. LPAs were granted entry to the facility by Director, Bernadette Pioroda-Cruz. LPAs explained the purpose of the visit. Present in the facility were the Director and four staff members supervising seven infant children. Facility is in compliance with child-staff ratios. Facility hours are from 8:30am to 5:30pm. LPAs and Director inspected the facility for any health and safety hazards. LPAs observed all required postings to be posted in the entryway of the facility. There is a fully charged 2A10BC fire extinguisher present outside the infant classroom. Electrical outlets were observed to be covered when not in use. The infant classroom was observed to be in orderly condition. LPAs observed that there was a baby bouncer located in the infant classroom. LPAs informed Director of the requirement to remove the bouncer and Director removed it from the classroom. The diaper changing station is within hands reach of the nearest sink. The outdoor infant play area was observed to be in clean and orderly condition. The facility has a waiver to allow five infants to be present in the play area at any time. The facility was in compliance with the waiver during the visit. LPAs observed a barricade blocking the exit gate of the outdoor play area that leads to the parking lot. LPAs discussed the need for access to emergency exits and Director agreed to remove the barricade. LPAs reviewed four staff files and five children's files. LPAs found children's files to be complete. LPAs reminded Director of requirement to have First Aid and CPR training completed with an EMSA certified vendor. LPAs additionally discussed the requirement to have complete immunization records on file for all staff, with MMR, Tdap and Influenza vaccines on record. Facility serves food to infants in care. In the case that children bring food from home, the facility labels it and stores it in a fridge found in the staff kitchen. Facility appropriately maintains children's medication in its original packaging. Children bring their own water bottles from home and staff refills the bottles as needed. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

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 10/10/2023 03:10 PM - It Cannot Be Edited

Created By: Jonathan Tse On 10/10/2023 at 02:36 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: L'ACADEMY PRESCHOOL REDWOOD CITY	FACILITY NUMBER: 414004794
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/10/2023

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101439(d)(2)

Infant Care Center Fixtures, Furniture, Equipment and Supplies

(d) Swings, playpens and all such equipment and furniture shall be assembled or installed according to the manufacturer's instructions, and shall be maintained in good repair and safe condition. (2) A baby walker shall not be allowed on the premises of a child care center in accordance with Health and Safety Code Section 1596.846. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, the director did not comply with the section cited above which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/11/2023
	Plan of Correction
1 2 3 4	Director removed baby bouncer from classroom during visit.

Type B

Section Cited

HSC

1596.7995(a)(1)

General Provisions and Definitions

(1) Commencing September 1, 2016, a person shall not be employed or volunteer at a day care center if he or she has not been immunized against influenza, pertussis, and measles. Each employee and volunteer shall receive an influenza vaccination between August 1 and December 1 of each year. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the director did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/10/2023
	Plan of Correction
1 2 3 4	Director will require staff to submit complete immunization records that include MMR and Tdap vaccinations to facility. Director will then submit proof of complete immunization records to LPAs.

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:

Ali Zebila

LICENSING EVALUATOR NAME:

Jonathan Tse

LICENSING EVALUATOR SIGNATURE:

DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

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: L'ACADEMY PRESCHOOL REDWOOD CITY	FACILITY NUMBER: 414004794
	VISIT DATE: 10/10/2023

NARRATIVE

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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.

Director was 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.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPAs verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP. Facility does not have any lead exceedances of 5.4ppb and is in compliance with the Written Directives.

LPAs discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPAs also informed director 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.

Continued on Page Three

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

LIC809 (FAS) - (06/04)

Page: 4 of 4

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: L'ACADEMY PRESCHOOL REDWOOD CITY	FACILITY NUMBER: 414004794
	VISIT DATE: 10/10/2023

NARRATIVE

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This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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-carecenters/.

Director 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.

See LIC9102TV for technical violations cited today.

See LIC809-D for deficiencies cited today regarding baby bouncers and staff immunization records.

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

Exit interview conducted and report was reviewed with the director, Bernadette Pioroda-Cruz.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 10/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2023

LIC809 (FAS) - (06/04)

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