414004815-12-4-2024-05-CC-KKRN-DBN4QJ-20241204181827

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004815
Report Date: 12/04/2024
Date Signed: 12/04/2024 06:19:01 PM

Document Has Been Signed on 12/04/2024 06:19 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:	WHOLE KID SCHOOL		FACILITY NUMBER:	414004815
ADMINISTRATOR/ DIRECTOR:	DOAN, MICHELLE		FACILITY TYPE:	850
ADDRESS:	135 WILLOW ROAD		TELEPHONE:	(650) 382-9388
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY: 48	TOTAL ENROLLED CHILDREN: 48	CENSUS: 42	DATE:	12/04/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:35 PM
MET WITH:	Michelle Doan		TIME VISIT/ INSPECTION COMPLETED:	06:20 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 12/4/2024, at approximately 1:35PM, LPAs Katie Krenn and Jonathan Tse arrived at the facility to conduct an unannounced annual visit and were granted entry by a teacher. The Licensee, Michelle Doan was not present but arrived shortly after. Present during the visit was the Director, six staff members, 24 preschool age children and 18 toddlers. The facility is operating within staffing and ratio requirements on this day. LPAs and Licensee inspected the facility for any health or safety hazards. There are fully charged fire extinguishers present. There are carbon monoxide detectors installed in the facility. There is a fire alarm system running throughout the facility. Poisons, cleaning detergents and other chemicals are stored inaccessible to children in care. Electrical outlets are covered to be inaccessible. LPAs observed that the preschool children had their own cubbies labeled with their names and photos. Children have access to age-appropriate learning materials and toys. LPAs observed that children had access to five toilets and five hand washing sinks. All toilets and sinks were observed to be operational during the visit. Children nap on cots and provide bedding from home. The facility provides sheets. Lunch and snacks are provided from home. Per Licensee, snacks are available as needed. Water bottles are brought from home and refilled at the facility through a water service. LPAs observed the outdoor play area was free of debris and other loose articles. It had age-appropriate equipment that was well maintained. LPAs observed that the sandbox was covered. The licensee informed the LPAs that it is always covered when not in use and is inspected prior to use. Play structures are cushioned with rubber mats and wood chips. There are no swimming pools or other similar bodies of water present. Continued on Page Two

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

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

FACILITY NAME: WHOLE KID SCHOOL	FACILITY NUMBER: 414004815
	VISIT DATE: 12/04/2024

NARRATIVE

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LPAs reviewed seven staff files, six children’s files, and facility records. There is at least one staff member present with current Pediatric First Aid/CPR training. LPAs observed that not all staff members had current Mandated Reporter Training on file available for review. LPAs informed Licensee that a deficiency would be cited. Licensee stated that they understood. LPAs observed that the licenses, fire clearance, disaster plan, parent’s rights, lunch menu, and daily schedule all posted in a prominent place.

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 tolls, 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.

Licensee 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).

Continued on Page Three

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

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: WHOLE KID SCHOOL	FACILITY NUMBER: 414004815
	VISIT DATE: 12/04/2024

NARRATIVE

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LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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-care-centers.

Licensee 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 LIC809-D for deficiency cited today for Mandated Reporter Training. Appeal rights were provided and explained to Licensee. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Licensee, Michelle Doan.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Katie Krenn
LICENSING EVALUATOR SIGNATURE:	DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 12/04/2024 06:19 PM - It Cannot Be Edited

Created By: Katie Krenn On 12/04/2024 at 05:33 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: WHOLE KID SCHOOL	FACILITY NUMBER: 414004815
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 12/04/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1596.8662(b)(1)

Administration of Child Day Care Licensing

(1) On or before March 30, 2018, a person who, on January 1, 2018, is a licensed child day care provider, administrator, or employee of a licensed child day care facility shall complete the mandated reporter training provided pursuant to paragraphs (2) and (3) of subdivision (a), and shall complete renewal mandated reporter training every two years following the date on which he or she completed the initial mandated reporter training. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above by not maintaining documentation of completed Mandated Reporter Training for all staff which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 12/20/2024
	Plan of Correction
1 2 3 4	Licensee shall have all staff complete Mandated Reporter Training and maintain documentation in all personnel files by set due date of 12/20/2024.

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:

Daniel J Oquendo

LICENSING EVALUATOR NAME:

Katie Krenn

LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2024

LIC809 (FAS) - (06/04)

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