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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004816
Report Date: 01/10/2022
Date Signed: 01/13/2022 03:59:46 PM

Document Has Been Signed on 01/13/2022 03:59 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:WHOLE KID SCHOOLFACILITY NUMBER:
414004816
ADMINISTRATOR:DOAN, MICHELLEFACILITY TYPE:
830
ADDRESS:135 WILLOW ROADTELEPHONE:
(650) 382-9388
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: 0DATE:
01/10/2022
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
12:20 PM
MET WITH:Michelle Doan TIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Haydee Caliboso met with the applicant, Michelle Doan, Director of the facility 01/10/22 for a pre-licensing inspection. Also, present during the inspection is applicant’s husband, Plamen Marinov. The applicant has requested 12 infants, ages birth to 2 years old. The facility plans to operate Monday - Friday; 8:00 AM to 6:00PM. The facility was inspected today, indoor and outdoor, for health and safety hazards, and measured to calculate capacity. This inspection included a technical assistance inspection for COVID-19 guidance and support.

Indoor: There is one designated classroom for the infant program and two classrooms for the toddler program. The infant classroom was calculated to be a total of 270. 84 sq. ft., allowing for a capacity of 8 infants. The classrooms are observed today to be clean and equipped with a fire extinguisher, and both smoke and carbon monoxide detectors. The facility is adequately ventilated and free of insects and bugs. The classroom and furniture equipment are clean and in good condition. Children’s toys and supplies are orderly, in good condition, and age appropriate. There is storage space for children's personal belongings. The facility has a kitchen with a built-in counter-top area, sinks available for staff to use, and garbage cans with tight-fitting lids. The facility has a first aid kit in the classroom and a designated backpack with emergency supplies. Refrigerated medications will be stored separately from food. Medication will be administered with parental consent and will be kept in the child’s file for record. All medication will be logged when administered to children. Parents will provide morning and afternoon snacks, and lunch daily. The program will provide a sheet and blanket for the children. Bedding is to be washed twice per week or as needed. Cots will be used for older infants and will be cleaned daily or as needed.
809-C Cont. pg. 2
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 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: WHOLE KID SCHOOL
FACILITY NUMBER: 414004816
VISIT DATE: 01/10/2022
NARRATIVE
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Infant: There is storage for infants’ personal belongings. The parents will provide diapers and wipes for the infant. The parents will also provide bottles/nipples and any other food service items for each infant, and the staff will ensure breastmilk and or milk formula is served fresh daily to the infant. The facility has a built-in counter-top area, with a sink which includes bottle warmers and a refrigerator. The bottle warmer is out of reach of the children and is located in the kitchen staff area. There are 5 cribs available for infant to use. Drinking water for the children will be provided by plastic baby water bottles or cups with lids provided by the parents. Medications for infants will be stored in the classroom in high cabinets or in locked boxes in the refrigerator. The diaper changing table area has a sink within arm’s reach. Staff will meet and review the individual written needs and service plans quarterly with the parents. Plans will be kept in the children’s files.

Outdoor: The outdoor square footage was calculated for 1,550 sq. ft allowing for a capacity of 20 children. The outdoor area was observed to be clean, safe, and equipped with toys that are age-appropriate for children. There are trees in the playground that will be used for natural shade for children. The program’s outdoor playground is enclosed and gated with a fence approximately 4 ft. tall. Sandbox is clean and has a cover. LPA reminded the Director that sandbox needs to be check daily. Sheds for storage will remain closed and locked when children are present. LPA reminded Michelle Doan to ensure ratio and supervision are observed at all times. The facility will conduct and log fire drills once every six months, and the log will be available upon request.

There is a separate bathroom available for staff to use. The isolation area for ill children is located at the receiving area or lobby. Staff bathrooms will be used for ill children, if needed, until parents arrive for pick-up. Children in the program will be signed in and out daily by parents using an electronic signature. The facility will conduct and log fire drills once every six months, and the log will be available upon request. All cleaning supplies and hazardous items are stored in a locked cabinet made inaccessible to children.
809-C Cont. pg. 3
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2022
LIC809 (FAS) - (06/04)
Page: 3 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: WHOLE KID SCHOOL
FACILITY NUMBER: 414004816
VISIT DATE: 01/10/2022
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The following items were reviewed as part of today’s visit: Record keeping for staff, children, and facility records, care and supervision of the children, child discipline procedures – staff will use positive discipline. Emergency Evacuation Procedures, Medication Policies, Isolation of Sick Children, Napping Requirements, Safe Sleep and Individual Infant Sleeping Plan (LIC 9227), Food Service, Transportation-none provided, Parents Rights, and Reporting Requirements were reviewed today.

This facility will provide Incidental Medical Services – IMS. LPA reviewed storage area for medication and equipment/supplies, and reviewed forms that will be used. For IMS information see Evaluator Manual – Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.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

An electronic copy of this three-page report was emailed to Michelle Doan. Applicant were asked to review the report and return a signed copy of the report to LPA Haydee Caliboso.

Based on available square footage, sinks, and toilets, LPA Haydee Caliboso will recommend licensure of this facility for a maximum capacity of 8 children.

The following is required prior to regular licensure for a capacity of 8 children:
· Photo of posting requirements.
· Obtain approval from San Mateo County Fire Department.
· LIC 404
· Updated LIC 200A

SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Haydee R Caliboso
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2022
LIC809 (FAS) - (06/04)
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