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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004816
Report Date: 12/04/2024
Date Signed: 12/04/2024 06:07:52 PM

Document Has Been Signed on 12/04/2024 06:07 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 SCHOOLFACILITY NUMBER:
414004816
ADMINISTRATOR/
DIRECTOR:		DOAN, MICHELLEFACILITY TYPE:
830
ADDRESS:135 WILLOW ROADTELEPHONE:
(650) 382-9388
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 8DATE:
12/04/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:35 PM
MET WITH:Director, Michelle DoanTIME VISIT/
INSPECTION COMPLETED:
06:20 PM
NARRATIVE
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On 12/4/2024, at approximately 1:35PM, Licensing Program Analysts (LPAs) Jonathan Tse and Katie Krenn conducted an unannounced annual visit at the facility. LPAs met with Director, Michelle Doan and explained the purpose of the visit. Present during the visit was the Director, two staff members, and eight infants. This facility is combination center, with a preschool facility located at the same location under facility #414004815.

LPAs and Director inspected the facility for any health and safety hazards. The facility is equipped with fully charged fire extinguishers that are at least size 2A10BC. There are carbon monoxide detectors installed in the infant classroom. 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 to children. Emergency exits are clearly labeled and visible.

LPAs observed there to be age-appropriate toys and learning materials present. Furniture is age-appropriate and free of rough or sharp edges. The surface of the infant classroom was observed to be clean and free of loose debris. There is a diaper changing station that is within hands reach of a handwashing sink. Children nap in cribs that were observed to be in good condition. LPAs observed six cribs to have sleep sacks within them. LPAs informed Director that sleep sacks are not to be used for napping infants, and that a deficiency would be cited on this day. Director stated that they understood. Mattresses used for napping fit each crib, and tight-fitting sheets were used. Children bring lunch and snacks from home. Per Director, snacks are offered by the facility as needed. Water bottles are brought from home and refilled at the facility through a water service.

LPAs observed the outdoor play area to be free of debris and other loose articles. It is enclosed by a fence that is at least four feet high. There is sufficient cushioning in the form of artificial turf. There are age-appropriate toys and learning materials present. Shade is accessible from the building or nearby trees. There are no swimming pools or other similar bodies of water present. There are no firearms or weapons on facility premises.
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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
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.

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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: 414004816
VISIT DATE: 12/04/2024
NARRATIVE
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LPAs reviewed three staff files, six children’s files, and facility records. There is at least one staff member present with current Pediatric First Aid/CPR training. Immunization records were available for review. LPAs observed that staff files were not complete. Per Director, the remaining parts of the staff files were maintained off site. Complete staff files were not accessible during the visit. Children’s files were reviewed. Admission agreements are maintained digitally. Needs and services plans were made available for review during the visit. Infant sleeping logs are maintained and conducted every 15 minutes. All required postings were observed to be posted and immediately available for review upon entry to the facility. Children are signed in digitally.

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.

Facility representative 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).

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

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
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
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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: 414004816
VISIT DATE: 12/04/2024
NARRATIVE
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LPA discussed the safe sleep regulations with facility representative 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. LPA also informed facility representative 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 provides Incidental Medical Services – IMS. LPA 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/.

Facility representative 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 deficiencies cited today regarding the use of sleep sacks and personnel records. Appeal rights were provided and explained to the Director. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Michelle Doan.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
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
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Document Has Been Signed on 12/04/2024 06:07 PM - It Cannot Be Edited


Created By: Jonathan Tse On 12/04/2024 at 04:55 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: 414004816

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/04/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Deficiency Dismissed
Type B
Section Cited
CCR
101430(a)(3)(C)
Infant Care Activities
(C) An infant shall not be swaddled while in care.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation, the licensee did not comply with the section cited above by using sleep sacks for napping infants which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/20/2024
Plan of Correction
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Licensee shall contact parents and inform them that sleep sacks are not allowed to be used in the facility. Proof of this correspondence shall be provided to LPA via email.
Type B
Section Cited
CCR
101217(d)
Personnel Records
(d) All personnel records shall be maintained at the child care center and shall be available to the licensing agency for review.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on interview and record review, the licensee did not comply with the section cited above by not having staff files available for review which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 12/20/2024
Plan of Correction
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Licensee shall update and maintain complete staff files for all staff members currently employed at the facility. Licensee was provided with a copy of the "Entrance Checklist - Child Care Centers", which contains a list of required documents to be maintained in the facility.
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: 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


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