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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004862
Report Date: 03/10/2022
Date Signed: 03/10/2022 05:32:10 PM

Document Has Been Signed on 03/10/2022 05:32 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:LA SCUOLA INTERNATIONAL SCHOOL-PENINSULAFACILITY NUMBER:
414004862
ADMINISTRATOR:LADISA, LAURAFACILITY TYPE:
850
ADDRESS:951 O'CONNOR STREETTELEPHONE:
(415) 558-9006
CITY:EAST PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY: 120TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
03/10/2022
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Valentia Imbeni, Laura Ladisa, Elisa Leonardi, Monica Lalanne TIME COMPLETED:
04:45 PM
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On March 10th, 2021 at 1pm, Licensing Program Analyst's (LPAs) Tapia-Mandujano and Leong met with Applicants and Facility administration, Valentia Imbeni, Laura Ladisa, Elisa Leonardi, Monica Lalanne for a scheduled pre-licensing inspection. The applicant is requesting 120 children (ages 2 years to entry into first grade). The facility will operate Monday - Friday; 8:30 AM- 5:30 PM. The designated director for the facility is Monica Lalanne. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity.

Fire Clearance was received on 3/09/22. Clarification on Physical address needs to be addressed with Fire Department.

Indoor: There are a total of six classrooms (Two “buildings’) that will be used for the program. Classrooms in Building A will not be operating at this moment. Room #1 in building B will not be in operation. Room #2 and 3 will operate until enrollment increases. Prior to use of any other rooms, facility must notify department for approval. Room #1-6 measure 782.8236. Total useable indoor square footage is 4696.942 sq ft exceeding the desired capacity of 120 children.

The indoor space for children is observed by LPAs, applicants are still in the process of moving furnishings, toys and equipment for children and staff use. There is storage space for children's personal belongings and cots to be utilized for napping children. Parents will provide the blanket and sheets for their child. Bedding will be sent home to be laundered weekly. Cots will be cleaned weekly or more often if needed. Children will be signed in and out electronically. Each classroom is equipped with a fire extinguisher, smoke and carbon monoxide detectors, and first aid kit. Facility is equipped with a kitchen area at this facility that is in the back portable in a non-licensed area. Garbage cans with tight-fitting lids. The facility is adequately ventilated and free of insects and bugs. Parents will provide all food for the children. The facility plans to provide snacks daily.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2022
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: LA SCUOLA INTERNATIONAL SCHOOL-PENINSULA
FACILITY NUMBER: 414004862
VISIT DATE: 03/10/2022
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Cleaning products or other hazards will be stored separately. Medications will be stored in the Office area inaccessible to the children; there will be a refrigerator for refrigerated medications. There are 12 toilets and 12 sinks exceeding the desired capacity accessible for children's use. Bathrooms are located inside each classroom consisting of 2 toilets and 2 sinks. The bathrooms were observed to be clean and with no health and safety hazards. Sinks accessible to children deliver water that is no warmer than 120 degrees. For drinking water children will bring their own individual water bottles to the facility each day, and will be allowed to have free access at any time. Facility will also offer filtered water as needed. All toxins, poisons and other similar hazardous items will be stored in a locked cabinet in the Office/Back portable. Isolation of ill children will be located in the office.

Outdoor: The outdoor area measures 20936.64 sq ft. exceeding the desired capacity of 120 children. The outdoor area to be used is enclosed by at least a four-foot fence and observed to be clean and safe. There is a climbing structure with wood chips for resilient material located underneath. For access to drinking water, children will be bringing out their personal water bottles. Shade for children will need to be installed.
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, Emergency Evacuation Procedures, Medication Policies, Isolation of Sick Children, Napping Requirements, Food Service, Transportation-none provided, Parents Rights, and Reporting Requirements. Required postings were observed during today's inspection. Facility will conduct disaster drills every 6 months and a log will be maintained for review upon request.

LPAs received from the applicants the following, during today's inspection:
*Daily Activities
*List of Furniture
*Transfer Request
*Director Qualifications: LIC 9108, Evaluation of Director Qualifications, Flu declaration, and Mandated Reporter.

Applicant 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.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2022
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: LA SCUOLA INTERNATIONAL SCHOOL-PENINSULA
FACILITY NUMBER: 414004862
VISIT DATE: 03/10/2022
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LPA discussed the safe sleep regulations with applicant 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 applicant 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.

APPLICANT KNOWS FACILITY PLANS TO PROVIDE IMS:
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 applicant, 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.

LPAs will recommend licensure of this facility for a capacity of 120 children once the following is corrected/completed/received and reviewed. Items marked **** will be required in order to receive a provisional license:
***LIC 200A: Application
***LIC 308: Designation of Facility Responsibility:
***LIC 309: Administrative Organization
***LIC 401: Monthly Operating Statement
***Fingerprint Clearance of all Adults
***Fire Clearance
***Panel on Roof Needs to be Closed
***Shaded Area for outside Space
***Documents Posted in Prominent Area
***Building B back doors need to have a sound to alert when door opens
Director Qualifications
In Service Training
Admission Polices/Parent Handbook
Sample Menu

Exit interview conducted and report was reviewed with Laura Ladia and Monica Lalanne.
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2022
LIC809 (FAS) - (06/04)
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