<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004866
Report Date: 03/11/2024
Date Signed: 03/11/2024 01:36:28 PM

Document Has Been Signed on 03/11/2024 01:36 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:BUILDING KIDZ OF NORTH SAN MATEOFACILITY NUMBER:
414004866
ADMINISTRATOR:VENDEL, ASHLEYFACILITY TYPE:
850
ADDRESS:120 LINDBERGH STREETTELEPHONE:
(650) 393-5212
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 44DATE:
03/11/2024
TYPE OF VISIT:Required - 3 YearUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Eman IsbeihTIME COMPLETED:
01:53 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 March 11, 2024 at 9:45am., Licensing Program Analyst (LPA) Yasha Nasiripour met with Regional Director, Eman Isbeih. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection and a Case Management Investigation regarding Lead Testing requirements. Present at the school were the Regional Director, 7 staff, 39 preschool-aged children, and 5 toddlers. Center is operating within capacity requirements and in compliance with child to staff ratio. Hours of operation are Monday to Friday from 7:00am to 6:00pm.

LPA inspected center with Regional Director. There are no bodies of water, firearms, or weapons on the premises. The center is in good repair with proper temperature and ventilation and is free of any hazards. All furniture is in good condition. Classrooms are separated by age group. Toddler room has children from 18 months - 36 months old. Main room is separated by two room dividers, which enrolls 3-4 year olds on the left side, 4-5 year olds on the right side, and one area in the back of the room designated for Performing Arts and Nap time for the preschool-aged children. Each classroom has age appropriate toys and equipment. Napping equipment is in good condition and properly stored when not in use. Bathroom in Toddler room has one toilet, one sink, and one changing table. Bathroom next to main room has two toilets and one sink. Bathrooms appear to be clean, in good repair, and free of any hazards. There is an extra sink available for children's use. Each classroom has a schedule for designated bathroom breaks. There is a separate bathroom for staff usage on the premises, located upstairs, and is properly barricaded from access by children.

All required postings are properly posted in front of the office. Children bring their own reusable water bottles and staff refill them throughout the day using a water filter. Center provides morning snack, lunch, and afternoon snack. Monthly meal menu is posted in a public area. Kitchen area is clean and free of any toxins or contamination. All storage containers for solid waste have a proper lid. All cleaning products and toxins are inaccessible to children.

Continued on Page 2...
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE: DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/11/2024
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 5
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: BUILDING KIDZ OF NORTH SAN MATEO
FACILITY NUMBER: 414004866
VISIT DATE: 03/11/2024
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
26
27
28
29
30
31
32
Page 2...

Napping equipment was in good condition and properly stored. Regional Director reports parents/caregivers take nap sheets home every Friday to wash and return on Monday.

There is storage space for children's personal belongings in each classroom. Children will be signed in and out by authorized representatives using an electronic sign in/out program.

The center has adequate ventilation, comfortable temperature, and lighting. Center has a built-in smoke detector, and testable carbon monoxide detector in all rooms, fire extinguishers in all rooms (2A:10:BC), and telephone service. There are first aid kit in all classrooms, as well. LPA reviewed first aid kits during inspection.

The outdoor play area is fenced for supervision with age appropriate toys and equipment in good condition. The outdoor play area offers multiple areas for shaded rest. Climbing structures are observed to be properly anchored with absorbent material installed for added safety. LPA observed water services are provided for children both inside and outside, with staff utilizing a water filtration system.

LPA reviewed facility records including: 10 children’s files and 7 personnel files. Personnel and Children files were reviewed and contained all required forms. The center has a complete record of sign-in/out sheets by authorized pickup person located in each classroom.



Facility personnel had their updated CPR/ 1st aid certification on file. Center's emergency disaster drills are conducted every month in conjunction with Building Kidz Family of San Mateo's drill schedule and are properly logged. The last drill was completed on 2/15/2024 and the next drill scheduled for 3/15/2024.

Required postings are located outside of Director's office and includes the Facility License, Notification of Parent’s Rights (PUB394), Passenger Safety Law (PUB269), Updated Monthly Menu, and Emergency Disaster Plan (LIC610).

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.


Continued on Page 3...
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024
LIC809 (FAS) - (06/04)
Page: 2 of 5
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: BUILDING KIDZ OF NORTH SAN MATEO
FACILITY NUMBER: 414004866
VISIT DATE: 03/11/2024
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
26
27
28
29
30
31
32
Page 3...

Regional Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificates on file.



LPA encourages the Regional Director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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.

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/.

Regional Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov

Continued on Page 4...
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: BUILDING KIDZ OF NORTH SAN MATEO
FACILITY NUMBER: 414004866
VISIT DATE: 03/11/2024
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
26
27
28
29
30
31
32
Page 4...

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). The facility conducted their water test for lead contamination on May 12, 2023, which did not complete testing prior to their deadline. Type B deficiency citation was issued. (Please refer to LIC809D).



LPA verified that the lead testing result indicated by the laboratory report that leads in the drinking water levels were below the current California Action limit of 5.5ppb.

Type B violation is being cited on this day in accordance with the California Health & Safety Code, see LIC 809D.

The Regional Director was reminded that all adults 18 and over, 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.


Please refer to LIC 809D for today’s citation. A copy of today’s report and the facility’s appeal rights were discussed and given to the Director. The Notice of Site Visit was given to the Director and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with the Regional Director, Eman Isbeih.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE:

DATE: 03/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2024
LIC809 (FAS) - (06/04)
Page: 4 of 5
Document Has Been Signed on 03/11/2024 01:36 PM - It Cannot Be Edited


Created By: Yasha Nasiripour On 03/11/2024 at 01:06 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: BUILDING KIDZ OF NORTH SAN MATEO
FACILITY NUMBER: 414004866

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/11/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
HSC
1597.16(a)(1)
Lead Testing
(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test.

This requirement is not met as evidenced by:
Deficient Practice Statement
1
2
3
4
Based upon record review, the facility did not test for lead until 1/20/2023, which poses / posed a potential health, safety, or personal rights risk to the persons in care.
POC Due Date: 03/25/2024
Plan of Correction
1
2
3
4
The Director should have water outlets tested for lead contamination by the due date: 03/20/2024. The water was tested on 5/12/2023. The deficiency was cleared on today’s visit.
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:Ali Zebila
LICENSING EVALUATOR NAME:Yasha Nasiripour
LICENSING EVALUATOR SIGNATURE:
DATE: 03/11/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/11/2024


LIC809 (FAS) - (06/04)
Page: 5 of 5