414004976-1-26-2023-05-CC-MROZ-CNFRRL-20230126121520

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004976
Report Date: 01/26/2023
Date Signed: 01/26/2023 12:15:29 PM

Document Has Been Signed on 01/26/2023 12:15 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:	SAN MATEO-FOSTER CITY SCHOOL DIST.-SUNNYBRAE		FACILITY NUMBER:	414004976
ADMINISTRATOR:	HALEY, CRISTINA		FACILITY TYPE:	850
ADDRESS:	1031 S. DELAWARE STREET		TELEPHONE:	(650) 312-7599
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY: 15	TOTAL ENROLLED CHILDREN: 15	CENSUS: 0	DATE:	01/26/2023
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Cristina Haley		TIME COMPLETED:	12:30 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	Licensing Program Analyst (LPA) Marie Rodriguez conducted a scheduled pre-licensing inspection and met with Principal Cristina Haley. Principal is requesting a capacity of 15 preschool aged children (ages 2 years old to entry into first grade) in Room 5 at Sunnybrae Elementary School. Classroom will operate from Monday to Friday from 8:30 am to 4:30 pm. The designated director will be Principal Cristina Haley. The facility was inspected today, indoor and outdoor, for health and safety hazards and measured to calculate capacity. Indoor: Classroom is located on the first floor of Sunnybrae Elementary School in Room 5. Total useable indoor square footage is 802.81 sq ft divided by 35 sq ft equals 22 children. Classroom is observed today to be clean and all furniture, toys, and equipment are observed to be safe and in good condition. There is storage space for children's personal belongings and mats to be utilized for napping children. There is a fire alarm and sprinkler system throughout the elementary school. Classroom is equipped with a fire extinguisher and smoke and carbon monoxide detectors. Garbage cans have tight-fitting lids. First aid kit and emergency supplies are located in the classroom inaccessible to children. The classroom is adequately ventilated. There is a sink available in classroom for children's use. Bathroom is located right outside of classroom with one toilet and one sink available for children's use. Total allowable capacity for toilet is 15 and sinks is 30. The bathroom is observed to be clean and with no health and safety hazards. All sinks accessible to children deliver water that is no warmer than 120 degrees. There is a separate bathroom for staff usage on the premises. Drinking water is available for children indoors and outdoors. All toxins and other hazardous items will be stored in high cabinets in the classroom and will be inaccessible to children. Isolation of ill children will be in the nurse's office of the elementary school and the staff bathroom will be used for an ill child.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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: SAN MATEO-FOSTER CITY SCHOOL DIST.-SUNNYBRAE	FACILITY NUMBER: 414004976
	VISIT DATE: 01/26/2023

NARRATIVE

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Facility will provide lunch and morning and afternoon snacks through the school district. Medications will be stored in the nurse's office. Required postings were observed during today's inspection.

Outdoor: Outdoor play area will be shared with the kindergarten classrooms 1 and 2. This outdoor area measures 7,006.56 sq ft. divided by 75 sq ft allowing for a total of 93 children. Preschool classroom has a set schedule to use the outdoor area at specific times separate from the kindergarten classrooms. There will be no commingling of programs. The outdoor area is enclosed by a fence over four feet tall and observed to be clean, safe, and equipped with age appropriate toys and equipment for children. Resilient material is located on the ground of the play area. Teachers will bring out children's reusable cups filled with water while outside. Shade for children will be provided by the surrounding trees. Shared use of outdoor space waiver request will be submitted by Principal and a copy of outdoor play schedule will be provided.

LPA will approve licensure of facility for the capacity of 15 children. Fire clearance inspection was conducted on January 25, 2023.

Facility representative was reminded about Mandated Reporter training available on CCLD website. Training must be completed every 2 years by all staff hired. Training can be taken online at www.mandatedreporterca.com. If training is not available in native language, a statement can be written stating exemption until the translation is available.

Facility representative 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.

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-and-resources/safe-sleep as an additional resource. LPA also informed [applicant, licensee, or 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.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

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: SAN MATEO-FOSTER CITY SCHOOL DIST.-SUNNYBRAE	FACILITY NUMBER: 414004976
	VISIT DATE: 01/26/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated 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 facility representative the 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.

Exit interview conducted and report was reviewed with facility representative Cristina Haley.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Marie Rodriguez
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023

LIC809 (FAS) - (06/04)

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