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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004976
Report Date: 03/12/2024
Date Signed: 03/12/2024 03:55:39 PM

Document Has Been Signed on 03/12/2024 03:55 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:SAN MATEO-FOSTER CITY SCHL DIST - SUNNYBRAEFACILITY NUMBER:
414004976
ADMINISTRATOR:HALEY, CRISTINAFACILITY TYPE:
850
ADDRESS:1031 S. DELAWARE STREETTELEPHONE:
(650) 312-7599
CITY:SAN MATEOSTATE: CAZIP CODE:
94402
CAPACITY: 15TOTAL ENROLLED CHILDREN: 23CENSUS: 0DATE:
03/12/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
02:35 PM
MET WITH:Amanda DriscollTIME COMPLETED:
04:30 PM
NARRATIVE
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On March 12, 2024 at approximately 2:35pm, Licensing Program Analysts (LPAs) Catrina Quimb and Melissa Zaragoza, conducted an unannounced, case management visit. LPAs met with preschool principal, Amanda Driscoll, and explained the purpose of the visit. No enrolled children were present during visit.

Preschool program currently operates at Sunnybrae Elementary School in classroom #5 only. Facility completed construction to classroom #5, requested a visit for newly renovated room and to increase preschool capacity to 48 children. Principal requested to add classroom #7 and sensory room (in between classroom #5 and #7). Fire clearance was obtained February 13, 2024.

Hours of operation are Monday through Friday 8:30am to 4:30pm. LPAs inspected classrooms for health and safety hazards and measured to calculate capacity.

Indoors: On this date, classroom #5 was measured for 867.40 sq. ft. allowing for a capacity of 24 children. Classroom #7 was measured for 867.49 sq. ft. allowing for a capacity of 24 children. The sensory room (located between classroom #5 and classroom #7) was measured for 472.61 sq. ft. allowing for a capacity of 13 children. Due to sensory room being a multi-purpose area, classroom will not be counted towards overall square footage. Total indoor square footage is 1,734.89 sq. ft. allowing for a capacity of 49 children.

LPAs observed classrooms to be clean, equipped with new furniture. Children's toys and materials were observed to be age appropriate and in good condition. Storage space for children's personal belongings are located inside the classroom. Both classrooms are equipped with a fire alarm implemented by school district. Per principal, smoke detectors in classrooms are dual smoke/carbon monoxide detectors. LPAs observed at least one fully stocked first aid kit. Licensing documents are properly posted and available for review. Garbage bins in classrooms and bathroom include a tight fitting lid.
(Continue Report on Page 2...)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/12/2024
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: SAN MATEO-FOSTER CITY SCHL DIST - SUNNYBRAE
FACILITY NUMBER: 414004976
VISIT DATE: 03/12/2024
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Each classroom includes one children's sink and one children's water fountain. Sinks accessible to children do not provide water that is warmer than 120 degrees Fahrenheit. There is a shared bathroom in between classroom #5 and classroom #7 that includes 4 sinks and 4 toilets. Total allowable capacity for sinks (6 total) is 90 children. Total allowable capacity for toilets is 60 children.

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). Program completed lead water testing March 2023.

LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information.

Facility was issued a Type B citation for completing lead testing after deadline. Facility completed lead water testing March 2023. Lead water results showed fixtures tested to be below 5.5 ppb threshold. Deficiency was cleared during visit.

LPA will approve for capacity of 48 children, effective this date. LPA requested for a facility sketch for sensory room.

A notice of site visit was given and must remain posted for 30 days. Appeal rights were also provided.

Exit interview conducted and report was reviewed with facility representative, Amanda Driscoll.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 03/12/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024
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Document Has Been Signed on 03/12/2024 03:55 PM - It Cannot Be Edited


Created By: Catrina Quimbo On 03/12/2024 at 03:37 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: SAN MATEO-FOSTER CITY SCHL DIST - SUNNYBRAE
FACILITY NUMBER: 414004976

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/12/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/12/2024
Section Cited
HSC
1597.16(a)(1)

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HSC 1597.16(a)(1) A licensed child day care center... 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...

This requirement is not met as evidenced by:
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Facility completed lead water testing March 2023. Lead testing results are within the 5.5 ppb threshold. Deficiency cleared.
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Based on interview and record review, the licensee did not comply with the section cited above by not completing lead testing by January 1, 2023 in accordance to written directives, which poses a potential health, safety or personal rights risk to persons in care.
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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:Marie Rodriguez
LICENSING EVALUATOR NAME:Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:
DATE: 03/12/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/12/2024


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