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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005023
Report Date: 08/02/2023
Date Signed: 08/02/2023 01:25:00 PM

Document Has Been Signed on 08/02/2023 01:25 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:NITTY GRITTY PRESCHOOL AT ACTON SVFACILITY NUMBER:
414005023
ADMINISTRATOR:COE, MARLENEFACILITY TYPE:
850
ADDRESS:233 TOPAZ STREETTELEPHONE:
(650) 208-3573
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY: 50TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/02/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Marlene CoeTIME COMPLETED:
01:45 PM
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On August 2, 2023 at approximately 8:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted a scheduled pre-licensing inspection. LPA met with applicant, Marlene Coe, and explained the purpose of the inspection.

Application was received June 9, 2023. Fire inspection was being conducted during LPA's visit. The applicant is requesting for a preschool program for a capacity of 50 preschool children (2 years to entry into first grade).

The facility will operate Monday through Friday 8:15am to 5:00pm. Applicant plans for program to include half days, full days and extended days for children during hours of operation. The program will operate at Sequoia Christian Church in Studio Classrooms #1 and #2 only.

Applicant plans for children to be signed in and out of facility with authorized representatives' written signatures that will be located in Studio Classroom #2. The designated director for the facility will be Marlene Coe. The facility was inspected indoors and outdoors, for health and safety hazards, and measured to calculate capacity.

Indoors: There are 2 classrooms that will be utilized for preschool program: Studio Classroom #1 and Studio Classroom #2. Studio Classroom #1 was measured for 446 sq. ft. allowing for a capacity of 12 children. Studio Classroom #2 was measured for 626.01 sq. ft. allowing for a capacity of 17 children. Total indoor square footage equals 1,072.01 sq. ft. allowing for a total capacity of 30 children. LPA reminded applicant, Studio Classroom #3 cannot be utilized until department inspects and approves of space.

Program also includes a staff office that is located on the second floor of the facility, classrooms remain on the ground floor. LPA observed studio classrooms to be well ventilated with appropriate temperature. Classrooms are equipped with furniture, toys and materials that were observed to be new, age appropriate and in good condition. Flooring in classrooms were observed to be clean, with new carpets. Sufficient storage space for children's personal belongings are located inside the classrooms.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/02/2023
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 4
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: NITTY GRITTY PRESCHOOL AT ACTON SV
FACILITY NUMBER: 414005023
VISIT DATE: 08/02/2023
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LPA observed electrical outlets in classrooms to be made inaccessible, with child safety covers. Poisons, cleaning supplies, and hazardous materials will be stored in classroom cabinets, behind child safety locked cabinets. Both classrooms are equipped with fully charged fire extinguishers and dual smoke/carbon monoxide detectors. LPA tested detectors during visit and observed them to be in working condition. Facility is also equipped with a fully stocked first aid cabinet that is secured to classroom wall.

Medications with children’s individual names and required documentation will be stored in classroom behind a child safety locked cabinet. Medications that require refrigeration will be stored in a staff refrigerator in staff office.

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) tollfree 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, available at: http://www.ada.gov/childqanda.htm.

Program plans to provide napping children with mats. Children's families are to provide blankets, program will provide sheets. Per applicant, blankets will be sent home weekly or as needed. Sheets will be laundered by applicant weekly or as needed.

Applicant plans for isolation area to be in staff office on second floor of facility. Program's discipline policy was discussed. Applicant plans for children to use negotiation skills with teacher guidance.

Both classrooms have 1 sink that is accessible to children. There is a bathroom in between Studio Classroom #1 and Studio Classroom #2 that includes 1 toilet. Program also utilizes 2 additional restrooms (labeled "boys" and "girls"), located next to Studio Classroom #2. Program includes 4 accessible toilets and 4 accessible sinks. Total allowable capacity for toilets is 60 children. Total allowable capacity for sinks is 60 children. LPA observed sinks and toilets to be in proper working condition. Sinks children have access to do not provide water that is warmer than 120 degrees Fahrenheit. Applicant is aware children must be supervised going to and from bathrooms.

Program plans to provide a food service that includes morning and afternoon snack only. Applicant plans for children's families to provide lunch for their children. Program does not plan to refrigerate or reheat children's lunches. Program's dry snacks will be prepared in classroom. Dry snacks will be stored in a separate cabinet from cleaning solutions and supplies to avoid contamination. Children are required to provide their own individual water bottles that will be labeled with their individual names that can be refilled at center.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: NITTY GRITTY PRESCHOOL AT ACTON SV
FACILITY NUMBER: 414005023
VISIT DATE: 08/02/2023
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Outdoor: There is an outdoor area that is adjacent to Studio Classroom #1 and Studio Classroom #2. Outdoor area will be utilized as a multi-purpose area for children and was not measured for overall outdoor square footage. Stairs leading to adjacent outdoor area was observed to have a child safety gate.

There is an additional outdoor area that is located in facility parking lot. Outdoor area is entirely fenced and enclosed. Total outdoor area measures for 2,261.30 sq. ft. allowing for a capacity of 30 children. Outdoor area is equipped with a variety of outdoor toys and materials that were observed to be in good working condition. There is a play structure that was observed to have resilient padding underneath. Outdoor area also includes a sandbox that was observed to be properly covered. Both adjacent outdoor area and fenced outdoor area have sufficient shade coverings. LPA reminded applicant children must always be supervised going to and from the outdoor areas.

LPA reviewed with applicant, the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

LPA reminded applicant to conduct and document emergency disaster drills at least once every six months. The requirement for Lead Water Testing was discussed (H&S Code 1597.16). Applicant was reminded a facility licensed after July 1, 2022, must have their water fixtures tested for lead 180 days after licensure and every 5 years thereafter. LPA advised applicant to review PIN 21-21-CCP.

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, 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.

Applicant was informed of the MyChildCarePlan.org site, 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.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC809 (FAS) - (06/04)
Page: 3 of 4
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: NITTY GRITTY PRESCHOOL AT ACTON SV
FACILITY NUMBER: 414005023
VISIT DATE: 08/02/2023
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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 platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/ subscribe and select the Child Care option to receive email communication.

During visit, LPA was provided copies of resubmitted documents indicated on Notice of Incomplete Application (LIC184C).

Based on square footage, maximum number program can be licensed for is 30 preschool children.

Prior to recommended licensure, following must be completed:
-LPA's review and approval of documents resubmitted.
-Fire clearance with updated capacity.

Exit interview conducted and report was reviewed with the applicant, Marlene Coe.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2023
LIC809 (FAS) - (06/04)
Page: 4 of 4