414005063-9-23-2024-05-CC-JGIL-D9DQMZ-20240923121823

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414005063
Report Date: 09/23/2024
Date Signed: 09/23/2024 12:18:30 PM

Document Has Been Signed on 09/23/2024 12:18 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:	GLORIOUS ACADEMY		FACILITY NUMBER:	414005063
ADMINISTRATOR/ DIRECTOR:	JEN, SARAH		FACILITY TYPE:	830
ADDRESS:	2727 S. EL CAMINO REAL, #F		TELEPHONE:	(650) 898-6991
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94403
CAPACITY: 10	TOTAL ENROLLED CHILDREN: 10	CENSUS: 3	DATE:	09/23/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	11:40 AM
MET WITH:	Sarah Lee		TIME VISIT/ INSPECTION COMPLETED:	01:00 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 September 23, 2024, at approximately 11:40 AM, Licensing Program Analyst (LPA) Janet Gil conducted an unannounced, annual inspection. LPA met with director, Sarah Jen, and explained the purpose of the inspection. Hours of operation are Monday to Friday 8:00 AM to 6:00 PM. Facility operates as a Chinese Immersion Program. Present during inspection included 10 children( 7 for preschool license, 3 for infant) with 3 staff members (including director). Facility is operating within capacity requirements and ratios at time of LPA's inspection. Facility operates with two licenses, an infant license, and a preschool license. Infant license had director and assistant staff present for 3 infants in care. LPA and director inspected facility, indoors and outdoors, for health and safety hazards. Infant Program operates out of 1 classroom and an indoor playground. LPA observed classroom to be clean, equipped with age appropriate toys, materials, and furniture. LPA observed electrical outlets to be made inaccessible with installed outlet covers. LPA also observed a covered trash can in infant classroom. Storage for children's belongings are located outside each classroom, labeled with each child's individual names. LPA observed classroom has enough cribs and cots available for all children in care. Per director, parents take home and wash sheets weekly. LPA observed facility has an installation of a fire alarm system throughout the entire building. Smoke detectors are dual detectors with carbon monoxide. A fully stocked and accessible first aid kit is available in common area outside each classroom. Facility has multiple fire extinguishers throughout the building. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children on facility's high shelves or in unused Preschool classroom under sink. Changing tables are within arm's reach of an adult sink. Infant classroom also has labeled diapers, wipes, as well as extra clothing for each infant. LPA observed children's bathrooms to be clean and in proper working condition. Per director, children's sinks do not provide hot water. Facility provides all food service. Facility menus are posted available for authorized representatives to see. Water is available to children with children's water bottles. Continue on Page 2...

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GLORIOUS ACADEMY	FACILITY NUMBER: 414005063
	VISIT DATE: 09/23/2024

NARRATIVE

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Families and authorized representatives provide formula and bottles for infants in care. All bottles are properly in labeled and stored in refrigerator. Indoor play area is fully enclosed and has age appropriate toys and materials that were in working condition. LPA observed sufficient roller skates and a drum set in play area.

Children are signed in and out of facility through a paper system by the front entrance. All children were signed in correctly during LPA's visit. Facility has license documentation and information properly posted and available for review in main entrance of facility. Preschool program conducts drills every month. Last conducted disaster drill was on 08/21/2024.

LPA reviewed 3 children's files and 3 staff files. Children's files were complete with a record of emergency identification information on file. Two teachers have a valid CPR/First Aid certificate. All staff also have proof of required immunization that were made available for review.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care 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.

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 completed certificate on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024

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
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GLORIOUS ACADEMY	FACILITY NUMBER: 414005063
	VISIT DATE: 09/23/2024

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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) 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/.

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).

CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE

Facility failed to test for lead water before January 1st, 2023. Type B deficiency is being issued on this day in accordance with the California Code of Regulations, Title 22, see LIC 809D.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director, Sarah Lee.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Janet Gil
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 09/23/2024 12:18 PM - It Cannot Be Edited

Created By: Janet Gil On 09/23/2024 at 12:04 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: GLORIOUS ACADEMY	FACILITY NUMBER: 414005063
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/23/2024

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 on observation and record review, the licensee did not comply with the section cited above in testing for lead contamination levels before 1/1/2023 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/23/2024
	Plan of Correction
1 2 3 4	Per director she plans to contact certified state lead water testers and scheduale a time when they can come into the facility to test water for any lead exceedances.

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:

Garfield Leung

LICENSING EVALUATOR NAME:

Janet Gil

LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2024

LIC809 (FAS) - (06/04)

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