410518636-1-31-2025-05-CC-MZAA-DDFV7S-20250131151138

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410518636
Report Date: 01/31/2025
Date Signed: 01/31/2025 03:12:05 PM

Document Has Been Signed on 01/31/2025 03:12 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:	PALCARE CHILD CARE CENTER - INFANT		FACILITY NUMBER:	410518636
ADMINISTRATOR/ DIRECTOR:	HAAS, ALISON		FACILITY TYPE:	830
ADDRESS:	945 CALIFORNIA DRIVE		TELEPHONE:	(650) 340-1289
CITY:	BURLINGAME	STATE: CA	ZIP CODE:	94010
CAPACITY: 40	TOTAL ENROLLED CHILDREN: 40	CENSUS: 23	DATE:	01/31/2025
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:10 PM
MET WITH:	Director, Alison Haas		TIME VISIT/ INSPECTION COMPLETED:	03:30 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	On January 31, 2025, at approximately 1:00 PM, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, annual inspection. LPA met with the director, Alison Haas, and explained the purpose of the visit. Palcare childcare center is an infant program childcare center. Infant program operates in 2 classrooms, The Sea Stars class, and The Jelly Fish class. Both classrooms are for children enrolled ages 1-2 years old. Both classrooms are currently being used and operating. Hours of operation are Monday through Friday 6:30am to 7:00pm. Present during LPA's visit was the director, 23 infant school age children and 10 staff members. Program is operating within capacity limits and ratio during LPA's visit. All staff presents have fingerprint and background check on file. LPA inspected facility, indoors and outdoors, for health and safety hazards. Classroom includes a variety of toys and materials that were in good condition. LPA observed classroom to have age-appropriate furniture, equipment, and materials. Per director, children nap while they are in the childcare center. LPA observed the napping room during the inspection. Children sleep in cots. Per director, cots are wiped down daily, and stored in the classroom’s closets. Each cot was observed to have a name tag for each individual child. Per director, the childcare center provides the sheets and blankets. Per director, sheets and blankets are washed by the childcare center daily. The classrooms are equipped with a fully charged fire extinguishers and first aid kit. LPA observed Carbon monoxide detectors and smoke detectors in the classrooms. Carbon monoxide detector and smoke detector were unable to get tested during LPAs visit due to alarm being wired with the entire building. Storage for children's belongings is inside the classroom. Children's cubbies are labeled with children's individual pictures and name on it. LPA observed trash can bins with tight fitted lids in the classrooms. (Continue Report on Page 2...)

Marie Rodriguez	TELEPHONE: (650) 266-8827
Melissa Zaragoza	TELEPHONE: 650-266-8800
	DATE: 01/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025

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: PALCARE CHILD CARE CENTER - INFANT	FACILITY NUMBER: 410518636
	VISIT DATE: 01/31/2025

NARRATIVE

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There is one changing room designated to each classroom for diapering and changing children. The changing rooms were observed to have 2 changing table and 2 sinks. LPA observed sinks to be with in arms reach of the changing table. Changing room for children were observed to be clean. LAP observed sinks to be working. Changing room were equipped with appropriate sanitation products. LPA observed changing rooms to have trash can bins with a tight fitted lid. LPA observed children to have individual boxes in the changing room with diapers. Per director, parents provide diapers and childcare center provides the wipes. LPA observed no cleaning solutions, poisons, and other hazardous materials for to be stored in room.

Program does not provide a food service. Per director, children bring their lunch and snack from home. LPA observed children’s lunch bags to be stored in the kitchenette area. Kitchenette is off limit to children. Per director, food is taken out from the children's lunch bags, set up in the kitchenette, and labeled with each children’s names, and pictures. Per director, children eat in the classrooms. LPA observed children to have water cups and water pitchers, they use for drinking water. LPA observed children's allergies to be posted on the fridge.

Facility has an outdoor space area. Outdoor space area is entirely enclosed and fenced. LPA observed outdoor play area to have shade. The outdoor space is in the deck, and deck has a roof. LPA observed a outdoor flooring to be wood, from the deck. There are many toys for children to play with. LPA observed toys and material to be in good conditions.

Program uses an app and a form for parents to sign in and out for their sign in/sign out system. Children were properly signed in during LPAs’ visit. LPA observed licensing posters and required documents to be properly posted inside the classrooms. Program’s last disaster drills was conducted on December 30, 2024.

LPA reviewed 8 facility staff records. LPA reviewed 6 children facility records which were complete and had all required documents. Children's records have emergency information on file. All staff on site have a current CPR/First Aid certification and mandated reporter certification. Staff records also include required immunizations that were made available for review.

Director was reminded all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

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

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SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8827
LICENSING EVALUATOR NAME: Melissa Zaragoza	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025

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: PALCARE CHILD CARE CENTER - INFANT	FACILITY NUMBER: 410518636
	VISIT DATE: 01/31/2025

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Director was reminded that all adults 18 and over, 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.

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.

Water quality was tested on 12/22/2022 and results complied.

LPA's discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed director 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.

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/.

Director was informed of the MyChildCarePlan.org website; 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.

There are no deficiencies cited today.

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

Exit interview conducted and report was reviewed with the director, Alison Haas.

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8827
LICENSING EVALUATOR NAME: Melissa Zaragoza	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/31/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2025

LIC809 (FAS) - (06/04)

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