414004114-12-8-2023-05-CC-LGOZ-CYBSUF-20231208131100

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004114
Report Date: 12/08/2023
Date Signed: 12/08/2023 01:11:08 PM

Document Has Been Signed on 12/08/2023 01:11 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:	PAPILLON PRESCHOOL MANAGED BY BRIGHT HORIZONS		FACILITY NUMBER:	414004114
ADMINISTRATOR:	JENNY HOBSON		FACILITY TYPE:	850
ADDRESS:	1311 SO. EL CAMINO REAL		TELEPHONE:	(650) 340-7241
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94402
CAPACITY: 84	TOTAL ENROLLED CHILDREN: 84	CENSUS: 46	DATE:	12/08/2023
TYPE OF VISIT:	Required - 3 Year	UNANNOUNCED	TIME BEGAN:	08:55 AM
MET WITH:	Jenny Hobson, Alexander Barnes		TIME COMPLETED:	01:15 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 12/8/2023 at 8:55AM., Licensing Program Analyst (LPA), Luis Gomez met with Lead Education, Alexander Baranes. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. This facility is combination preschool center, with an infant program on-site. Director, Jenny Hobson arrived during inspection. Present was the Director and 10 staff supervising 46 children. Staff present had criminal record clearances are on file. Preschool program utilizes five classrooms: Kindergarten Preparation (4- 5 year old); Monarch #1 (3 year old); Monarch #2, (4 year old); Butterfly #1 (2 year old); and Butterfly #2 (2 year old), and two, shared outdoor play yards: Preschool yard and ‘2’s yard’ (Side Yard). Per Director, Butterfly #1 classroom is currently closed. LPA inspected facility, indoors and outdoors, for health and safety hazards. At 9:05AM., the following was observed: Classrooms inspected were maintained clean, orderly, and with age-appropriate materials available. Ground surfaces were clear of obstructions. Classrooms had labeled cubbies for children's belongings. Accessible furniture, books, art supplies, and puzzles were free of sharp corners or splinters. Child- sized tables and chairs were available for seated activities. Children’s bathrooms were observed clean with fixtures in operating condition. Diaper changing table was available for staff. Per director the staff bathroom is located separate. For napping services, each classroom had several stackable cots. Napping cots were made of a cleanable material and properly labeled. Per Director, napping supplies are washed weekly by families. Classroom had adequate ventilation and lighting. All unused outlets had coverings installed. Facility had built-in smoke detectors, testable carbon monoxide detector, functioning telephone, and fire extinguishers: 2A:10:BC. First aid kit reviewed was fully stocked. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023

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

FACILITY NAME: PAPILLON PRESCHOOL MANAGED BY BRIGHT HORIZONS	FACILITY NUMBER: 414004114
	VISIT DATE: 12/08/2023

NARRATIVE

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At 10:00AM., LPA inspected facility’s outdoor play yards: the preschool yard and ‘2’s yard’. Yards were completely enclosed, with a shade rest areas available for the children. Climbing structures were properly anchored and absorbent, rubber padding had been installed. The accessible sandboxes had a tarp coverings. Per director, tarp is placed over sandbox at the end of each day. Per director, water services are provided both outside, and inside, with refillable water bottles.

LPA advised director to remove wet cardboard from under the covered sandbox. Advisory Note: Technical Violation (LIC9102) was issued to facility.

LPA reviewed the food preparation/storage and facility kitchen. Food items inspected had been properly stored. Kitchen was observed clean and without trash or rubbish.

At 11:00AM LPA reviewed facility records including: 4 children’s files and 4 personnel files. Children’s files were reviewed and contained the: Consent for Emergency Medical Treatment (LIC627); Immunization Records, Identification and Emergency Information (LIC700); Notification of Parent’s Rights (LIC995); and ‘Written Medical Assessments’.

Staff’s files were reviewed and contained the: Notice of Employee Rights (LIC9052); Proof of required Immunization; ‘Mandated Reporter Training (AB1207); Teachers Qualifications; and Personnel Record (LIC501).

Staff’s updated CPR/ 1^st aid certification was on file, expiring on: 8/24/2025.
Emergency disaster drill are conducted monthly, with last drill completed on 11/10/2023, properly logged.

At 11:35AM., Based on record review, LPA confirmed two children present had not been signed-in. Advisory Note: Technical Violation (LIC9102TV) was issued to facility.

Required posted had been posted in lobby including the: Facility License; Emergency Disaster Plan (LIC610); Notification of Parent’s Rights (PUB394); Updated Lunch Menu (December); Outdoor Space Waiver; and Child Passenger Safety Laws (PUB269). (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023

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

FACILITY NAME: PAPILLON PRESCHOOL MANAGED BY BRIGHT HORIZONS	FACILITY NUMBER: 414004114
	VISIT DATE: 12/08/2023

NARRATIVE

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For IMS information see PIN 22-02CCP. 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, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21- CCP.

Director 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.

Based on today's inspection, no deficiencies were cited in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. Exit interview and report was discussed with Director, Jenny Hobson. Signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was given and must remain posted for 30 days. Director was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/08/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2023

LIC809 (FAS) - (06/04)

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