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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 210105114
Report Date: 01/16/2025
Date Signed: 01/16/2025 04:02:37 PM

Document Has Been Signed on 01/16/2025 04:02 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 ANSELMO CO-OPERATIVE NURSERY SCHOOLFACILITY NUMBER:
210105114
ADMINISTRATOR/
DIRECTOR:
CHANTAL MAHERFACILITY TYPE:
850
ADDRESS:24 MYRTLE LANETELEPHONE:
(415) 454-5308
CITY:SAN ANSELMOSTATE: CAZIP CODE:
94960
CAPACITY: 28TOTAL ENROLLED CHILDREN: 23CENSUS: 0DATE:
01/16/2025
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:30 PM
MET WITH:Chantal MaherTIME VISIT/
INSPECTION COMPLETED:
04:20 PM
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On 1/16/2025, Licensing Program Analyst (LPA) Hanson Leong conducted a scheduled case management visit and met with the Director, Chantal Maher. The purpose of the visit was to reactivate the facility’s license, which had been inactive since January 2023. The facility had been closed since January 2023 because a tree fell and damaged the building. LPA explained the purpose of the visit to the director.

The facility was observed to have a smoke detector, a carbon monoxide detector, and a fully charged fire extinguisher. LPA tested the smoke and carbon monoxide detectors and found both functioning. LPA reminded the director to have a first aid kit available when they reopen their facility.

LPA inspected the indoor and outdoor areas to identify health and safety hazards. The facility was clean, safe, sanitary, and in good repair. LPA observed that the classroom had age-appropriate toys, furniture, educational materials, and designated storage space for each child. Electrical outlets were fitted with child safety covers. The bathroom was clean, fully operational, and equipped with suitable toileting equipment and sanitation products. The facility is observed to have sleeping mats, and we are reminded to have more available when the facility reopens.

The outdoor playground has a fence that is at least four feet tall. The play equipment is in good condition and does not have sharp, loose, or pointed parts. The areas around and under climbing equipment, swings, and slides are cushioned with woodchips.

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.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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: SAN ANSELMO CO-OPERATIVE NURSERY SCHOOL
FACILITY NUMBER: 210105114
VISIT DATE: 01/16/2025
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LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://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.

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

LPA will not recommend reactivating the facility’s license until the Ross Valley Fire Department provides fire clearance for the facility.

Exit interview conducted and report was reviewed with the Director, Chantal Maher.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
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