214005263-9-27-2024-05-CC-JTSE-D9HVS7-20240927164106

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 214005263
Report Date: 09/27/2024
Date Signed: 09/27/2024 04:41:27 PM

Document Has Been Signed on 09/27/2024 04:41 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:	MARIN HORIZON SCHOOL- TODDLER BLDG.		FACILITY NUMBER:	214005263
ADMINISTRATOR/ DIRECTOR:	CATHERINE HILLS, SITE DIR.		FACILITY TYPE:	850
ADDRESS:	247 MILLER AVENUE		TELEPHONE:	(415) 388-8408
CITY:	MILL VALLEY	STATE: CA	ZIP CODE:	94941
CAPACITY: 18	TOTAL ENROLLED CHILDREN: 21	CENSUS: 7	DATE:	09/27/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	02:00 PM
MET WITH:	Teacher, Aisha Surty		TIME VISIT/ INSPECTION COMPLETED:	04:55 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 9/27/2024, at approximately 2:00PM, Licensing Program Analyst (LPA) Jonathan Tse conducted an unannounced annual visit at the facility. LPA met with Teacher Aisha Surty (S1) and explained the purpose of the visit. Present during the visit was S1, two staff members, and seven preschool age children. The facility is operating within staffing and ratio requirements on this day. Director Catherine Hills (D1) arrived at 3:35PM. The facility’s operating hours are from 8:00AM to 5:30PM. LPA and S1 inspected the facility for any health or safety hazards. LPA observed there to be fully charged fire extinguishers present that are at least size 2A10BC. LPA observed a fire alarm system to be running throughout the facility. There is a carbon monoxide detector present. Electrical outlets are covered or blocked when not in use to be inaccessible. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. Off-limits areas are inaccessible with the use of childproof gates and locks. LPA observed there to be age-appropriate toys and learning materials present. Furniture is age-appropriate and free of rough or sharp edges. Children nap on mats that are provided by the facility. Children bring bedding from home and take it back once a week for cleaning. The facility cleans mats once a week or as needed. Children bring all snacks and lunches from home. The facility has snacks available in case children do not bring food from home. Water bottles are brought from home and refilled from a non-contaminating fixture. The outdoor play area was observed to be free of debris or other loose articles. It is enclosed by a fence that is at least four feet high. There are age-appropriate toys and equipment available for children to use. Play structures are cushioned with resilient padding. There is shade available from umbrellas and trees. Drinking water is brought outside so that children have access during outside play. There are no swimming pools or similar bodies of water present in the facility. Continued on Page Two

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024

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: MARIN HORIZON SCHOOL- TODDLER BLDG.	FACILITY NUMBER: 214005263
	VISIT DATE: 09/27/2024

NARRATIVE

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LPA reviewed five staff files, five children’s files, and facility records. There is at least one staff member present with Pediatric First Aid/CPR training. All staff have completed Mandated Reporter Training. LPA advised that children’s files shall include Emergency Identification and Information (LIC700), Consent for Emergency Medical Treatment (LIC627), Preadmission Health History (LIC702), and a copy of the admission agreement.

LPA discussed the requirement to maintain all children’s records in the facility with D1. See LIC809-D for deficiency cited today regarding children’s records. LPA discussed the requirement for personnel records, if maintained in a central administrative location, to be readily available for review by the Department.

The facility tested its fixtures for lead after the deadline of 1/1/2023. No exceedances of lead were found in any of the tested fixtures. LPA informed D1 that a deficiency would be cited and cleared for not testing before the deadline of 1/1/2023. The facility is in compliance with lead testing requirements as of 9/27/2024. LPA advised that lead testing shall be conducted every five years.

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.

Facility representative 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.

Continued on Page Three

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024

LIC809 (FAS) - (06/04)

Page: 2 of 6

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: MARIN HORIZON SCHOOL- TODDLER BLDG.	FACILITY NUMBER: 214005263
	VISIT DATE: 09/27/2024

NARRATIVE

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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).

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

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/.

Facility representative 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.

See LIC809-D for deficiency cited and cleared today regarding lead water testing. See LIC809-D for deficiency cited today regarding maintaining children’s records at the center. See LIC9102-TV for technical violation issued regarding the availability of staff records. See LIC9102-TA for technical assistance given today regarding children's records.

Appeal rights were provided and explained to D1. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Catherine Hills.

SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Jonathan Tse
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024

LIC809 (FAS) - (06/04)

Page: 3 of 6

Document Has Been Signed on 09/27/2024 04:41 PM - It Cannot Be Edited

Created By: Jonathan Tse On 09/27/2024 at 04:12 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: MARIN HORIZON SCHOOL- TODDLER BLDG.	FACILITY NUMBER: 214005263
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 09/27/2024

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 record review, the licensee did not comply with the section cited above by testing after the deadline of 1/1/2023 which posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/04/2024
	Plan of Correction
1 2 3 4	The facility tested its fixtures for lead and had no exceedances. This deficiency shall be cited and cleared on the day of the visit, 9/27/2024.

Type B

Section Cited

CCR

101221(a)

Child's Records

(a) The licensee shall ensure that a separate, complete and current record for each child is maintained in the child care center. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation, interview and record review, the licensee did not comply with the section cited above by maintaining children's records off site which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 10/11/2024
	Plan of Correction
1 2 3 4	Licensee shall maintain all children's records on site. Licensee shall provide LPA with a photo of all children's files in an appropriate storage unit by agreed upon deadline of 10/11/2024 via email or text.

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:

Ali Zebila

LICENSING EVALUATOR NAME:

Jonathan Tse

LICENSING EVALUATOR SIGNATURE:

DATE: 09/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024

LIC809 (FAS) - (06/04)

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