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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000829
Report Date: 10/29/2024
Date Signed: 10/29/2024 12:58:27 PM

Document Has Been Signed on 10/29/2024 12:58 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:PENINSULA JEWISH COMMUNITY CENTER PRESCHOOLFACILITY NUMBER:
414000829
ADMINISTRATOR/
DIRECTOR:		LEVIN, STEPHANIEFACILITY TYPE:
850
ADDRESS:800 FOSTER CITY BLVD.TELEPHONE:
(650) 378-2670
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 243TOTAL ENROLLED CHILDREN: 162CENSUS: 153DATE:
10/29/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:10 AM
MET WITH:Lauren NgoiTIME VISIT/
INSPECTION COMPLETED:
01:15 PM
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On October 29, 2024, at approx.9:10am Licensing Program Analyst (LPA) Maria Olguin-Leon met with Associate Director Lauren Ngoi for an unannounced annual inspection visit. Purpose of inspection was explained. Director Nicole Francis arrived during inspection. Present today were Directors, 40 staff and 153 preschool children. Facility is operating within capacity and in compliance with staff/child ratio. All staff present today have criminal background clearances. Facility operates a preschool program year-round from Monday to Friday 8:00 am to 5:30pm.

LPA and Directors toured the facility for health and safety hazards. Facility operates 10 preschool classrooms in classrooms: #4, #5, #7, #8, #9, #11, #12, #13, #14 and #15. There is multipurpose room which is used by preschooler classrooms on a scheduled weekly basis. Multi-purpose room is equipped with foam mats, small trampolines, hula hoops and a variety of other activities for physical education purposes. Classrooms are clean and orderly with proper temperature and ventilation. There are plenty of age-appropriate toys, child size furniture, learning materials, art supplies and sleeping cots. Storage cubbies are available for children to store personal belongings and are located outside classrooms. There are children restroom is each classroom; each with working toilets and a working sink with 3 faucets and no running hot water. There are changing tables located in restrooms. There is a separate staff restroom on site. All trash cans are equipped with tight fitting lids. All cleaning products, chemicals and toxins are stored and locked in cabinet and inaccessible to children. Per Director, parents provide sheet and blankets for napping and are sent home weekly for laundering or as needed. Bedding is stored on hooks outside classrooms. There are two outdoor play areas next to each other and separated by a 4 ft. fence. One area is currently being renovated and not in use. Second area is equipped with age-appropriate toys, a slide play structure with monkey bars, and other outdoor play equipment all in good repair. Playground areas are cushioned with blue rubber flooring and sand to absorb falls. There is also a sand area for children to play in. There are umbrellas and sunshades throughout outside playground areas to provide shade to children. The entire outdoors is completely enclosed with a 5 ft. privacy fence. There are no pools, spas, or other similar bodies of water on the premises. Per Director, there are no weapons or firearms on the premises.

Cont. page 2…
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 10/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/24/2024
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: PENINSULA JEWISH COMMUNITY CENTER PRESCHOOL
FACILITY NUMBER: 414000829
VISIT DATE: 10/29/2024
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Children bring their own lunches from home and facility provides a food service from an outside vendor. Facility provides snacks for children in care. LPA inspected kitchen and observed snacks stored properly in cabinets and refrigerate to prevent contamination. LPA observed monthly menu schedules to be posted. There are small refrigerators located in each classroom. Children bring their own labeled water bottles from home and water bottles are refilled in classroom faucets. First aid kit is fully stocked with medical supplies. Incidental Medical Services were discussed, and medication storage reviewed. Sick children are isolated in office and away from other children.

LPA reviewed electronic sign in/out on tablet. Parents sign children in and out in the morning/afternoon using tablets, each classroom is equipped with its own tablet. Parents use a unique log in code. Each classroom is equipped with a fully charged fire extinguisher.. Per Director, carbon monoxide detector and smoke detector is integrated into sprinkler system. Last emergency drill was conducted on 10/16/2024 and properly documented. Emergency drills are conducted monthly. Facility has a landline in each classroom and uses walkie talkies for communication with staff.

LPA reviewed 5 random children’s records 5 staff record. All the children's and staff files were complete. The facility has all necessary paperwork posted, Facility License, Notification of Parent's Rights, Notification of Personal Rights, Car Seat Law, and Emergency Disaster Plan.

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/.

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/.

Cont. page 3...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
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: PENINSULA JEWISH COMMUNITY CENTER PRESCHOOL
FACILITY NUMBER: 414000829
VISIT DATE: 10/29/2024
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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-and-resources/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.

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.

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.

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

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: PENINSULA JEWISH COMMUNITY CENTER PRESCHOOL
FACILITY NUMBER: 414000829
VISIT DATE: 10/29/2024
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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.

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

No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulation.

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

Exit interview conducted and report was reviewed with Director, Nicole Francis.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024
LIC809 (FAS) - (06/04)
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