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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000854
Report Date: 08/16/2023
Date Signed: 08/16/2023 12:35:29 PM

Document Has Been Signed on 08/16/2023 12:35 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:IHSD, INC-MOONRIDGE CHILD DEVELOPMENT CENTERFACILITY NUMBER:
414000854
ADMINISTRATOR:BARBARA DONNELLYFACILITY TYPE:
850
ADDRESS:2001 MIRAMONTES POINT ROADTELEPHONE:
(650) 712-8729
CITY:HALF MOON BAYSTATE: CAZIP CODE:
94019
CAPACITY: 47TOTAL ENROLLED CHILDREN: 47CENSUS: 15DATE:
08/16/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Barbara DonnellyTIME COMPLETED:
12:50 PM
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Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this required annual licensing visit. Purpose of the visit explained. There are 15 preschool aged children present during the visit. Facility meets teacher/child ratio today. Days and hours of operation: Monday-Friday 7:30AM-4:00PM. Facility is licensed as a combination center which includes: infant center and preschool. Facility operates at the Moonridge Community Housing Development Center. There are fully charged fire extinguishers that meet minimum requirements, smoke detectors, and carbon monoxide (CO) detector in the facility. All children's toilets and sinks are in safe and sanitary operating conditions. A sick child will be isolated from the group and wait for parent to pick up. Center is adequately furnished with a variety of age appropriate toys, furniture, and equipment. Bedding mats are available for napping and are stored appropriately; parents/guaridans provide napping blankets and wash once a week. Outdoor play area is directly adjacent to classrooms and is securely fenced. Playground equipment is in good condition, free of sharp, loose, or pointed parts. Outdoor activity space surface is maintained in a safe condition and free of hazards. No pools, spas, hot tubs, fish ponds or similar bodies of water are present. Disinfectants, cleaning solutions, poisons, and toxics are inaccessible to children. Per staff, there are no firearms or weapons on site. Classrooms are set up for child care and furniture and equipment are in good condition, free of sharp, loose, or pointed parts. Facility provides all snacks and meals and menu is posted; food is delivered by a vendor. First Aid supplies are available. Facility has posted all the required licensing forms. LPA reviewed staff and children's files. In the files reviewed, all are complete. Staff all have current Pediatric First Aid and CPR and verification of the mandated child abuse reporter training as compliant with AB1207.

(Continued on next page 809-C)
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE: DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/16/2023
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: IHSD, INC-MOONRIDGE CHILD DEVELOPMENT CENTER
FACILITY NUMBER: 414000854
VISIT DATE: 08/16/2023
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Incidental Medical Services (IMS) policy discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. When any IMS is provided, a Plan for Providing IMS must be submitted to the Department. The following information regarding ADA is provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm. Facility informed that effective September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

This report is reviewed with facility representative and a copy of this report must be made available for public review upon request.

Notice of Site Visit posted and shall remain posted for 30 days.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023
LIC809 (FAS) - (06/04)
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