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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414003074
Report Date: 05/12/2022
Date Signed: 05/12/2022 04:04:57 PM

Document Has Been Signed on 05/12/2022 04:04 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:AU P'TIT MONDE OF PENINSULA, INC. (PS)FACILITY NUMBER:
414003074
ADMINISTRATOR:RAMOUL, LYNDAFACILITY TYPE:
850
ADDRESS:1980 CLARKE AVENUETELEPHONE:
(650) 328-2031
CITY:EAST PALO ALTOSTATE: CAZIP CODE:
94303
CAPACITY: 56TOTAL ENROLLED CHILDREN: 40CENSUS: 28DATE:
05/12/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Lynda RamoulTIME COMPLETED:
11:45 AM
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On May 12th, 2022 at 9:15AM, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced, annual, required inspection. LPA met with center director, Lynda Ramoul and explained the purpose of the inspection. Present in the facility are six staff caring for a total of 28 preschool age children. All adults working in the facility are fingerprint cleared and associated. Facility is currently operating within teacher to child ratio on this date.

Facility is located at the Grace Temple Memorial Church property. Facility operates M-F, 8am-5:30pm, year-round with periodic breaks throughout the year. Program operates in one large classroom, divided into 4 sections. Program also uses the Multipurpose room for napping. LPA and Director toured the facility for health and safety hazards.

LPA observed each classroom to be clean and equipped with age appropriate toys and materials. Storage for children's belongings are located in the main entrance, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system throughout the building as well as multiple fully charged, fire extinguishers. Each classroom has a smoke and carbon monoxide detector installed as well as emergency kits with first aid materials and emergency contact information. Medication is stored appropriately, inaccessible to enrolled children and maintained with proper documentation.

All poisons, cleaning solutions and hazardous materials are stored inaccessible to children in off limit areas or facility's high shelves. Facility offers breakfast, lunch, and snack for children enrolled. Water is available to children indoors and outdoors with children's water bottles. Outdoor area appears to be clean and orderly. There are a variety of outdoor equipment that are in good working condition. Play structures have resilient padding. Facility has license documentation and information properly posted and available for review.

LPA reviewed facility records that included 10 children's records and six staff records. LPA observed children's and staff's records to be complete. Director has a valid CPR certificate. Last emergency drill was conducted 04/2022. Emergency drills are conducted at least once every month and are properly logged and documented.

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SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/12/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: AU P'TIT MONDE OF PENINSULA, INC. (PS)
FACILITY NUMBER: 414003074
VISIT DATE: 05/12/2022
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Facility was informed that as of 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.

Director is aware that all staff are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

Directors were reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

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 Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was 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

No deficiencies were issued under CCR, Title 22, Division 12.

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

Exit interview conducted and report was reviewed with center director, Lynda Ramoul.
SUPERVISORS NAME: Cindy Interiano
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE:

DATE: 05/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/12/2022
LIC809 (FAS) - (06/04)
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