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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004017
Report Date: 10/01/2024
Date Signed: 10/18/2024 09:39:51 AM

Document Has Been Signed on 10/18/2024 09:39 AM - 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:SKYLINE COLLEGE CDC (INFANT)FACILITY NUMBER:
414004017
ADMINISTRATOR/
DIRECTOR:		HERDON, CHRISTINEFACILITY TYPE:
830
ADDRESS:3300 COLLEGE DRIVETELEPHONE:
(650) 738-7071
CITY:SAN BRUNOSTATE: CAZIP CODE:
94066
CAPACITY: 20TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
10/01/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Director, Christine HerndonTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On October 1, 2024 at approximately 1:00pm, Licensing Program Analysts (LPAs) Melissa Zaragoza and Catrina Quimbo, conducted an unannounced, annual inspection. LPAs met with the director, Christine Herndon, and explained the purpose of the visit.

Skyline College CDC is a combination facility of infant children and preschool children. Infant program and preschool program are located in the same building. Infant program is licensed for one classroom, room 1. The infant program does not currently have any children enrolled. Per director, they have not had any infant children for more than a year now. There is a restroom in the infant class.

Hours of operation are Monday through Friday 8:00am to 4:30pm, Monday- Thursday, and 8:00am to 12:30pm on Fridays. Present during LPA's visit was the director, 0 infant children, 16 preschool age children, and 4 teaching staff. Preschool program is operating within capacity limits and ratio during LPAs' visit. There are currently no teachers in the infant classroom. Infant classroom is not operating.

LPAs inspected entire facility, indoors and outdoors, for health and safety hazards. Classroom includes a variety of toys and materials that were in good condition. LPAs observed classrooms to have age-appropriate furniture, equipment, and materials. LPA observed cleaning materials to be stored in high shelves, inaccessible to children in care.

Per director, infant children would sleep in the classroom, and sleep in cribs. LPAs observed cribs to be empty and free of any loose articles. Per lead teacher, when infant program was operating, parents would provide sheets, formula, and 15-minute sleep log were maintained. Per director, sheets are clean and maintained by handing them to parents, weekly, for wash.

Each classroom in facility is equipped with a fully charged fire extinguisher, first aid kit, and smoke detectors. Per director, there are carbon monoxide detectors installed in high ceilings in each classroom. LPAs could not test carbon monoxide detectors during the inspection due to the high ceilings. Storage for children's belongings is in classrooms. Children's cubbies are labeled with children's individual names.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE: DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/01/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

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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: SKYLINE COLLEGE CDC (INFANT)
FACILITY NUMBER: 414004017
VISIT DATE: 10/01/2024
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Infant restroom is not currently in use. Preschool restroom was observed to be clean. Sinks and toilets were in working condition. Restroom was equipped with appropriate sanitation products. There is a diaper changing table for diapering children. LPAs observed bathroom to have trash can bins with tight fighting lids. LPAs observed children’s diapers to be stored and properly labeled with each child’s name on it. LPAs observed no cleaning solutions, poisons, and other hazardous materials to be stored in bathroom.

Program provides snacks, breakfast, and lunch. Per director, snack is prepared in facility's kitchenette. LPAs observed kitchenette with a refrigerator and sink to be clean with food appropriately stored and maintained. LPA observed poisons and chemicals to be stored separately from food items.

Outdoor area is entirely enclosed and fenced. Infant outdoor area is currently not used, since there are no infant children enrolled. LPAs observed outdoor are play area to have natural shade. LPA observed play structure to have soft cushioning.

Program uses sign in/sign out binder for the sign in/sign out system. Children are properly signed in during LPAs’ visit. LPAs observed licensing posters and documents to be properly posted in the office. Per director, they conduct disaster drills with the college. Per director, they conduct earthquake and lock down drills. Lock down drill was conducted on 09/30/24.

LPAs reviewed 6 facility staff records which were complete and had all required documents. LPAs reviewed 0 infant children because there are no infants enrolled. Multiple staff on site have a current CPR/First Aid certification. All staff records reviewed include a current Mandated Reporter certification. Staff records also include required immunizations that were made available for review.

Director was reminded all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

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

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
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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: SKYLINE COLLEGE CDC (INFANT)
FACILITY NUMBER: 414004017
VISIT DATE: 10/01/2024
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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.

During visit, director provided documentation that proved the building was tested for lead September 18, 2021, tested a second time September 30, 2021 and tested a third time October 19, 2021. Testing results from September 18, 2021 and September 30, 2021 showed an exceedance for 5 fixtures. Fixtures were remediated and retested October 19, 2021, without any exceedance.

LPA's discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage athttps://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/

Director was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain childcare by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Annual inspection will continue on a different day.

Exit interview conducted and report was reviewed with the director, Christine Herndon.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:

DATE: 10/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/01/2024
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Document Has Been Signed on 10/18/2024 09:39 AM - It Cannot Be Edited


Created By: Melissa Zaragoza On 10/18/2024 at 09:06 AM
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: SKYLINE COLLEGE CDC (INFANT)
FACILITY NUMBER: 414004017

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/01/2024

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
WD
101700(b)
Written Directives for Lead Testing
(b) All licensed Child Care Centers operating in buildings constructed before January 1, 2010, shall test their water for lead pursuant to these written directives.

This requirement is not met as evidenced by:
Deficient Practice Statement
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Based on observation and record review, the licensee did not comply with the section cited above by having lead water test results over the exeedence level of 5.5ppb, which poses a potential health, safety or personal rights risk to persons in care.
POC Due Date: 11/01/2024
Plan of Correction
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Facility completed initial testing 9/18/2021 with 5 fixtures exceeding 5.5ppb. Facility completed a second testing 9/30/2021 with1 fixture exceeding 5.5ppb. Facility completed a third testing 10/19/2021 without any fixture exceedances.
Director will contact lead water testers to upload results on to the licensing Waterboard webpage.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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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:Marie Rodriguez
LICENSING EVALUATOR NAME:Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:
DATE: 10/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/18/2024


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