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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004787
Report Date: 12/05/2024
Date Signed: 12/05/2024 11:40:23 AM

Document Has Been Signed on 12/05/2024 11:40 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:UMC PRESCHOOL-BURLINGAMEFACILITY NUMBER:
414004787
ADMINISTRATOR/
DIRECTOR:		ARLETTE E. & VIKKI G.FACILITY TYPE:
850
ADDRESS:1443 HOWARD AVENUETELEPHONE:
(650) 347-6432
CITY:BURLINGAMESTATE: CAZIP CODE:
94010
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 18DATE:
12/05/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:40 AM
MET WITH:Director, Teresa CampbellTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On December 5, 2024, at approximately 8:40 AM, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, annual inspection. LPA met with the director, Teresa Campbell, and explained the purpose of the visit.

UMC Preschool Burlingame is a preschool age program. Preschool program is located inside Burlingame United Methodist Church. Preschool has 4 classrooms licensed, rooms, 113, 107, 115, and 116, program currently operates in classrooms, rooms 115 and 116.

Hours of operation are Monday through Friday 8:00am to 5:30pm. Present during LPA's visit was the director, 18 preschool age children and 4 teachers. Preschool program is operating within capacity limits and ratio during LPA's visit.

LPA inspected facility, indoors and outdoors, for health and safety hazards. Classroom includes a variety of toys and materials that were in good condition. LPA observed classroom 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, children sleep inside the class in mats. The center provides sheets and blankets. Per director, parents take sheets and blankets home for wash weekly, and mats are wiped down daily. LPA observed 15-minute sleeping logs to be maintained for infant children enrolled. Per director, children are enrolled starting 18 months and parents provide diapers and wipes.

Both classrooms are equipped with a fully charged fire extinguishers and first aid kits. LPA observed Carbon monoxide detectors in the classrooms. Carbon monoxide detectors were tested during visit and were observed to be working. LPA was unable to test smoke alarms. Smoke alarm is located in classroom’s high ceilings. Storage for children's belongings is in classrooms. Children's cubbies are labeled with children's individual names.

There is one bathroom inside classroom 116, for the children. Bathroom for children was observed to be clean. Bathroom has 1 toilet, changing table, and 1 sink. LPA observed a bathroom outside of room 115 for children to use. Bathroom has 1 toilet and 1 sink. The sinks and toilets were in working condition. LPA observed no cleaning solutions, poisons, and other hazardous materials for to be accessible to children in the bathroom. LPA did not observe any accessible poisons or chemicals in classroom.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE: DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/05/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: UMC PRESCHOOL-BURLINGAME
FACILITY NUMBER: 414004787
VISIT DATE: 12/05/2024
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Program does not provide a food service. Per director, children bring lunch and snacks from home. LPA observed children’s water bottles to be stores inside a container inside the classroom. Per director, children refill their water bottle inside the classroom. LPA observed filtered water in the class. LPA observed children’s individual cubbies to be labeled with their names on it.

Facility has 3 outdoor space areas. Outdoor areas are entirely enclosed and fenced. LPA observed outdoor play area to have installed sunshades and tabled with umbrellas for shade. LPA observed play structure to have fake grass flooring. Outdoor materials are stored outside, inside of sheds. LPA observed a sandbox outside. Per director, sandbox is fully covered daily with a tent. LPA observed toys and material to be in good condition.

Program uses a form for parents to sign in and out for their sign in/sign out system. Children were properly signed in during LPAs’ visit. LPA observed licensing posters and required documents to be properly posted inside the classroom. Program’s last disaster drills was conducted on October 15, 2024.

LPA reviewed 4 facility staff records. LPA reviewed 6 random children facility records which were complete and had all required documents. Children's records have emergency information on file. All staff on site have a current CPR/First Aid certification and 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

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

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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: UMC PRESCHOOL-BURLINGAME
FACILITY NUMBER: 414004787
VISIT DATE: 12/05/2024
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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.

Water quality was tested on 10/26/2022 and results complied. Lead water results were under the 5.5pbb threshold.

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 child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies were cited today.

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

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

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC809 (FAS) - (06/04)
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