414004803-10-20-2023-05-CC-MOLN-CWSQMP-20231020121752

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414004803
Report Date: 10/20/2023
Date Signed: 10/20/2023 12:17:58 PM

Document Has Been Signed on 10/20/2023 12:17 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:	SHU ACADEMY		FACILITY NUMBER:	414004803
ADMINISTRATOR:	TING SHEN		FACILITY TYPE:	850
ADDRESS:	211 SOUTH DELAWARE STREET		TELEPHONE:	(650) 866-9121
CITY:	SAN MATEO	STATE: CA	ZIP CODE:	94401
CAPACITY: 38	TOTAL ENROLLED CHILDREN: 36	CENSUS: 30	DATE:	10/20/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:38 AM
MET WITH:			TIME COMPLETED:	12:40 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On October 20, 2023, at approx.8:35 AM Licensing Program Analyst (LPA) Maria Olguin-Leon met with Director Ting Shen and Yun Li for an unannounced annual inspection. Purpose of visit was explained. Present today was Director, Assistant Director, 7 staff and 30 Children (11 toddlers and 19 preschoolers). Facility is operating within capacity and in compliance with staff/child ratio. All staff have fingerprint clearances. Facility operates a toddler/preschool program from Monday to Friday 8:30AM to 5:30PM. LPA and Director toured the facility for health and safety hazards. Facility has a toddler classroom, preschool room, and pre-k classroom. Classrooms are clean with proper temperature and ventilation. There are plenty of age-appropriate toys, furnishings, books, and learning materials all in good repair. Storage Cubbies are available for children to store personal items, diapers, and belongings. Toddler classroom is equipped with a changing table for diapering children. LPA reminded Director to clean changing mat after each diaper change or use disposable paper sheets. There are two restrooms for children to use, one restroom has one toilet and one sink, 2^nd restroom has two toilet and two sinks, all in working condition. Restroom are located in between toddler and pre-k classroom. There is a separate restroom in facility for staff use. All trash containers in classrooms have tight fitted lids. All cleaning products, chemicals and toxins are stored and locked in cabinet and inaccessible to children. Facility has plenty of sleeping cots available for napping; parents provide sheets and are washed weekly or as needed. Outdoor playground is shared, and outdoor waiver is posted. A schedule for classroom outside time was reviewed by LPA. Playground has a several age-appropriate play toys, play kitchen, and ride on toys all in good repair. Playground is flooring is cement and rubber foam and artificial grass to help cushion falls. Yard is surrounded with a 5 ft. fence. There is a garden area locate behind the facility used for gardening and other activities. There are no pools, spas, or other bodies of water. Per Director, there are no weapons or firearms on the premises. Children bring their own meals from home and stored in cubbies. Facility provides milk and has extra snacks available for children. Kitchen area is in hallway, between toddler and pre-k classroom. LPA observed kitchenette to be clean and food and milk to be stored properly to prevent contamination. Labeled water bottles with children’s names are brought from home for use indoors and outdoors. Facility refills water bottles with filtered water. First aid kit is fully stocked with medical supplies. Incidental Medical Services were discussed. Sick children are isolated in office away from other children. Cont. Page 2...

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SHU ACADEMY	FACILITY NUMBER: 414004803
	VISIT DATE: 10/20/2023

NARRATIVE

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LPA reviewed electronic sign in/out sheet, parents use a QR code to sign in, which requires a pin code. Facility uses Bright wheel for documenting children's daily activity and communicate with parents. Facility is equipped with fully charged fire extinguishers, carbon monoxide detector, and smoke detector. Facility has a landline and use Brightwheel for communication with staff.

LPA reviewed 5 children’s records and 5 staff records. All the children's and staff records 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. Last emergency drill was conducted on October 19, 2023. Per Director, lead testing has been completed and submitted to regional office. LPA reminded Director of keeping 15-minute sleep logs for all children under the age of two.

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.

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/.

Cont. page 3...

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023

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: SHU ACADEMY	FACILITY NUMBER: 414004803
	VISIT DATE: 10/20/2023

NARRATIVE

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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.

For childcare 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 with the Written Directives outlined in PIN 21-21.1-CCP.

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

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.

Cont. page 4...

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023

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: SHU ACADEMY	FACILITY NUMBER: 414004803
	VISIT DATE: 10/20/2023

NARRATIVE

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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 issued today in accordance with Title 22 regulations.

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

Exit interview conducted and report was reviewed with Director, Ting Shen.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 10/20/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/20/2023

LIC809 (FAS) - (06/04)

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