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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004827
Report Date: 06/24/2024
Date Signed: 06/25/2024 08:34:03 AM

Document Has Been Signed on 06/25/2024 08:34 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:SILICON VALLEY INTERNATIONAL SCHOOLFACILITY NUMBER:
414004827
ADMINISTRATOR/
DIRECTOR:
ELASSAL, GAMILAFACILITY TYPE:
850
ADDRESS:475 POPE STREETTELEPHONE:
(650) 324-8617
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 150TOTAL ENROLLED CHILDREN: 147CENSUS: 83DATE:
06/24/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Gamila ElassalTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On June 24th, 2024, Licensing Program Analysts (LPAs) Medrano and Alvarado conducted an unannounced, annual, required inspection. LPAs met with Director, Gamila Elassal and explained the purpose of the inspection. Present in the facility are Director Elassal and 14 staff caring for a total of 83 preschool age children. All adults working with children are fingerprint cleared and associated. During inspection facility was operating within teacher to child ratio on this date.

Facility is currently operating in six classrooms, Building B: Sun (Sea Horses), Star (Star Fish), Rainbow (Rabbits), Moon(Monkeys) for summer camp and Building A: Bamboo(Bears), Lotus(Lions). Classroom Oak, and Sequoia are not currently being occupied. The current summer hours of operation are Monday-Friday from 8:30am-5pm. LPA observed classrooms to be clean and equipped with age-appropriate toys and materials. LPAs observed that the toilets and handwashing facilities in the CCC were in safe and sanitary operating condition.

Storage for children's belongings are located inside the classrooms labeled with each child's individual names as well as outdoors on hooks. LPA observed facility has an installation of a fire alarm system inside the classrooms as well as a fully charged, fire extinguisher. The classrooms have 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 in an inaccessible to children in off limit areas (Janitors Closet) or facility high shelves. During summer operation, facility is only providing morning and afternoon snacks, children are required to bring their own lunches from home. During the school year parents have the option to either bring lunch or choose to order hot lunch through “Taste Nutrition”. Monthly menu is posted. Children bring water bottles that are brought daily. Filtered water is available to children indoors and outdoors. Outdoor area appears to be clean and orderly. There are a variety of outdoor equipment that are in good working condition. Children are signed in and out of facility with parents’ signatures. Facility has license documentation and information properly posted and available for review in each classroom.

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SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Diana Alvarado
LICENSING EVALUATOR SIGNATURE: DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/24/2024
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: SILICON VALLEY INTERNATIONAL SCHOOL
FACILITY NUMBER: 414004827
VISIT DATE: 06/24/2024
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LPA reviewed facility records that included 10 children's records and 10 staff records. LPA observed children's and staff's records to be complete. Staff have up to date Mandated Reporter Certificate. Last emergency drill was conducted 05/2024. Emergency drills are conducted every month and are properly logged and documented.

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.
Facility representative 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 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. 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-carecenters/.

Facility representative 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.



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

Exit interview conducted and report was reviewed with the licensee facility representative Gamila Elassal.

Due to technical difficulties, report was unable to print. Report was not printed at facility, Copy will be emailed to facility representative.
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Diana Alvarado
LICENSING EVALUATOR SIGNATURE:

DATE: 06/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/24/2024
LIC809 (FAS) - (06/04)
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