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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005013
Report Date: 11/08/2024
Date Signed: 11/08/2024 02:21:23 PM

Document Has Been Signed on 11/08/2024 02:21 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:PENINSULA JEWISH COMMUNITY CENTERFACILITY NUMBER:
414005013
ADMINISTRATOR/
DIRECTOR:		FRANCIS, NICOLEFACILITY TYPE:
830
ADDRESS:800 FOSTER CITY BLVD.TELEPHONE:
(650) 212-7522
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 29TOTAL ENROLLED CHILDREN: 29CENSUS: 26DATE:
11/08/2024
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:15 AM
MET WITH:Lauren NgoiTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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On November 9, 2024, at 8:15 am Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced, annual inspection. LPA met with Associate Director Lauren Ngoi and LPA explained the purpose of the inspection. Present in the facility today were, Associate Director, nine staff caring for a total of 26 infant children. All adults working in the facility have criminal background clearances and associated to the facility. Facility is operating within capacity and in compliance with staff/child ratio. Facility operates and infant, preschool and after school program from Monday to Friday 8:30am to 5:30am.

LPA and Associate Director toured the facility for health and safety hazards. Infant program consists of four classrooms: classrooms #1 (0-18months), #2 (18mths-24mths), #3(currently not in use) and #10 (13mths-24mths). Classrooms are clean with proper temperature and ventilation. There are plenty of age-appropriate toys, infant furnishings, playmats, and learning materials all in good repair. Storage Cubbies are available for children to store personal items, diapers, and belongings. There are hooks available for children lunch bags. Classrooms are equipped with changing table for diapering children. Changing tables are equipped with changing roller paper, that are changed after each diapering and table is disinfected. Each classroom has bathrooms with age-appropriate size toilets and sinks, all in working condition. Sinks have no running hot water. There is a separate bathroom 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. Classroom #1 has a separate sleeping area for infants which is equipped with cribs. Classrooms #2 and #10 have sleeping cots for children. Parents provided sheets for cribs and cots and are sent home weekly for laundering.

Infant playground is separate from the preschool playground and is located behind classroom #1 and #2 and children pass through preschool playground. Playground has a several age-appropriate toys, toys houses, sand table, and an activity box area all in good repair. Infant playground is equipped with a sunshade to provide shade for children in care. Playground is surrounded with a 5 ft. privacy fence and equipped with rubber tiles to cushion falls. LPA did not observe any pools, spas, or other bodies of water. Per Director, there are no weapons or firearms on the premises.

Cont. Page 2...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/08/2024
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 4
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: PENINSULA JEWISH COMMUNITY CENTER
FACILITY NUMBER: 414005013
VISIT DATE: 11/08/2024
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Infants’ food and bottles are properly labeled with child’s name and stored in classroom refrigerators. Kitchen preparation area in classrooms were observed to be clean and food stored properly to prevent contamination. Labeled water bottles with children’s names are brought from home for use indoors and outdoors. Facility fills and refills water from classroom sinks. First aid kit is fully stocked with medical supplies. Incidental Medical Services were discussed. Sick children are isolated in office and away from other children.

LPA reviewed electronic sign in/out on tablet. Parents sign children in and out in the morning/afternoon using tablets, each classroom is equipped with its own tablet. Parents use a unique log in code. Classrooms are equipped with a fully charged fire extinguisher. Carbon monoxide detector and smoke detector is integrated into facility sprinkler system. Last emergency drill was conducted on 10/16/2024 and properly documented. Emergency drills are conducted monthly. Facility has a landline in each classroom and uses walkie talkies for communication with staff.

LPA reviewed 5 children’s records 5 staff record. All the children's and staff records were complete. Children’s records included Safe sleep plan. Needs/service plan and safe sleep logs were observed to be kept on Kaymbu app., LPA advised Executive Director to keep hard copies of sleep logs and needs/services plan. 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.

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. LPA discussed the ban of sleep sacks in child care centers.


Cont. page 3...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC809 (FAS) - (06/04)
Page: 2 of 4
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: PENINSULA JEWISH COMMUNITY CENTER
FACILITY NUMBER: 414005013
VISIT DATE: 11/08/2024
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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/.

Executive 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 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.

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.

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.

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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC809 (FAS) - (06/04)
Page: 4 of 4
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: PENINSULA JEWISH COMMUNITY CENTER
FACILITY NUMBER: 414005013
VISIT DATE: 11/08/2024
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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, Lauren Ngoi.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC809 (FAS) - (06/04)
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