434416122-6-22-2021-52-CC-RHAR-C48VDV-20210622162123

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 434416122
Report Date: 06/22/2021
Date Signed: 06/22/2021 04:21:31 PM

Document Has Been Signed on 06/22/2021 04:21 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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME:	CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)		FACILITY NUMBER:	434416122
ADMINISTRATOR:	SUSAN HOGANES		FACILITY TYPE:	850
ADDRESS:	140 COMSTOCK CIRCLE		TELEPHONE:	(650) 721-0101
CITY:	STANFORD	STATE: CA	ZIP CODE:	94305
CAPACITY: 164	TOTAL ENROLLED CHILDREN: 0	CENSUS: 76	DATE:	06/22/2021
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	10:08 AM
MET WITH:	Susan Hoganes		TIME COMPLETED:	04:35 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 June 22, 2021 at approximately 10:08 am Licensing Program Analyst (LPA) Russ Haderer arrived to conduct an unannounced random annual site inspection for this preschool facility. LPA met with facility Executive Director, Susan Hoganes and toured all areas licensed for use by children in care for a health and safety inspection. Also present at the time of this inspection were 26 teaching staff and 76 children in care (all preschool age) and administrative support staff. The facility is within ratio and capacity. All adults present are background cleared and associated to this facility. The facility is a series of single story classrooms on the campus of Stanford University with private playground space for the children. There are a total of 9 classrooms, of which one is closed and all are under capacity due to covid. The classrooms are as follows: TKP1 Aloe Vera TKP2 Jade LKP1 (closed) LKP2 Willows LKP3 Magnolia BKP1 Oak BKP2 Redwood BKP3 Sequoia BKP4 Cedar Continued on Page 2.....................................................

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)	FACILITY NUMBER: 434416122
	VISIT DATE: 06/22/2021

NARRATIVE

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All toilets, hand washing and cleaning areas are in safe and sanitary operating condition. All storage containers for solid waste had a tight-fitting cover on. All surfaces accessible to children are clean and toxic free. The sign in/out sheets going back a minimum of 30 days were reviewed and the children present are signed in.

There is a food preparation area in each classroom which is equipped with refrigerator, microwave, dishwasher, and a sink with hot and cold running water. Cleaning supplies are stored in the bottom locked cabinets under the sink in each room inaccessible to the children. Each classroom has trash can with tight fitting cover for the disposal of solid waste.

The center administers medication (epipens and antihystamines for allergies). Medication is stored in each classroom out of children's reach. All medicines on hand were all checked and none for currently enrolled children were expired. Incidental Medical Services Plan is on file.

The playground area is secured and locked, with doors that open outward and alarmed if opened. It is surrounded by a 6 foot privacy fence, all play equipment is in safe condition and free from sharp, loose or pointed parts and the areas around or under high climbing equipment has appropriate cushioned material that absorbs a fall. Shade was available in all play areas. Teachers are present in play areas.

Drinking water is available indoors and outdoors, due to covid, children are bringing in their own bottled water.

The children's napping area was clean and organized with sleeping pads and cubbies for the children's personal items, none of the children's blankets were touching.

At approximately 1:30pm LPA performed children's record reviewed: LPA requested and reviewed facility roster. All files selected were complete and up to date and found to be in compliance with Title 22 regulations.

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SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)	FACILITY NUMBER: 434416122
	VISIT DATE: 06/22/2021

NARRATIVE

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At approximately 2:00pm LPA performed staff file review. All staff subjected to criminal review have been cleared and associated to the facility. All files were complete, up to date and found to be in compliance with Title 22 regulations.

No deficiencies were found at facility during today’s inspection. A copy of this report to remain on file for 3 years. Exit interview was conducted with site Executive Director.

SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

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
CCLD Regional Office, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612

FACILITY NAME: CHILDREN'S CENTER OF THE STANFORD COMMUNITY (CCSC)	FACILITY NUMBER: 434416122
	VISIT DATE: 06/22/2021

NARRATIVE

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All classrooms currently in use were inspected. Appropriate postings were available in all classrooms, 3A40BC fire extinguishers were present in every classroom and fully charged with last annual inspection completed in February 2021. There are working carbon monoxide and fire detectors in every classroom ceiling with a pull down fire alarm in the lobby. Heating and ventilation was acceptable.

The facility is clean and well organized with age appropriate furnishings and equipment in good repair. Surfaces including floors and counter tops are free of hazards and toxins. There were no hazardous items/toxins observed to be accessible to children in care today. All required posted documents were present.

Disaster drills are conducted monthly and were up to date as of June 16, 2021. All toilets, hand washing and cleaning areas are in safe and sanitary operating condition. All surfaces accessible to children are clean and toxic free. The sign in/out sheets was reviewed and the children are signed in. Due to covid, snack / lunch menus are not in use at this time, each parent provides food for their own children.

Documents were posted in public places as required:
- Facility License
- Emergency Evacuation Plan
- Earthquake preparedness Notice
- Personal Rights
- Parents Rights
- Child Passenger Safety Laws
- There are no waivers or exceptions at this facility

There are ample age-appropriate toys that appear to be safe and in good condition. There are no bodies of water accessible to children in care. All hazardous materials and toxins are kept out of the reach of children.
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SUPERVISORS NAME: Chandra Charles
LICENSING EVALUATOR NAME: Russell Haderer
LICENSING EVALUATOR SIGNATURE:	DATE: 06/22/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/22/2021

LIC809 (FAS) - (06/04)

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