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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 210111538
Report Date: 08/15/2019
Date Signed: 08/15/2019 02:11:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:HAMILTON CHILD DEVELOPMENT CENTERFACILITY NUMBER:
210111538
ADMINISTRATOR:JENNIFER CARLFACILITY TYPE:
840
ADDRESS:5520 NAVE DRIVETELEPHONE:
(415) 883-4385
CITY:NOVATOSTATE: CAZIP CODE:
94949
CAPACITY:44CENSUS: 18DATE:
08/15/2019
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Paula CifuentesTIME COMPLETED:
02:30 PM
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Licensing Program Analyst (LPA) Farhan Bashir-Tariq met with Quality Support Manager, Paula Cifuentes (S1), for a case management inspection today. Facility is applying for capacity increase from 44 school age children to 56. Purpose of the inspection was explained. Present, there were 18 children. Facility operate day care from Monday to Friday between 7:30 AM to 6 PM.

LPA inspected the day care areas with S1. There are no pools, spas or other bodies of water at the facility. Facility has multiple smoke detectors, carbon monoxide detectors, fully charged fire extinguishers and a working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility floor is in good repair and free of any hazards. All toilets, hand washing facilities are in working condition with proper sanitation in place. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of wood chunks under the play structures to prevent any fall injuries.

License will be recommended for approval upon receiving the Fire Clearance from Novato Fire Department, Letter of approval from school Superintendent and supervisors’ review in San Bruno office.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-TariqTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/15/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2019
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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