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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 213005253
Report Date: 05/18/2023
Date Signed: 05/18/2023 10:31:28 AM


Document Has Been Signed on 05/18/2023 10:31 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:MARIN DAY SCHOOL - MILL VALLEY PRESCHOOLFACILITY NUMBER:
213005253
ADMINISTRATOR:DUMMITT,JOSEPHFACILITY TYPE:
850
ADDRESS:10 OLD MILL STREETTELEPHONE:
(415) 381-4206
CITY:MILL VALLEYSTATE: CAZIP CODE:
94941
CAPACITY:60CENSUS: 29DATE:
05/18/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Joseph DummittTIME COMPLETED:
10:45 AM
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On 5/18/2023, Licensing Program Analyst (LPA) Hanson Leong, made an unannounced case management visit to child daycare facility listed above. The purpose of the visit was to follow up on an incident involving supervision. The LPA was granted entry by the Director, Joseph Dummitt. The LPA explained the purpose of the visit to the Director. All facility’s staff members have had their criminal background checks cleared by Guardian. The LPA observed eight staff members supervising twenty-nine preschool children. Children's capacity and ratio requirements were observed to be in compliance,

During today’s visit, LPA interviewed the Director about the incident regarding supervision. Based on the interview with the Director, the LPA found no issues with supervision. The LPA observed children were supervised within ratio during today’s visit with the Director. The LPA was shown around the area where the event took place and saw nothing that would put a child in danger. The LPA also observed that there were no supervision deficiencies at the facility.

The LPA informed the Director that no further action will be taken.

A copy of this report and the “Notice of Site Visit were given to Joseph Dummitt. An exit interview was conducted, and the report was reviewed with Joseph Dummitt
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Hanson LeongTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 05/18/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/18/2023
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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