380504369-4-29-2025-05-CC-CQUO-DG7W24-20250429165342

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380504369
Report Date: 04/29/2025
Date Signed: 04/29/2025 04:53:53 PM

Document Has Been Signed on 04/29/2025 04:53 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:	ST. NICHOLAS DAY CARE AND PRESCHOOL		FACILITY NUMBER:	380504369
ADMINISTRATOR/ DIRECTOR:	TUWAI, KATHY		FACILITY TYPE:	850
ADDRESS:	5200 DIAMOND HEIGHTS BLVD.		TELEPHONE:	(415) 550-1536
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY: 70	TOTAL ENROLLED CHILDREN: 64	CENSUS: 58	DATE:	04/29/2025
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:30 AM
MET WITH:	Kathy Tuwai		TIME VISIT/ INSPECTION COMPLETED:	05:00 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 April 29, 2025 at approximately 8:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with director, Kathy Tuwai, and explained the purpose of the visit. Upon LPA's arrival, children were also arriving to facility and being signed into program. Hours of operation are Monday through Friday 7:45am to 5:30pm. Facility is a combination center of a preschool and infant program. Preschool program operates in 3 classrooms: Honeybees (2 to 3 year olds), Sunshine (3 to 4 year olds), and Rainbow (4 to 5 year olds). Infant program operates in 1 classroom: Caterpillars (3 months to 24 months). As children arrived to facility, LPA inspected facility with director, for health and safety hazards. LPA observed licensing documents to be properly posted and made available for review. Documents posted include program's daily class schedule and program's food menu. Required licensing documents were observed to also be posted. LPA observed classrooms to have a variety of toys, materials and equipment that are age appropriate. Per director, toys and materials are sanitized weekly or as needed. Preschool classrooms include areas for academic work, eating and rest and relaxation. There is age appropriate furniture for children's use. There are low cabinets and drawers in classrooms that do not include child safety locks. LPA did not observe any cleaning solutions stored in low cabinets or drawers in classrooms. There are carpets in classrooms that are free of stains. Per director, carpets are vacuumed daily by facility's janitorial services. Per director, carpets are also shampooed monthly or as needed. Storage for children's personal belongings are located inside each classroom, labeled with their individual names. Chemicals, poisons and cleaning solutions were observed to be in classrooms' high shelves, inaccessible to children. Facility includes multiple fully charged fire extinguishers, multiple smoke detectors and multiple carbon monoxide detectors. LPA tested carbon monoxide detectors during today's visit, which were observed to be working. There are multiple first aid kits on site that are fully stocked. LPA also observed classrooms to include emergency contact information, if needed. (Continue Report on Page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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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: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
	VISIT DATE: 04/29/2025

NARRATIVE

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Restroom for children's use were observed to be in working condition. There is a diaper changing table in the Honeybees classroom that is within arm's reach to a sink. Per director, diapers and wipes are provided by the program, however, families are able to provide for their children. LPA observed diapers and wipes to be appropriately stored and labeled with children's individual names. There are multiple garbage bins with tight fitting lids in the children's restrooms and classrooms. LPA observed children's restroom to be in working condition. Sinks accessible to children do not provide hot water.

Preschool children nap on cots in their classrooms. LPA observed cots to be stored appropriately when not in use. Sheets and blankets are provided by program. LPA observed children's sheets and blankets to be stored in their cubbies when not in use. Per director, cots are sanitized daily after each use. Per director, sheets and blankets are laundered on site weekly or as needed.

Preschool program shares "outdoor" atrium with infant program on a rotation schedule. Per director, preschool and infant children do not co-mingle nor use atrium at the same time. LPA observed atrium to have sufficient toys and materials. There are poles in atrium area that are padded. LPA observed padded poles to be in good condition. There is a small climbing structure in atrium that has resilient padding underneath. Facility has an "outdoor" atrium waiver on file. LPA hand delivered an updated waiver to be posted in the facility.

At approximately 10:30am, LPA observed 1 head teacher with 2 assistants and 22 children in Sunshine classroom. LPA observed 1 head teacher with 1 assistant and 20 children in Rainbow classroom. LPA observed 1 head teacher with 4 assistants in Honeybees classroom. Present during LPA's visit under the preschool license included 58 children and 10 staff.

Program provides a food service that includes breakfast, lunch and snack. All food is prepared in facility's kitchen. Disposable and reusable utensils and plates are utilized for children. Reusable plates and utensils are sanitized daily on site, in kitchen's dishwasher. LPA did not observe any cleaning solutions to be stored where food is prepared. Drinking water is made available to children with filtered water stations and purchased water jugs.

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.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.
(Continue Report on Page 3...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

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: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
	VISIT DATE: 04/29/2025

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Program utilizes a written sign in/out record that is located outside the facility. LPA observed children to be appropriately signed in to program. Staff also record the body temperature of each child and each staff member prior to entering facility.

Program conducts emergency disaster drills at least once every six months and documents them. Last disaster drill was conducted March 11, 2025. A childcare roster is maintained and was provided to LPA during visit.

LPA reviewed 6 random, preschool children's records. Children's files include emergency information available for review. LPA reviewed random selection of staffs' records. LPA observed multiple staff on site with a current CPR/First Aid certification. Director was reminded Mandated Reporter training (AB1207) must be current for all teaching staff working with children. LPA observed an expired Mandated Reporter certificate for one teaching staff present. A technical violation was issued for expired certificate.

During staffs' file reviews, LPA observed assistants present in Sunshine classroom and Rainbow classroom are not fully qualified. LPA reminded director the ratio of an aide assisting a teacher cannot exceed 15 children. A type B citation was issued.

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

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/.

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.

Facility was issued a Type B citation for exceeding teacher to child ratio in two classrooms. A plan of correction was discussed. Appeal Rights were provided to director.

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

Exit interview conducted and report was reviewed with director, Kathy Tuwai.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 04/29/2025 04:53 PM - It Cannot Be Edited

Created By: Catrina Quimbo On 04/29/2025 at 01:53 PM

Link to Parent Document Below:

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: ST. NICHOLAS DAY CARE AND PRESCHOOL	FACILITY NUMBER: 380504369
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 04/29/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.3(b)(1)

Teacher-Child Ratio

(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1) A ratio of one fully qualified teacher (as specified in Section 101216.1(c) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above. LPA observed one teacher and one assistant with 22 children in the Sunshine classroom. LPA also observed one teacher and one assistant with 20 children in the Rainbow classroom, which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 05/29/2025
	Plan of Correction
1 2 3 4	Director stated there are staff at facility who are qualified. Director stated they are aware teacher to child ratio cannot exceed15 children if assistants are not qualified. Director will place qualified aides in each classroom. Director will develop a written schedule and a written plan, staggering qualified staff in each classroom. Proof of plan will be submitted to LPA. Director stated they will also hire a fully qualified teacher.

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:

	Catrina Quimbo
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2025

LIC809 (FAS) - (06/04)

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