380504523-3-17-2025-05-CC-MZAA-DEUUB7-20250317152551

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380504523
Report Date: 03/17/2025
Date Signed: 03/17/2025 03:26:01 PM

Document Has Been Signed on 03/17/2025 03:26 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:	KATHERINE MICHIELS SCHOOL (PRE-K)		FACILITY NUMBER:	380504523
ADMINISTRATOR/ DIRECTOR:	ANCHETA, YOLANDA		FACILITY TYPE:	850
ADDRESS:	1335 GUERRERO		TELEPHONE:	(415) 821-0130
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY: 36	TOTAL ENROLLED CHILDREN: 36	CENSUS: 35	DATE:	03/17/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:15 PM
MET WITH:	Director, Yolanda Ancheta		TIME VISIT/ INSPECTION COMPLETED:	03:45 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 March 17, 2025, at approximately 1:15 PM, Licensing Program Analyst (LPA) Melissa Zaragoza conducted an unannounced, annual inspection. LPA met with the director, Yolanda Ancheta, and explained the purpose of the visit. Katherine Michiels School is a preschool age childcare center. Preschool program operates in the preschool area. Preschool has 4 stations, “Science Area”, “Art Atelier”, “Dramatic Area”, and “Block Area”. The childcare center enrolls children ages 2 years old to 4 years old. Hours of operation are Monday through Friday 8:00am to 6:00pm. Present during LPA's visit was the director, 35 preschool age children and 4 teachers. Program is operating within capacity limits and ratio during LPA' visit. All staff presents have background fingerprint clearance on file. LPA inspected facility, indoors and outdoors, for health and safety hazards. Classroom includes a variety of toys and materials that were in good condition. LPA observed classrooms to have age-appropriate furniture, equipment, and materials. LPA observed cleaning materials to be inaccessible to children in care. Children sleep in classroom. Children sleep in cots and cushion mat. LPA observed each child to have their own individual cot. Per director, parents of enrolled children provide the sleeping bags. Sleeping bags are taken home every Friday for wash. Per director, cots are sanitized daily. Classroom is equipped with a fully charged fire extinguisher, first aid kit, and smoke and carbon monoxide detector. LPA observed a smoke and carbon monoxide detectors installed in high ceilings of the classroom. During visit LPA was unable to test dual, smoke, and carbon monoxide detectors, due to it being wired with the entire building. Storage for children's belongings is in classrooms. Children were observed to have hooks, used to store their belongings, and hang their coats. (Continue Report on Page 2...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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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Document Has Been Signed on 03/17/2025 03:26 PM - It Cannot Be Edited

Created By: Melissa Zaragoza On 03/17/2025 at 02:55 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: KATHERINE MICHIELS SCHOOL (PRE-K)	FACILITY NUMBER: 380504523
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/17/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. 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 by not completing lead testing by January 1, 2023 which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/17/2025
	Plan of Correction
1 2 3 4	Facility tested water fixtures on 02/11/23, after the lead testing requirement due date. Water fixtures tested are below the 5.5 ppb threshold. Deficiency cleared during visit.

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.

SUPERVISOR'S NAME:

Marie Rodriguez

LICENSING EVALUATOR NAME:

Melissa Zaragoza

LICENSING EVALUATOR SIGNATURE:

DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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: KATHERINE MICHIELS SCHOOL (PRE-K)	FACILITY NUMBER: 380504523
	VISIT DATE: 03/17/2025

NARRATIVE

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Bathroom for children was observed to be clean. Bathroom has 2 toilets, 3 sinks, and 1 urinal. Sinks and toilets were in working condition. Bathroom was equipped with appropriate sanitation products. LPA observed bathroom to have trash can bins with tight fighting lids. LPA observed no cleaning solutions, poisons, and other hazardous materials to be stored in bathroom. LPA did not observe any accessible poisons or chemicals in classroom.

Program provides snacks only. Per director, children bring lunch from home. LPA observed children’s lunch bags to be stored in their cubby area. LPA observed children’s water bottled to kept and maintained. LPA observed children’s water bottles to be labeled with each individual child’s name on it.

Outdoor area is entirely enclosed and fenced. LPA observed outdoor play area to have installed roof for shade. LPA observed a play structure to have cement flooring. LPA observed a sand area. Per director, sand area is maintained and check on regularly. LPA observed toys and material to be in good conditions. Per director, children bring water bottles from home.

Program uses a form for the sign in/sign out system. Children are properly signed in during LPAs’ visit. LPA observed licensing posters and documents to be properly posted. Program’s last disaster drills was conducted on 01/06/ 2025.

LPA reviewed 6 facility staff records. LPA reviewed 5 children facility records which were complete and had all required documents. Children's records have emergency information on file. Staff on site have a current CPR/First Aid certification and mandated reporter certification. Staff records also include required immunizations that were made available for review.

Director was reminded all staff hired are required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

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

(Continue Report on Page 3...)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

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: KATHERINE MICHIELS SCHOOL (PRE-K)	FACILITY NUMBER: 380504523
	VISIT DATE: 03/17/2025

NARRATIVE

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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.

Water quality was tested on 02/11/2023 and results complied. Lead water was tested after the due date of January 1, 2023.

LPA's discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage athttps://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/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.

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-care-centers/.

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.

Program was cited a Type B citation for not completing lead water testing requirement by due date of January 2023. Appeal Rights were provided. Facility's lead levels were within the 5.5ppb threshold, therefore deficiency cited today will also be cleared today.

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

Exit interview conducted and report was reviewed with the director, Yolanda Ancheta.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Melissa Zaragoza
LICENSING EVALUATOR SIGNATURE:	DATE: 03/17/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/17/2025

LIC809 (FAS) - (06/04)

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