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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504523
Report Date: 03/24/2025
Date Signed: 03/24/2025 03:09:47 PM

Document Has Been Signed on 03/24/2025 03:09 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, YOLANDAFACILITY TYPE:
850
ADDRESS:1335 GUERREROTELEPHONE:
(415) 821-0130
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 27DATE:
03/24/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:40 PM
MET WITH:Director, Yolanda AnchetaTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
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On March 24, 2025 at approximately 1:40pm, Licensing Program Analysts (LPA) Melissa Zaragoza conducted an unannounced, case management visit to Katherine Michiels School. LPA met with director, Yolanda Ancheta, and explained the purpose of the visit. Present during LPA's visit included 5 teaching staff and 27 children present. Facility is operating within capacity limits and ratio during LPA's visit. Teaching staff present have fingerprint clearance on file. Childcare centers hours of operation are Monday through Friday, from 8:00am-6:00pm.

LPA conducted a visit in regards to an unusual incident's report that was reported to the department. The unusual incident was reported on March 14, 2025. The incident involves Child C1, Teacher T1, and Head Teacher T2. On March 14, 2025 at around 12:15pm, transition time. C1 dropped their lunch bag, water bottle, and hat on the floor, and ran away, towards the top of the stairs. Per director, the floor was wet because it has rained in the morning.

T1 was with the transition group when they observed C1 run, and they thought C1 was going to slip because they were wearing rain boots and ran towards the stairs. Per director, T1 informed T2 about what had accrued. Per T2, C1 was crying and informed them that T1 had grabbed their arm. Per director and T2, T2 checked C1's elbow, and performed necessary attention. C1 was given an ice pack, and parents were called immediately.

Per T2, parents arrived during nap time, around 1:15pm. Per director, parents took child to urgent care. Per director, the childcare center requested a doctors note from the parents and tried to schedule a meeting. Parents emailed the director stating child was fine, after consulting with the child's pediatrician. Per director, the child returned to the childcare center, the following day, March 15, 2025. Per director, child was okay, and had no bruising, redness, or mark left on their arm.

Per director, they had a check in meeting the staff involved in the incident. Per director, they will continue to reinforce super vision with their staff. Per director, they have 5 teachers present at all times. Director will have 2 staff members present with children, for support.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2025
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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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: 03/24/2025
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(Continued Page 2....)

A copy of this report, and the “Notice of Site Visit,” were given to the director.

A “Notice of Site Visit” must remain posted for 30 days.

An exit interview was conducted, and the report was reviewed with facility representatives, Yolanda Ancheta.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Melissa Zaragoza
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2025
LIC809 (FAS) - (06/04)
Page: 2 of 2