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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504560
Report Date: 04/10/2025
Date Signed: 04/10/2025 11:59:22 AM

Document Has Been Signed on 04/10/2025 11:59 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SFUSD-JUNIPERO SERRA EARLY EDUCATION SCHOOL (PS)FACILITY NUMBER:
380504560
ADMINISTRATOR/
DIRECTOR:		LOUGHRIDGE, DANIELLEFACILITY TYPE:
850
ADDRESS:155 APPLETON STREETTELEPHONE:
(415) 920-5138
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 67TOTAL ENROLLED CHILDREN: 67CENSUS: 49DATE:
04/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:30 AM
MET WITH:Principal/Administrator, Danielle LoughridgeTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
NARRATIVE
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On April 10, 2025 at approximately 9:30am, Licensing Program Analysts (LPA) Melissa Zaragoza conducted an unannounced, case management visit to SFUSD Junipero Serra Early Education School (PS) . LPA met with principal/facility representative, Danielle Loughridge, and explained the purpose of the visit. Present during LPA's visit included 9 teaching staff and 49 children present. Facility is operating within capacity limits and ratio during LPA's visit. Teaching staff present have fingerprint clearance through the school district. Childcare center hours of operation are Monday through Friday, from 7:30am-5:30pm.

LPA conducted a visit in regards to an unusual incident's report that was reported to the department. The unusual incident was reported on April 4, 2025. The incident involves Child C1, Staff S1, and S2. On April 2, 2025 at around 12:00pm. Per S1, they were leaving the main office, when they heard yelling, and they walked over to Room 3.

Once arrived at the classroom, per S1, they saw S2 tell C1, “don’t do that”. Per S1, S2 was observed to grab C1’s arm and tug. S1 walked over to S2 and S2 said C1 was going to wash their hands. Per S1 they asked C1 if they wanted to go for a walk. Per S1, C1 said, “no”, and went to wash their hands. S1 spoke with S2 and asked about the incident. Per S1, S2 stated, C1 was trying to leave the class to give their sibling a hug, and they did not want C1 to leave out of the class. Per S1 they observed C1's arm the next day for any bruising, or redness, and arm had no marks.

Per S1, they tried to reach out the C1’s guardian via email, phone call, and in person. Per S1, they will try to contact C1’s guardian via mail, to inform guardian of the incident. Per S1, they had a meeting with S2. Per S1, there is always three staff members assigned in the classrooms. Per S1 classrooms, include the lead teacher, and 2 para educators. Per S1 as a plan of correction, they will have 3 para educator present in the classroom when permitted. Per S1, they will also have their positive behavior intervention specialist conduct visits constantly, and conduct a, Adult, Student Boundaries Training, and have a Mental Health Consultant for staff in the classroom.

S1 will inform LPA of any further updates, and pertinent information, on the Incident Report.

(Continue to page 2 ....)
Marie RodriguezTELEPHONE: (650) 266-8827
Melissa ZaragozaTELEPHONE: 650-266-8800
DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/10/2025
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: SFUSD-JUNIPERO SERRA EARLY EDUCATION SCHOOL (PS)
FACILITY NUMBER: 380504560
VISIT DATE: 04/10/2025
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A copy of this report, and the “Notice of Site Visit,” were given to the facility representatives, Danielle Loughridge.

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

An exit interview was conducted, and the report was reviewed with facility representatives, Danielle Loughridge.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8827
LICENSING EVALUATOR NAME: Melissa ZaragozaTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/10/2025
LIC809 (FAS) - (06/04)
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