<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504942
Report Date: 05/23/2024
Date Signed: 05/23/2024 11:13:02 AM

Document Has Been Signed on 05/23/2024 11:13 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:ASSOCIATED STUDENTS CHILDREN'S CENTER - PRESCHOOLFACILITY NUMBER:
380504942
ADMINISTRATOR/
DIRECTOR:		ALMAGUER, ERICAFACILITY TYPE:
850
ADDRESS:1650 HOLLOWAY AVENUETELEPHONE:
(415) 338-2403
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY: 60TOTAL ENROLLED CHILDREN: 60CENSUS: 26DATE:
05/23/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:30 AM
MET WITH:Shirley Nhan and Erica AlmaguerTIME VISIT/
INSPECTION COMPLETED:
11:15 AM
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 May 23, 2024., Licensing Program Analysts (LPAs) Van and Basak met with the office manager, Shirley Nhan, who granted LPA entry to the Center. Six teachers were supervising 26 children. During the visit, the Director, Erica Almaguer, arrived. The purpose of the inspection is to follow up on an unusual incident and discuss preventative measures to ensure the safety and well-being of all children at the Center. On May 14, 2024, the Center reported an incident involving the violation of a child's (C1) personal rights.

According to the interview and incident report, teacher S2 witnessed child C1 crying and hitting teacher S1. Upon further investigation, it was revealed that Teacher S1 had flicked Child C1's ear, which led to Child C1's reaction by hitting Teacher S1. Teacher S1 also admitted to the action. As a result, the following Title 22 deficiency was cited on the next page.

After the incident, S1 has been dismissed. The Center will take proactive measures to address the issue in the next two weeks, including a comprehensive review and training on children's personal rights. All training materials and the teachers' signatures confirming their attendance will be submitted to the Licensing office.

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

An exit interview was conducted, and the report and appeal rights were reviewed with the Director, Erica Almaguer.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 05/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
Document Has Been Signed on 05/23/2024 11:13 AM - It Cannot Be Edited


Created By: Brendon Van On 05/23/2024 at 10:27 AM
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: ASSOCIATED STUDENTS CHILDREN'S CENTER - PRESCHOOL
FACILITY NUMBER: 380504942

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/06/2024
Section Cited
CCR
101223(a)(3)

1
2
3
4
5
6
7
101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights: (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse or other actions of a punitive nature including but not limited to: interference with functions of daily living including eating, sleeping or toileting; or withholding of shelter, clothing, medication or aids to physical functioning.

This requirement was not met, as evidenced by:
1
2
3
4
5
6
7
The Center Director will ensure that all staff receive training within the next two weeks, which will include a thorough review and training session on children's personal rights. All training materials and the teachers' signatures confirming their attendance will then be submitted to the Licensing office no later than June 6, 2024.
8
9
10
11
12
13
14
This requirement was not met, as evidenced by the file reviewed and the interview. Teacher S1 had flicked Child C1's ear, causing Child C1 to react by hitting Teacher S1. This poses a potential health and safety risk to children in care.
8
9
10
11
12
13
14

1
2
3
4
5
6
7
1
2
3
4
5
6
7

1
2
3
4
5
6
7
1
2
3
4
5
6
7
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:Garfield Leung
LICENSING EVALUATOR NAME:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 05/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/23/2024


LIC809 (FAS) - (06/04)
Page: 2 of 2