380504942-12-16-2025-05-CC-CQUO-DPEV4C-20251216150606

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380504942
Report Date: 12/16/2025
Date Signed: 12/16/2025 03:06:45 PM

Document Has Been Signed on 12/16/2025 03:06 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:	ASSOCIATED STUDENTS CHILDREN'S CENTER - PRESCHOOL		FACILITY NUMBER:	380504942
ADMINISTRATOR/ DIRECTOR:	ALMAGUER, ERICA		FACILITY TYPE:	850
ADDRESS:	1650 HOLLOWAY AVENUE		TELEPHONE:	(415) 338-2403
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94132
CAPACITY: 60	TOTAL ENROLLED CHILDREN: 56	CENSUS: 49	DATE:	12/16/2025
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Lorelei Ballesteros		TIME VISIT/ INSPECTION COMPLETED:	01:30 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 December 16, 2025 at approximately 9:00am, Licensing Program Analyst (LPA) Quimbo conducted an unannounced, annual inspection at Associated Students Children's Center-Preschool. LPA met with assistant preschool director, Lorelei Ballesteros, and explained the purpose of the visit. Program director was not present during today's visit due to sickness. Assistant preschool director is designated with facility responsibility. Hours of operation are Monday through Friday 7:30am to 5:00pm. Program is a combination program with an infant license and a preschool license. Under the preschool license, 11 teaching staff and 49 preschool children were present. Teaching staff present have fingerprint clearance on file and are associated to preschool license number. Preschool program is operating within capacity limits and ratio during LPA's visit. Preschool program currently operates in 4 classrooms: Room 6-Orange Room (Transitional Twos), Room 7-Blue Room (3-5 year olds), Room 8-Red Room (3-5 year olds) and Room 9-Green Room (3-5 year olds). LPA inspected day care areas for health and safety hazards. LPA also reviewed facility records. Licensing documentation is properly posted in lobby of facility, including facility's waivers. Children are signed into program through an electronic application that is kept in the facility's lobby. Each authorized representative has a unique pin number when signing their child into the program. After using the unique number to sign into electronic application, each authorized representative physically signs their child into and out of program. LPA observed children signed in to program during today's visit. Emergency disaster drills are conducted monthly and are documented. LPA observed emergency disaster drill documentation to have a schedule of when an upcoming drill will be conducted, when the drill is actually conducted, the type of drill conducted, the number of children and adults present and any comments or notes during the drill. Last documented drill was conducted 10/16/2025. (Continue report on page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

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: ASSOCIATED STUDENTS CHILDREN'S CENTER - PRESCHOOL	FACILITY NUMBER: 380504942
	VISIT DATE: 12/16/2025

NARRATIVE

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Preschool classrooms include a variety of toys, materials and furniture that are in good condition. LPA observed classrooms include rugs that are clean. Per assistant director, rugs are vacuumed daily by janitorial services. LPA observed preschool classrooms to include areas for quiet space, science, building, dramatic play, manipulatives and eating. Areas in classroom are organized with equipment that are age appropriate. Per assistant director, children's materials are sanitized monthly or as needed. Children's cubbies are located in their designated classrooms, labeled with their names and photos.

Each classroom includes a children's restroom. LPA observed children's restrooms to be in working condition. Restroom includes age appropriate toileting equipment and accessible sinks. In room 6, there is a diaper changing table that is within arm's reach to an adult sink. Program provides diapers and wipes for diapering children. Per assistant director, families are able to bring their own diapers and wipes, if needed. LPA observed garbage bin with a tight fitting lid within arm's reach to diapering table.

Children brush their teeth after a meal in the classroom. LPA observed children's toothbrushes to be labeled with their individual names. Sinks accessible to children do not provide water that is warmer than 120 degrees Fahrenheit.

LPA observed multiple, fully charged fire extinguishers throughout the facility. There are also multiple first aid cabinets and emergency backpacks on site. Facility is equipped with a smoke alarm system and smoke and carbon monoxide detectors. LPA was unable to test carbon monoxide detector during today's visit, due to the placement of detectors in high ceilings. LPA advised assistant director to place carbon monoxide detectors in lower areas of classroom. LPA observed cleaning solutions and poisons to be stored in classrooms' high shelves, inaccessible to children. There are cabinets in the classrooms with child safety locks. LPA observed cabinets that did not have child safety locks installed, to not have poisonous items stored. LPA also observed electrical outlets in classrooms to be made inaccessible with child safety covers.

Each classroom includes teachers' preparation area that is gated. Teacher preparation area includes an adult sink, refrigerator, dishwasher, and stove with an oven. Program provides a food service that include morning and afternoon snack, prepared and served in each classroom. Lunch is delivered daily through a third party vendor. Reusable plates, cups and utensils are utilized for children that are sanitized daily in facility's dishwasher. Drinking water is available to children through a filtered pitcher that is refilled in classrooms' sinks.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

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: ASSOCIATED STUDENTS CHILDREN'S CENTER - PRESCHOOL	FACILITY NUMBER: 380504942
	VISIT DATE: 12/16/2025

NARRATIVE

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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.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP. Child care center completed testing and no lead exceedances.

LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water/testing-information)

Preschool children sleep in their classroom on floor mats. LPA observed floor mats to be stored appropriately when not in use. LPA also observed floor mats to be labeled with children's individual names. Sheets are provided by the program while blankets are provided by families. Per assistant director, sheets and blankets are laundered weekly. LPA observed children's sheets and blankets to be stored in their individual cubbies or in bags (labeled with their names), so that they are not touching each other.

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/

Preschool program has access to two outdoor areas. LPA observed outdoor areas to be separated by fences. Outdoor areas include a variety of toys and materials that are in good condition. There are play structures with resilient padding underneath. LPA observed toys and materials to be stored away, when not in use. Per assistant director, outdoor toys and materials are sanitized monthly or as needed. There is a greenhouse in the outdoor area that was observed to be locked. There are tarps and awnings in the outdoor area, providing sufficient shade. LPA did not observe any pools, spas or bodies of water on site.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

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: ASSOCIATED STUDENTS CHILDREN'S CENTER - PRESCHOOL	FACILITY NUMBER: 380504942
	VISIT DATE: 12/16/2025

NARRATIVE

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Isolation area for sick children is located in the lobby, if needed. During today's visit, LPA reviewed 10 random children's records. Children's records are complete with admission agreements, records of immunizations, and emergency information. LPA also observed children's records to include a Preschool Needs and Services plan as well as Acknowledgement of Receipt of Licensing Reports (LIC9224).

LPA reviewed 5 random teaching staffs' records. Teaching staff records are complete with educational permits or transcripts, records of immunizations, health screening reports and current Mandated Reporter certifications. Multiple staff on site also have current CPR and First Aid certifications, that were made available for review. A childcare roster and staff roster are also maintained and made available for LPA's review.

Facility representative 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.

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

Facility representative 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.

During today's visit, no deficiencies were issued.

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

Exit interview conducted and report was reviewed with facility representative, Lorelei Ballesteros.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025

LIC809 (FAS) - (06/04)

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