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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505313
Report Date: 06/20/2023
Date Signed: 06/20/2023 12:13:14 PM


Document Has Been Signed on 06/20/2023 12:13 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:MIRALOMA NURSERY SCHOOLFACILITY NUMBER:
380505313
ADMINISTRATOR:ABDELWAHHAB/BREWERFACILITY TYPE:
850
ADDRESS:443 FOERSTER STREETTELEPHONE:
(415) 585-6789
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94127
CAPACITY:22CENSUS: 15DATE:
06/20/2023
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:55 AM
MET WITH:Hala Abdelwahhab TIME COMPLETED:
12:40 PM
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Licensing Program Analyst (LPA) Mok conducted an unannounced annual inspection today. LPA met with the Site Director, Hala Abdelwahhab, and explained the purpose of the inspection to her. There were 15 children with 4 staff present (2 staff and 2 Parent teachers). Per Hala, Rose Shannon will become a new Site Director starting 7/1/2023. LPA inspected the facility for health and safety hazards. The facility ran a Co-op Preschool program in 3 classrooms and 3 outdoor yards. The facility ran the program in 2 sessions (AM and PM). The facility's operation hours were Monday to Friday from 8:30 AM to 12:30 pm for AM sessions and 1 PM to 5 PM for PM sessions. The facility had a security lock with a code for the parents' or teachers' entry at the main gate. The facility was clean and in order; temperature and lighting were adequate, and the toxins and harmful objects were inaccessible to the children. The facility had plenty of age-appropriate toys, books, learning materials, and equipment, and the children's furniture was in good condition and repair. Children brought their own snacks and water bottle to the facility daily. Tap water was available for the children at the facility. All electrical outlets were covered. The lower cabinets and drawers in the food preparation area were either latched or free of harmful objects. There was a children's bathroom with 2 toilets and 2 sinks. The facilty also had a staff bathroom next to the food preparation. The outdoor play yards were completely fenced. The yards were separated by a gate, A small yard that was called "Music Yard" was located at the corner of Forester St. and Joost Ave. A big yard had 2 big sandboxes with climbing and swing structures. The sand was used as the soft cushioning underneath the structures to prevent injury. The yards were clean and free of harmful objects. There were plenty of age-appropriate outdoor toys, ride-on-toys, play structures, playhouses, and see-saws available for children. The yard had a big sink with 2 faucets available for children. Per Hala, the facility was cleaned up by the volunteer parents daily. There was a big tree next to the play house providing shade to the children in the yard. Per Hala, there were a couple of children on special medications. LPA inspected the medication during the inspection. The facility had all the required postings. LPA inspected the sign-in/out sheet, reviewed the staff and children's files, and obtained copies of the children's roster & Personnel record (LIC 500) during the inspection. Staff had current Child Abuse Mandated Reporter, and CPR & First Training. LPA discussed the Required Lead Water Testing for Drinking Water in Licensed Child Care Center. LPA provided the copies of the PIN about that to the facility via email.

This report and notice of the site visit were discussed with the licensee and must be made available to the public upon request. For quarterly updates on Licensing information, go to the CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy MokTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 06/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/20/2023
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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