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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505534
Report Date: 02/11/2020
Date Signed: 02/11/2020 05:00:07 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:FAMILY DEVELOPMENTAL CENTER (INFANT)FACILITY NUMBER:
380505534
ADMINISTRATOR:QUIROZ, YOHANAFACILITY TYPE:
830
ADDRESS:2730 BRYANT STREETTELEPHONE:
(415) 282-1090
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:95CENSUS: 4DATE:
02/11/2020
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
04:15 PM
MET WITH:Alicia Torres, Melissa SeranoTIME COMPLETED:
05:15 PM
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Licensing Program Analyst (LPA), Luis J. Gomez met with Education Director, Alicia Torres and Administrative Director, Melissa Serrano. Purpose of inspection was explained and is for this plan of correction. Present is the Education Director and four staff supervising four children. LPA Gomez inspected the facility with Education Director and Administrative Director for health and safety hazards. The following deficiency from the previously inspection was checked today:

-101238(a) Building and Grounds

At 4:25pm on February 11, 2020 LPA Gomez inspected the caterpillar room. LPA observed all office supplies and materials, previously located in the napping area, have been relocated to an off-limit area. Children’s napping area is free of hazards or dangerous conditions.

Deficiency issued on 1/16/2020 have been cleared. 'Cleared POC Letter' was given to Education Director.

**No deficiencies were cited against the facility today under CCR,Title 22, Div. 12, Chapt. 1**

>This report and rights to comment and appeal were discussed with Director. This report must be available in the facility for public review. Notice of site visit was observed being posted.
Director was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.cdss.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/11/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2020
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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