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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505833
Report Date: 10/25/2023
Date Signed: 10/25/2023 11:56:51 AM


Document Has Been Signed on 10/25/2023 11:56 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:MISSION CHILDCARE CONSORTIUM, INC.FACILITY NUMBER:
380505833
ADMINISTRATOR:SANTANA, MELANIEFACILITY TYPE:
850
ADDRESS:4750 MISSION STREETTELEPHONE:
(415) 586-6139
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94112
CAPACITY:224CENSUS: 120DATE:
10/25/2023
TYPE OF VISIT:Case Management - Lead Testing/ExceedanceUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Patricia HamiltonTIME COMPLETED:
12:15 PM
NARRATIVE
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Licensing Program Analyst, LPA Yee, and Licensing Program Manager, LPM, Oquendo conducted a case management visit today. This is a follow-up visit from 03/23/2023. On 03/23/2023, a citation was issued due to the facility for not having the current Lead testing done. Then the facility requested a waiver to be exempt. Today, LPA and LPM toured the facility with the program director, Patricia Hamilton. Present at the facility are 120 children and 28 staff members.

Daycare areas: White room, Berry room, Pink room, Sage room, Blue room, Green room and Yellow room.

LPM discussed with the site director about the requirement of the Lead testing and the facility was informed that the Lead testing must be done within the next 30 days. Stipends information was provided during the visit.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023
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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