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

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000539
Report Date: 09/20/2023
Date Signed: 09/20/2023 04:31:16 PM


Document Has Been Signed on 09/20/2023 04:31 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:CLAIRE LILIENTHAL AFTER SCHOOL PROGRAMFACILITY NUMBER:
384000539
ADMINISTRATOR:FRANK KANIOSFACILITY TYPE:
840
ADDRESS:3960 (AKA3950) SACRAMENTO STTELEPHONE:
(415) 750-1577
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY:130CENSUS: 89DATE:
09/20/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Frank KaniosTIME COMPLETED:
04:46 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 September 20, 2023 at 3:30 PM, Licensing Program Analysts (LPAs) April Cowan and Jonathan Tse conducted an unannounced POC visit. LPAs met with site director Frank Kanios and stated the purpose of the visit, which was to clear citations. Present in the facility were 89 school-age children and 7 staff members. Facility is in compliance with ratio requirements.

LPAs observed that the facility has not conducted an emergency drill within the last six months. This is a potential health and safety risk for children in care, and a Type-B citation is issued for this deficiency this day.

Per director, he is in the process of having American Air and Testing Company to test after the facility sketch for the facility is completed. LPAs will extend the date of POC to October 4, 2023. LPAs request that director update Licensing with any progress or changes.

This report has been reviewed with site director Frank Kanios.

Please see next page for citations
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April CowanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2023
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 09/20/2023 04:31 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066


FACILITY NAME: CLAIRE LILIENTHAL AFTER SCHOOL PROGRAM
FACILITY NUMBER: 384000539

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/20/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/27/2023
Section Cited
CCR
101174(d)

1
2
3
4
5
6
7
101174(d) Disaster and Mass Casualty Plan

Disaster drills shall be conducted at least every six months.

This requirement is not met as evidenced by:
1
2
3
4
5
6
7
Site director agrees to conduct an emergency drill, log it, and send to LPA by the above stated date.
8
9
10
11
12
13
14
Based on record review, the licensee did not comply with the section cited above in that licensee does not have any drills logged which poses/posed a potential health, safety or personal rights risk to persons 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 LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April CowanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2023
LIC809 (FAS) - (06/04)
Page: 2 of 2