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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000958
Report Date: 02/25/2025
Date Signed: 02/25/2025 03:51:18 PM

Document Has Been Signed on 02/25/2025 03:51 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:FAMILY SCHOOL CDC BERNAL GATEWAY, THEFACILITY NUMBER:
384000958
ADMINISTRATOR/
DIRECTOR:
HAYNES, MARILYNFACILITY TYPE:
830
ADDRESS:3101 MISSION STREETTELEPHONE:
(415) 550-4178
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 16TOTAL ENROLLED CHILDREN: 16CENSUS: DATE:
02/25/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:05 PM
MET WITH:Patricia BacerraTIME VISIT/
INSPECTION COMPLETED:
04:10 PM
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On 2/25/2025 at 12:05PM., Licensing Program Analysts, (LPA) Luis Gomez and met with Lead Teacher Amalia Justo. Purpose of the inspection was explained and is for an Unannounced, Annual/ Random inspection. Facility has is a licensed infant center with a toddler options. Director, Patricia Bacerra arrive during visit. Present was the director and 7 staff supervising 12 children. Present staff have criminal record clearances of file. Children present had been properly signed in. The infant/ toddler program utilizes two classrooms one, shared outdoor play yard. Approved waiver for shared/ rotational use of outdoor space was observed posted. Days and hours of operation are Monday- Friday, 7:30AM- 5:30PM. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 12:10PM., LPA observed the following: Infant/ Toddler classrooms were clean, neat, with age-appropriate playthings available for the children. Floor and ground surfaces were free of obstructions or possible hazards. Accessible furniture and materials inspected were in good repair. The diaper changing tables are available for staff, and within arm’s reach of a sink. Trash bins for solid waste have been properly covered. LPA observed available storage of children’s belongings. Feeding chairs inspected were equipped with a stable (wide base), with removable table component. Food preparation area/ kitchen has separate sink. Infant bottles and cups were correctly stored and cleaned. LPA reminded facility to ensure containers/ bottles brought from clients’ homes are labeled with pertaining child's name and is dated. Per director, bottles are taken home by families daily.

For napping services, LPA observed several infant cribs and stackable cots, located in separate area. Each infant crib has a tight-fitting sheet and properly sized mattress. Cribs have visibility on all sides for constant staff supervision. Per director, napping sheets are washed on-site weekly. Facility had acceptable ventilation and lighting. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2025
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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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: FAMILY SCHOOL CDC BERNAL GATEWAY, THE
FACILITY NUMBER: 384000958
VISIT DATE: 02/25/2025
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Detergents, cleaning supplies, and sharp or hazardous objects have been made inaccessible to children. Classroom had testable carbon monoxide detector and fully charged fire extinguisher (3A40BC).

At 12:45PM., LPA inspected the outdoor play area. Per director, area not in use due to scheduled repairs of padded turf. LPA observed area is completely enclosed, with turf padding installed around play structure. Outdoor play area was free of debris or hazardous plants. Outdoor play supplies were in like-new condition.

Per director, for water services, refillable cups and pitchers are available for children to drink as they wish.

At 1:35PM., LPA reviewed facility records including 4 children’s files and 6 personnel files. Staff files contained the: Teacher Qualifications; Personnel Record (LIC501); and Health Screening (LIC503).

Children’s files were reviewed and included the: Consent for Medical Treatment (LIC627), Identification of Emergency Information (LIC700), Immunization Records; and Admissions Agreement.

At 1:40PM., Based on record review, LPA confirmed Individual Infant Sleeping Plan (LIC9227) missing for infant-age child in care. Advisory Note: Technical Violation (LIC9102TV) was issued.

LPA observed staff documenting infant napping conditions every 15-minute review in infant classroom.
At 2:15PM., Based on record review and interview, LPA confirmed staff not maintaining napping log for infant -age child in toddler classroom. Advisory Note: Technical Violation (LIC9102TV) was issued.

Staff’s CPR/ 1st Aid Certification was current, expiring: 10/2025.
Emergency disaster drills are being conducted at the facility, with last drill completed on, 9/6/2024, and properly logged.

Required posting were observed in the facility including the: Facility License; Emergency Disaster Plan (LIC610); Seat Beat Safety Laws; Notification of Parent’s Rights (LIC995A); Lunch Menu (February, 2025); and Personal Rights (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
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: FAMILY SCHOOL CDC BERNAL GATEWAY, THE
FACILITY NUMBER: 384000958
VISIT DATE: 02/25/2025
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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Director was reminded that all adults 18 and over, including employees and volunteers, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated.

LPA discussed safe sleep regulations with the director and discussed Child Care Licensing Safe Sleep webpage at: http://www.cdss.ca.gov/inforesource/child-care-licensing/public-information-and-resouce/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at: http://www.cpsc.gov/ and recommend they register all infant devices with the CPSC to be notified of any recalls on their purchased requirement.

Based on today's inspection, no deficiencies were cited in the areas evaluated according to the Title 22 Division 12, Chap. 1 Ca. Code of Regulations. Exit interview and report was discussed with Director, Patricia Bacerra. Director's signature of this form acknowledges receipt of these documents.



This report and rights to comment were discussed. This report must be available in the facility for public review. Notice was given and must remain posted for 30 days. Facility was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
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