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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384003012
Report Date: 07/06/2023
Date Signed: 07/06/2023 04:12:46 PM


Document Has Been Signed on 07/06/2023 04:12 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:SUNSHINE PRESCHOOL CENTERFACILITY NUMBER:
384003012
ADMINISTRATOR:YUZON, NADINEFACILITY TYPE:
850
ADDRESS:650 ANDOVER STREETTELEPHONE:
(650) 291-0512
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:30CENSUS: 2DATE:
07/06/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:15 PM
MET WITH:Silvia Velasquez, Nancy AzarTIME COMPLETED:
04:00 PM
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On 7/6/2023 at 2:15PM., Licensing Program Analyst (LPA), Luis J. Gomez met with Lead Teacher, Silvia Velasquez. Purpose of the inspection was explained and was for an Unannounced; Plan of Correction inspection. Present was the Lead Teacher caring for 2 children. Licensee, Nancy Azar arrived during inspection. LPA inspected facility for health and safety hazards.

During today’s inspection, LPA performed record review, observations, and interviews.

At 2:20PM., Based on observations, interview and record review, LPA confirmed staff, S1, providing care for the both toddler/ preschool programs. Deficiency cited on attached case management, LIC809.

LPA observed the following: Drinking water is provided to children from source. Per licensee, water fixtures will be tested this month by third party.

LPA observed staff, S1, maintaining infant napping logs, for each 15- minute review. LPA reminded licensee to ensure staff provide initials on logs.

2 of 4 Deficiencies issued on 6/15/2023, has been cleared and ‘Cleared Plan of Correction Letter’ was provided.

Based on today's inspection, deficiencies were observed in the areas evaluated according to Title 22 Division 12, Chap. 3, Ca. Code of Regulations and cited on 809D. Exit interview was conducted with Licensee, Nancy Azar and signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Licensee was advised for additional questions to call CCL Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 07/06/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/06/2023
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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