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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410503217
Report Date: 02/13/2020
Date Signed: 02/13/2020 11:28:18 AM

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:TRINITY PRESCHOOLFACILITY NUMBER:
410503217
ADMINISTRATOR:LANA HARKNESS, ADM.FACILITY TYPE:
850
ADDRESS:330 RAVENSWOOD AVE.TELEPHONE:
(650) 322-2628
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY:36CENSUS: 27DATE:
02/13/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Director, Sushma KrishnaTIME COMPLETED:
11:40 AM
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Licensing Program Analyst (LPA), Cindy Interiano conducted a Case Management inspection and met with Director, Sushma Krishna. Purpose of the inspection was explained to Director. Facility operates on the second floor of the ‘Angus Hall’ on the Trinity Church property. Program operates in 2 classrooms: ‘Laurel’ and ‘Pine’ rooms with an Art Studio connecting the two classrooms. Program operates M-F, 7:30a-6p, following the school district calendar with a summer camp. Present during the inspection is Director and 4 Staff supervising 27 PreK children. Program is in compliance with Staff:Child ratios.

LPA and Director inspected facility indoors for Health and Safety Hazards. Director may request an increase of capacity by adding another classroom to the license. Classroom may need minor renovations, which will be done during the summer.

Preliminary measurements of the classroom:
*measures 645.32-742.72 square feet, allowing for up to 21 children.
*Laurel, Pine, and Art Studios were remeasured, allowing for 40 children.
Children’s restroom is in between Laurel and Pine classrooms and has 4 toilets and 2 sinks. Each classroom has an additional sink, so total of 4 accessible sinks in the facility.
Outdoor space was not measured.

Based on preliminary measurements of indoor space only, facility could be licensed for 60 PreK children.

Director states once the plans are finalized, then an increase of capacity Application will be submitted and a follow up inspection will be required.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 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 inspection was posted. Director 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
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2020
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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