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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410503217
Report Date: 07/16/2020
Date Signed: 07/21/2020 02:44:20 PM

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:KRISHNA, SUSHMAFACILITY TYPE:
850
ADDRESS:330 RAVENSWOOD AVE.TELEPHONE:
(650) 322-2628
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY:36CENSUS: 0DATE:
07/16/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Director, Sushma KrishnaTIME COMPLETED:
12:00 PM
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Licensing Program Analyst (LPA), Cindy Interiano conducted a Case Management inspection and met with Director, Sushma Krishna via a Tele-inspection. Purpose of the inspection was explained to Director. Facility currently operates on the second floor of the ‘Angus Hall’ on the Trinity Church property and operates in 2 classrooms: ‘Laurel’ and ‘Pine’ rooms with an Art Studio connecting the two classrooms.

Facility is requesting an increase of capacity from 36 Preschool age children to 55 Preschool children. Two classrooms: The ‘Upper Classroom’ and the ‘Good Shepherd’ room in the ‘Trinity Hall’ has been requested to be added to the License.

Director lead LPA on a virtually inspection of the facility indoors for Health and Safety Hazards. Per the facility sketch,
> The ‘Upper classroom’ measures 468 square feet, allowing for 13 children.
> The ‘Good Shepherd’ room measures 626 square feet, allowing for 18 children.
The Trinity Hall, which is in between both classrooms, will be a multipurpose area for meals and periodic use for indoor activities. There are two accessible restrooms in the building: restroom#1 has 3 toilets and 2 sinks, and restroom#2 has 2 toilets, 1 urinal, and 2 sinks. Program has exclusive use of the classrooms, Trinity Hall, and restrooms.

Outdoor space was not measured, however per facility sketch, outdoor space has been measured to be 3390 square feet, allowing for 45 PreK children. Classrooms will have scheduled use of the outdoor space. A waiver requested must be submitted and will be pending Supervisor’s review.

Fire clearance was granted on 07/14/20.

Once waiver for outdoor play area has been approved, License will be updated allowing capacity of 55 PreK children.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report was emailed with Director. This report must be available in the facility for public review. Notice of site inspection was posted. Any additional questions to call Office, M-F, 8a-5p, 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: 07/16/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2020
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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