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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410503311
Report Date: 02/06/2020
Date Signed: 02/06/2020 01:04:10 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:MILLBRAE NURSERY SCHOOL, INCFACILITY NUMBER:
410503311
ADMINISTRATOR:BOGNI-RODRIGUEZ, BRIGIDANFACILITY TYPE:
850
ADDRESS:86 CENTER ST.TELEPHONE:
(650) 589-3028
CITY:MILLBRAESTATE: CAZIP CODE:
94030
CAPACITY:44CENSUS: DATE:
02/06/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Brigidan Bogni-RodriguezTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Rodriguez made an unannounced Case Management visit and met with Site Director Brigidan Bogni-Rodriguez today. The purpose of this inspection was explained.

The Child Care Licensing Department received information on February 6, 2020 that this facility was a victim of vandalism during the previous weekend. Per Site Director, the facility made a report to the police department who came out to inspect the daycare facility. Per Site Director, the facility has cleaned up the vandalized areas to make sure it was safe for the children. The facility continued to operate during this time.

LPA Rodriguez inspected the areas that were vandalized and did not see any hazardous items. Per Site Director, the playhouse the children use had its windows broken. The glass was cleaned up but the house will be made inaccessible until the windows can be fixed. Families of the program were notified of the vandalism.

During today's inspection LPA discussed licensing issues and questions with the Site Director and updated her with changes to licensing procedures. LPA also discussed reporting requirements with the Site Director and provided a blank Unusual Incident Report LIC 624 to Site Director Brigidan Bogni-Rodriguez. The facility will submit the unusual incident report by Friday February 7, 2020.

No deficiencies cited today.

This report was read and reviewed and by Site Director Brigidan Bogni-Rodriguez and a copy of the report was provided.

Notice of site visit was observed posted.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Adam RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 02/06/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/06/2020
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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