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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410503400
Report Date: 09/27/2023
Date Signed: 09/27/2023 12:02:42 PM


Document Has Been Signed on 09/27/2023 12:02 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:SEA BREEZE SCHOOLFACILITY NUMBER:
410503400
ADMINISTRATOR:WEBER, JERELYNFACILITY TYPE:
850
ADDRESS:900 EDGEWATER BLVDTELEPHONE:
(650) 574-5437
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:126CENSUS: 101DATE:
09/27/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Jerelyn WeberTIME COMPLETED:
12:17 PM
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On September 27, 2023, Licensing Program Analysts (LPAs) Jonathan Tse and Maria Olguin-Leon conducted an unannounced case management visit to Sea Breeze School. LPAs met with Principal Jerelyn Weber and explained the purpose of the visit, which was a case management for a door installation in Room 1. Present today were 101 preschool-age children and 11 teachers. The facility is in compliance with teacher-child ratios. LPAs observed that required documents were posted.

LPAs observed the door frame in Room 1 did not have a door installed. Principal explained that the fire department did not approve the door installation due to a potential health and safety hazard, since children need to be able to push the door outwards in the case of an emergency. There was no fire report to review, as the fire department's visit was conducted as a courtesy. Shelving was moved to block a portion of the doorway. The remaining space is blocked by a child proof mesh barricade.

LPAs conducted a health and safety inspection of the facility with the principal. LPAs observed classrooms to be kept in clean and orderly condition, with age appropriate toys. A fully charged fire extinguisher was present. LPAs observed the outdoor play area to have sufficient padding underneath the play structures, with age appropriate toys and equipment available for use.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the principal, Jerelyn Weber.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Jonathan TseTELEPHONE: (650) 464-4927
LICENSING EVALUATOR SIGNATURE:
DATE: 09/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/27/2023
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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