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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410509079
Report Date: 06/26/2019
Date Signed: 07/09/2019 10:14:00 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:SAN MATEO-FOSTER CITY SCHL DIST - TURNBULL CDCFACILITY NUMBER:
410509079
ADMINISTRATOR:SUMMERS, ELENAFACILITY TYPE:
850
ADDRESS:715 INDIAN AVENUETELEPHONE:
(650) 312-7766
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:240CENSUS: DATE:
06/26/2019
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Karrie HaseltonTIME COMPLETED:
11:05 AM
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Licensing Program Analyst (LPA) Pandora Huffman-Smith made a case management inspection today and met with the Principal, Karrie Haselton. The purpose of today's inspection is to inspect and measure classroom #T10, former school age classroom, for a pending application to increase preschool capacity from 240 to 264 children. LPA measured the classroom today and the total square footage is 855 square feet allowing for a total of 24 children. There are 2 bathrooms in the classroom that are equipped with one toilet and one sink in each. There is another sink with a drinking fountain in the classroom for children's usage. The classroom appears to be clean and equipped with a fire extinguisher, smoke detector first aid kit, toys and other equipment for children. The facility has an outdoor waiver for scheduled rotational usage. LPA advised that an updated waiver request is required for rotational and shared usage due to the preschool and school age programs share the same outdoor space. No health and safety hazards were observed during today's inspection.


The following are requirements prior to capacity increase:
  1. Fire clearance is required
  2. Proof of carbon monoxide detector
  3. Request and approval of waiver for rotational and shared usage of the outdoor play area.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-SmithTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2019
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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