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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410509784
Report Date: 04/08/2022
Date Signed: 04/08/2022 05:34:05 PM


Document Has Been Signed on 04/08/2022 05:34 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:SACRED HEART PRESCHOOL AND KINDERGARTEN (PSK)FACILITY NUMBER:
410509784
ADMINISTRATOR:TURCHETTI,M;REITMAN,AFACILITY TYPE:
850
ADDRESS:50 EMILIE AVENUETELEPHONE:
(650) 473-4061
CITY:ATHERTONSTATE: CAZIP CODE:
94027
CAPACITY:96CENSUS: 63DATE:
04/08/2022
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:20 PM
MET WITH:Michelle Turchetti TIME COMPLETED:
02:20 PM
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On April 8th, 2022 at 1:20pm, Licensing Program Analyst, (LPA) Tapia-Mandujano met with Site Supervisor, Michelle Turchetti. The purpose of today's inspection was explained. Present in the facility are 7 staff caring for 63 of preschool age children. All staff are fingerprint cleared and associated.

The incident that had occurred on March 23rd, 2022. Incident was self- reported to the department by the facility management, and involved a preschool child who got hurt outside of the licensed facility by a boulder that was not safely secured. Per Site Supervisor, the child and the parent were playing outside after being signed out from the licensed facility within the Sacred Heart campus. The boulder was observed and it is now safely secured by a lock. Child is back at facility and is doing well.

LPA reminded Site Supervisor the reporting requirements.

A Notice of Site Visit shall be posted for 30 days.

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

A copy of this report will be emailed to the Site Supervisor, Michelle Turchetti. This report must be available in the facility for public review. The facility was informed to contact the San Bruno Regional for any additional question at 650-266-8800 M-F, 8 AM-5 PM. For Rules and Regulations, visit the Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Leslit Tapia-MandujanoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/08/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/08/2022
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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