<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517453
Report Date: 08/25/2020
Date Signed: 08/25/2020 03:19:23 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:HOLY FAMILY CHILDREN'S CENTERFACILITY NUMBER:
410517453
ADMINISTRATOR:ROSS, SUEFACILITY TYPE:
850
ADDRESS:1590 S. CABRILLO HIGHWAYTELEPHONE:
(650) 726-9001
CITY:HALF MOON BAYSTATE: CAZIP CODE:
94019
CAPACITY:34CENSUS: DATE:
08/25/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Director, Sue RossTIME COMPLETED:
10:00 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA), Cindy Interiano conducted a Case Management inspection and met with Director, Sue Ross via a Tele-inspection. Purpose of the inspection was explained to Director. Facility operates on the property of Holy Family Episcopal Church and is currently licensed for 34 Preschool age children in 3 classrooms: the Yellow Room, Green Room, and Magic Room. Facility has requested to add the Church Sanctuary to the license, which will be the ‘Red’ Room.
Director lead LPA on a virtual inspection of the facility indoors and outdoors for Health and Safety hazards. Classrooms have age appropriate toys and equipment for children. Rooms are equipped with an industrial fire alarm, a smoke and carbon monoxide detector, and a fire extinguisher. Facility has 3 children’s restrooms with a total of 4 toilets and 4 sinks. Restrooms are maintained clean, in good repair, and with adequate supplies. Outdoor play area is completely fenced and is maintained free of debris and dangerous conditions.

Initial Fire inspection was conducted on 08/11/20. A follow up Fire inspection is required pending corrections.

During the inspection, LPA provided Technical Assistance for Covid-19 guidelines.

Prior to updating license to include the ‘Red room’
> Fire clearance must be received.
> Final review is required from the Department.

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

>This report will be emailed to facility. This report must be available in the facility for public review. 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: 08/25/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2020
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 1