410517453-3-26-2025-05-CC-DALO-DF5TEV-20250326144033

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410517453
Report Date: 03/26/2025
Date Signed: 03/26/2025 02:40:54 PM

Document Has Been Signed on 03/26/2025 02:40 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:	HOLY FAMILY CHILDREN'S CENTER		FACILITY NUMBER:	410517453
ADMINISTRATOR/ DIRECTOR:	ALEXIS AGUIRRE		FACILITY TYPE:	850
ADDRESS:	1590 S. CABRILLO HIGHWAY		TELEPHONE:	(650) 726-9001
CITY:	HALF MOON BAY	STATE: CA	ZIP CODE:	94019
CAPACITY: 34	TOTAL ENROLLED CHILDREN: 34	CENSUS: 33	DATE:	03/26/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:20 AM
MET WITH:	Alexis Aguirre		TIME VISIT/ INSPECTION COMPLETED:	03:15 PM

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	On 3/26/2025, at approximately 9:20AM, Licensing Program Analyst (LPA) Alvarado conducted an unannounced annual visit at the facility. LPA meet with Facility Director Alexis Aguirre(D1). Present in the Facility is (D1) and six staff members supervising a total of 33 children (Preschool age). The facility is operating within staffing and ratio requirements on this day. All staff present are fingerprinted, Cleared, and associated to the facility. LPA was guided by (D1) at approximately 9:40am to inspect the facility for any health or safety hazards. The Facility is one building that has three classrooms. Classrooms are “Sea Turtles” ages (4.5-5), “Little Rascles/ Sea Horses” ages (2.5-4), and the “Sea Otters” ages (3.7-4). LPA observed three functioning toilets and 3 functioning sinks in the facility for children use. LPA observed age-appropriate toys and learning materials. Furniture is age-appropriate and free of rough or sharp edges. At approximately 10:00am LPA along with (D1) toured the outdoor area. Facility has the outdoor play area fenced in. LPA observed the outdoor play areas to be free of debris and other loose articles. There are age-appropriate toys and equipment present. Outdoor area has a play structure that is also fenced in. Parts of the play structures have cushioned landing areas. Each outdoor play area is enclosed by a fence that is at least four feet high. No Pools, hot tubs, spas, or similar bodies of water present in the facility. Continued on Page 2...

Ali Zebila	TELEPHONE: (650) 730-4140
Diana Alvarado	TELEPHONE: 650-266-8800
	DATE: 03/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HOLY FAMILY CHILDREN'S CENTER	FACILITY NUMBER: 410517453
	VISIT DATE: 03/26/2025

NARRATIVE

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Facility Building is equipped with fully charged fire extinguishers. Fire alarm systems and Carbon Monoxide Detectors are running throughout the facility. Facility has a Fully equipped First Aid Kit. Electrical outlets are childproof and inaccessible. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care.

Facility has a kitchen Space with a stovetop, (D1) stated that the facility does not cook or use the stovetop. Per (D1) parents provide lunch for children. Children bring their own water bottles from home that are also labeled. (D1) stated that the facility provides morning and afternoon snack. Facility uses an app called brightwheel, where each individual receives their own code to ensure that parents sign in and out.

At approximately 11:30am LPA Alvarado reviewed 5 staff files, 6 children’s files, and facility records. All children files were observed to be complete. All staff members present have current Pediatric First Aid/CPR training that Expires 4/2026. Staff have current Mandated Reporter Training certificates available for review expiring 1/2026. Staff have qualifications and immunization records available for review. Emergency Disaster Drills are conducted once every 6 months and properly logged, Last Emergency Drill conducted on 2/18/2025. All required postings were observed to be posted and accessible for review upon entry to the facility.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

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SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 730-4140
LICENSING EVALUATOR NAME: Diana Alvarado	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HOLY FAMILY CHILDREN'S CENTER	FACILITY NUMBER: 410517453
	VISIT DATE: 03/26/2025

NARRATIVE

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Facility representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a
maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test. For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).
The facility tested its fixtures for lead on 7/28/2023 after the written directive deadline of 1/1/2023.

For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

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SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 730-4140
LICENSING EVALUATOR NAME: Diana Alvarado	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HOLY FAMILY CHILDREN'S CENTER	FACILITY NUMBER: 410517453
	VISIT DATE: 03/26/2025

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See LIC 809-D for deficiencies being cited today on 3/26/2025 under the California Code of Regulations, Title 22, Division 12, Chapter 1. regarding Lead Testing.

See LIC9102-TV for Technical Violation issued today regarding Children Records

See LIC9102-TA for Technical Advisory in regard to Fixtures, Furniture, Equipment and Supplies and Food Services.

Appeal rights were provided to Facility Director Alexis Aguirre. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit Interview was conducted with Facility Director, Alexis Aguirre.

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 730-4140
LICENSING EVALUATOR NAME: Diana Alvarado	TELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 03/26/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 03/26/2025 02:40 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: HOLY FAMILY CHILDREN'S CENTER	FACILITY NUMBER: 410517453
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 03/26/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Section Cited

HSC

1597.16(a)(1)

Lead Testing

(1) A licensed child day care center, as defined in Section 1596.76, that is located in a building that was constructed before January 1, 2010, shall have its drinking water tested for lead contamination levels on or after January 1, 2020, but no later than January 1, 2023, and every five years after the date of the initial test. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on record review, the licensee did not comply with the section cited above the Facility did not test for lead by the written directives date which poses a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 03/26/2025
	Plan of Correction
1 2 3 4	Facility did not test for lead by the written directives date of January 1, 2023. Facility tested for lead by 7/28/2023 past the written directives date.

Section Cited


	Deficient Practice Statement
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	POC Due Date:
	Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

Ali Zebila	TELEPHONE: (650) 730-4140
Diana Alvarado	TELEPHONE: 650-266-8800
	DATE: 03/26/2025

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/26/2025

LIC809 (FAS) - (06/04)

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