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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410518990
Report Date: 07/22/2019
Date Signed: 07/22/2019 11:21:39 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 - GEORGE HALLFACILITY NUMBER:
410518990
ADMINISTRATOR:SPEYER-BOILARE, SUSANFACILITY TYPE:
850
ADDRESS:130 SAN MIGUELTELEPHONE:
(650) 312-7533
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY:24CENSUS: 0DATE:
07/22/2019
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Karrie HaseltonTIME COMPLETED:
11:25 AM
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Licensing Program Analyst (LPA) Pandora Huffman-Smith met with the Principal on special assignment, Karrie Haselton, today for a case management inspection. The purpose of the visit today is for a request received to increase capacity. The facility is currently operating in portable #24 and would like to add room #2 to increase capacity from 24 to 48 preschool children. Classroom # 2 was inspected and measured today and there are no apparent health and safety hazards. The room measures 1023 square feet allowing for a total capacity of 29 children. There are 2 bathrooms that are equipped with 1 toilet each. There are 2 sinks in the classroom for children's usage. The bathrooms appear to be safe and sanitary with no health and safety hazards. There is a water fountain in the classroom for children's usage. The outdoor area is clean and equipment appears to be in good condition. There is sufficient cushioning underneath the play structure. The fire inspection was conducted and approved on July 19, 2019.

The facility will be approved for capacity increase as of todays date.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Pandora Huffman-SmithTELEPHONE: (650)266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/22/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2019
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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