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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410518992
Report Date: 08/09/2023
Date Signed: 08/10/2023 08:16:13 AM


Document Has Been Signed on 08/10/2023 08:16 AM - 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:SAN MATEO-FOSTER CITY SCHL DIST - LEAD ELEMENTARYFACILITY NUMBER:
410518992
ADMINISTRATOR:CRISTINA HALEYFACILITY TYPE:
850
ADDRESS:949 OCEAN VIEWTELEPHONE:
(650) 312-7550
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:48CENSUS: 0DATE:
08/09/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Principal, Cristina HaleyTIME COMPLETED:
11:40 AM
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On August 9th, 2023 at approximately 10:15am, Licensing Program Analyst (LPA) Tapia-Mandujano arrived at the facility. LPA conducted an announced case management inspection for a licensee initiated increase of capacity in addition to add Room #4. LPA met with Principal, Cristina Haley. Present in the facility is Principal with some staff setting up classrooms. The facility is currently closed for the Summer. First day of school is August 15th, 2023. Fire Clearance is pending.

Facility is located on Lead Elementary school. Facility is currently licensed for 48 children in Room #1 and Room #6. Facility has requested to increase capacity from 48 to 72 preschool age children in Rooms #1, Room #4, and Room #6. LPA measured Room #4 to be 844.84sqft allowing for 24 children in the classroom.

LPA inspected Room #4 for health and safety hazard. Classroom is not fully set up. LPA observed that there is a working smoke detector, carbon monoxide detector, and is missing a fire extinguisher in the classroom. Facility will ensure that all the cleaning solutions, poisons, and other chemicals that are dangerous to the children are stored inaccessible to the children. Room has age appropriate furniture. Furniture is steady and in good repair. Floor appears to be in good repair and free of any hazards. Room #4 has 2 toilets and 1 sink. Between the classrooms there are 5 toilets and 5 sinks allowing for capacity of 72 preschool children.

LPA received the following documents from Principal, Cristina Haley: LIC 200A, LIC 309, Facility sketch, LIC 500 and LIC 610 for each classroom, and a Parent Handbook.

Prior to approving and increase of capacity and addition of Room #4, the pending items must be completed:
*Fire Clearance is required
*Baby gate removed from the door
*All cabinets containing dangerous objects are locked and secured

No deficiencies were cited today. Exit interview and report was discussed with Principal, Cristina Haley.

This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For a quarterly update on Licensing information, go to the CCL website: www.ccld.ca.gov.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 732-0619
LICENSING EVALUATOR NAME: Leslit Tapia-MandujanoTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/09/2023
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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