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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000829
Report Date: 06/29/2023
Date Signed: 06/29/2023 02:28:22 PM


Document Has Been Signed on 06/29/2023 02:28 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:PENINSULA JEWISH COMMUNITY CENTER PRESCHOOLFACILITY NUMBER:
414000829
ADMINISTRATOR:LEVIN, STEPHANIEFACILITY TYPE:
850
ADDRESS:800 FOSTER CITY BLVD.TELEPHONE:
(650) 378-2670
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:300CENSUS: 0DATE:
06/29/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Nicole Francis, Lauren Ngoi, Kirsten Hove & Renee Keller.TIME COMPLETED:
03:00 PM
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On June 29, 2023 at approximately 8:30am, Licensing Program Analyst (LPA) Catrina Quimbo conducted a case management inspection at Peninsula Jewish Community Center. LPA met with director, Nicole Francis, and associate director, Lauren Ngoi, and explained the purpose of the inspection. Also present during visit included consultant, Kirsten Hove, and operations manager, Renee Keller.

Program is an already licensed combination program for preschool and school age children. Program has also submitted an infant application to department. For the infant program, 2 of the licensed preschool classrooms will be utilized, decreasing the preschool capacity.

Classroom #1 and Classroom #2, previously preschool classrooms, were measured today for the infant classrooms. Classroom #1 (with napping area included) was measured for 651.82 sq ft. Classroom #2 was measured for 591.18 sq ft. The total allowable capacity measured for Classrooms #1 and #2 that will be deducted from preschool capacity measures for 1,243 sq ft. equaling 35 children.

Preschool program capacity will decrease from 300 preschool children to 265 preschool children. LPA reminded associate director that infant children, preschool children and school age children are to be kept separate.

Associate director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

Prior to official decrease of preschool capacity, following must be completed:
-Updated fire clearance with updated capacity decrease.
-Submission of capacity decrease application.
-Approval of capacity decrease application.

Exit interview conducted and report was reviewed with associate director, Lauren Ngoi.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Catrina QuimboTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 06/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/29/2023
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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