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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000829
Report Date: 09/20/2023
Date Signed: 09/20/2023 10:54:52 AM


Document Has Been Signed on 09/20/2023 10:54 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: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:265CENSUS: 137DATE:
09/20/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Nicole FrancisTIME COMPLETED:
11:15 AM
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On September 20, 2023 at approximately 8:30am, Licensing Program Analysts (LPAs) Man Tso, Maria Olguin-Leon, and Catrina Quimbo conducted a case management inspection at Peninsula Jewish Community Center. LPAs met with director, Nicole Francis and explained the purpose of the inspection. Present during visit included 137 preschool children with 32 teaching staff.

Program is an already licensed combination program for infant, preschool and school age program. Program has submitted an application for increase in an infant capacity to department. For the increase infant capacity program, 1 of the licensed preschool classroom will be utilized. Hence, the preschool capacity will decrease. Program requested to decrease capacity from 265 preschool children to 243 preschool children.

Classroom #10, previously preschool classroom, was measured today for the infant capacity. Classroom #10 was measured for 711 sq ft.The total allowable capacity measured for classroom #10 that will be deducted from preschool capacity measures for 711 sq ft. equaling 20 children.

Per Fire inspection, preschool program capacity will decrease from 265 preschool children to 243 preschool children. Director is aware that infant children, preschool children and school age children are to be kept separate.

Director 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.

LPAs will approve the preschool decrease capacity. Preschool program will be licensed for 243 preschool children effective from September 20, 2023.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director, Nicole Francis.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8817
LICENSING EVALUATOR NAME: Man TsoTELEPHONE: (650) 379-9021
LICENSING EVALUATOR SIGNATURE:
DATE: 09/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/20/2023
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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