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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002661
Report Date: 08/17/2020
Date Signed: 08/24/2020 07:01:27 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:SCSD HEATHER PRESCHOOLFACILITY NUMBER:
414002661
ADMINISTRATOR:DAVINO, JILLFACILITY TYPE:
850
ADDRESS:2757 MELENDY DRIVETELEPHONE:
(650) 508-7333
CITY:SAN CARLOSSTATE: CAZIP CODE:
94070
CAPACITY:39CENSUS: 0DATE:
08/17/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Director, Susan DawleyTIME COMPLETED:
11:00 AM
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Licensing Program Analyst (LPA), Cindy Interiano conducted a Case Management inspection and met with Director, Susan Dawley via a Tele-inspection. Purpose of the inspection was explained to Director. Facility is currently licensed in Building #1 and #2. Facility is requesting an increase of capacity from 39 Preschool age children to 60 Preschool age children. Classroom #22 has been requested to be added to the License.
Director lead LPA on a virtual inspection of the facility indoors and outdoors for Health and Safety hazards. Per facility sketch,
> Classroom #22 measures 887 square feet, allowing for 25 PreK children.
> Outdoor space was previously measured to be 4131 square feet, allowing for 55 PreK children.
>Facility has a total of 4 toilets and 4 sinks: Building #1 and #2 each have 2 toilets and 2 sinks.
Waiver requests have been submitted for shared restroom and outdoor play area, which are pending Supervisor’s review.

During inspection, LPA provided Technical Assistance for Covid-19 guidelines.

Director was advised that a follow-up inspection will be conducted in the future and measurement of indoor and outdoor space may be required.

Fire clearance was granted on 08/12/2020.

Prior to approving license of a capacity increase of 60 PreK children,
>Restroom waiver and outdoor play area waiver must be reviewed and approved by Supervisor.
>Final review required from the Department prior to licensure.

***No deficiencies were cited against the facility under CCR,Title 22, Div. 12, Ch. 1. ***

>This report will be emailed to facility. This report must be available in the facility for public review. Any additional questions to call Office, M-F, 8a-5p, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/17/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2020
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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