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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002868
Report Date: 01/10/2020
Date Signed: 01/10/2020 02:31:05 PM

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:SISTER CLAIRE'S PRESCHOOLFACILITY NUMBER:
414002868
ADMINISTRATOR:SHEILA F. EVILLAFACILITY TYPE:
850
ADDRESS:7 ELMWOOD DRIVETELEPHONE:
(650) 756-4916
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY:58CENSUS: 41DATE:
01/10/2020
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Sheila EvillaTIME COMPLETED:
03:00 PM
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LPA Kaur conducted a follow-up case management visit and met with the Director Sheila Evilla today. There were 41 children with 8 staff present including the director. The center is in ratio during the visit.

Allegation was teacher abuse the child by hitting her. Per mother director arrange the meeting with teachers principal and parents and they discussed what happened. Director filed incident report to CPS and CPS filed incident to law inforcement. School and police investigated that incident and police unsubstantiated the case. Per mother her child still goes to same preschool and her child is happy.

LPA kaur talked to director and mother over the phone and discussed what happened. LPA collected police report from director. No further action taken.


Based on information available at this time, the incident appears accidental and there is no evidence that a violation of the regulations occurred. A copy of this report was reviewed and left with staff.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2020
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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