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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002868
Report Date: 09/09/2020
Date Signed: 09/09/2020 10:03:24 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: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: 0DATE:
09/09/2020
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Julie PicardalTIME COMPLETED:
10:30 AM
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On September 9, 2020 at 9:00 AM, Licensing Program Analyst met with site Director Julie Picardal and Jeffrey Burgos Principal of Lady Of Mercy Elementary School for an announced case management inspection. The purpose of the inspection was explained and was to approve unlicensed room.

Due to Covid-19 Shelter-in-Place, the inspection was conducted via Face time. Present for the inspection is director, principal and staff. LPA toured all existing rooms and new multipurpose room for napping and isolation area for sick children.

LPA and site director inspected the rooms for health and safety hazards. The classrooms to be used appear to be clean. All furnishings and equipment appears to be safe and in good condition. LPA observed fully charged fire extinguisher and working carbon monoxide and smoke detectors for each room. Room has first aid kit available.

Fire Clearance is approved.

As of 09/09/2020, LPA Kaur approved Multipurpose room for napping and isolation area for sick children.

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

>This report is emailed to site director who agrees to reply showing receipt of report.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Harsimran KaurTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2020
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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