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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002941
Report Date: 12/05/2019
Date Signed: 12/05/2019 03:28:45 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:ODYSSEY PRESCHOOLFACILITY NUMBER:
414002941
ADMINISTRATOR:ANNE DIAMOND, DIRECTORFACILITY TYPE:
850
ADDRESS:1151 E HILLSDALE BLVD.TELEPHONE:
(650) 525-1727
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY:142CENSUS: 111DATE:
12/05/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
02:48 PM
MET WITH:Director, Anne DiamondTIME COMPLETED:
03:35 PM
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Licensing Program Analyst (LPA) Kassandra Medrano conducted an annual required inspection. As part of today's inspection, LPA toured the facility building and grounds, conducted an evaluation of care and supervision of the children, and reviewed facility staff fingerprint clearance associations. As well as children and staff files. Due to time constraints, the inspection was unable to be completed. A continuation inspection will be necessary at a later date.

No deficiencies cited. A Notice of Site Visit was posted. Notice is to remain posted for thirty days.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Kassandra MedranoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2019
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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