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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002996
Report Date: 08/02/2024
Date Signed: 08/05/2024 06:38:23 AM


Document Has Been Signed on 08/05/2024 06:38 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:ST. MICHAEL PRESCHOOL CENTERFACILITY NUMBER:
414002996
ADMINISTRATOR:NIVEN ESCANDERFACILITY TYPE:
850
ADDRESS:401 HUDSON STREETTELEPHONE:
(650) 505-5359
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY:41CENSUS: 50DATE:
08/02/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Mary WilliamTIME COMPLETED:
04:15 PM
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On August 2, 2024, at approximately 1:45 pm, Licensing Program Analyst (LPA) Maria Olguin-Leon, conducted a case management inspection at St. Michael Preschool Center. LPA met with Director, Mary William and explained the purpose of the inspection. Present during today's visit included 50 preschool children with 6 staff.

Facility is a licensed combination program for infant and preschool program. Facility has submitted an application for increase in an infant capacity to department. For the increase infant capacity program, one of the prior licensed preschool classroom (Mickey Mouse classroom) will be utilized. Hence, the preschool capacity will decrease. Program requested to decrease capacity from 113 preschool children to 101 preschool children.

Mickey Mouse Classroom, previously preschool classroom, was measured today for the infant capacity. Mickey Mouse classroom was measured for 458.5 sq ft. he total allowable capacity measured for Mickey Mouse classroom that will be deducted from preschool capacity measures for 458.5 sq ft. equaling 13 children. Per Director request, LPA remeasured Tiny Adventures classroom, which measured 317 sq ft divide by 35 equally 9 children. Classroom was originally measured for 8 preschool children. Director has since removed cubbies from Tiny Adventure classroom to accommodate 9 children. Per LPA measurements, Tiny Adventures classroom can accommodate 9 children adding one more child back into the capacity of preschool program. Little explorers room, Tiny adventures room, and entire upstairs will remain as the preschool program.

Preschool program capacity will decrease from 113 preschool children to 101 preschool children. Director is aware that infant children and preschool children are not to commingle.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Maria Olguin-LeonTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/02/2024
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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ST. MICHAEL PRESCHOOL CENTER
FACILITY NUMBER: 414002996
VISIT DATE: 08/02/2024
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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.

LPA will approve the preschool decrease capacity for 101 preschool children, pending fire inspection clearance.

A copy of this report, and the “Notice of Site Visit” were given to the director. A “Notice of Site Visit” must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Director, Mary William.
SUPERVISOR'S NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Maria Olguin-LeonTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2024
LIC809 (FAS) - (06/04)
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