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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414003001
Report Date: 02/05/2025
Date Signed: 02/05/2025 09:27:01 AM

Document Has Been Signed on 02/05/2025 09:27 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 INFANT CARE CENTERFACILITY NUMBER:
414003001
ADMINISTRATOR/
DIRECTOR:		NIVEN ESCANDERFACILITY TYPE:
830
ADDRESS:401 HUDSON STREETTELEPHONE:
(650) 505-5359
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY: 33TOTAL ENROLLED CHILDREN: 33CENSUS: 17DATE:
02/05/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:31 AM
MET WITH:Mary WilliamTIME VISIT/
INSPECTION COMPLETED:
09:40 AM
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On February 5, 2025 @ approx. 8:40AM, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced, plan of correction (POC) visit and met with Director Mary William. Present during today’s visit was Director, 6 staff and 17 children. LPA and Director toured infant classrooms for health and safety hazards.

On January 22, 2025, LPA issued a Type A deficiency for an adult working at the facility with no criminal background clearance. A POC was developed with Director. As of this date, LPA confirmed S5 is not present at the facility. Per Director, S5 had criminal background check and is waiting for clearance from Guardian. LPA also observed signed and completed Acknowledgement of Receipt of Licensing Reports (LIC9224) for random children. LPA observed facility site visit and reports to be properly posted.

Deficiency issued has been cleared as of this date. LPA provided licensee a copy of POC letter. No deficiencies were cited today.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with Director, Mary William.
Marie RodriguezTELEPHONE: (650) 266-8800
Maria Olguin-LeonTELEPHONE: 650-266-8800
DATE: 02/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/05/2025
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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