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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004062
Report Date: 09/24/2021
Date Signed: 09/24/2021 11:44:35 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:HAPPY CAMPERS INFANT/TODDLER CENTERFACILITY NUMBER:
414004062
ADMINISTRATOR:CARLEIGH SOBERANIS, DIRFACILITY TYPE:
830
ADDRESS:300 EL CAMINO REALTELEPHONE:
(650) 678-8244
CITY:SAN CARLOSSTATE: CAZIP CODE:
94070
CAPACITY:36CENSUS: 23DATE:
09/24/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Alexandra MirandaTIME COMPLETED:
12:00 PM
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On September 24, 2021 at 10:15 AM, Licensing Program Analyst (LPA) April Cowan conducts an unannounced case management inspection for capacity change. LPA meets with new site director Alexandra Miranda. The purpose of the inspection is explained.
There are 23 children with 7 staff present. This inspection is due to the receipt of a Capacity Change Application received in the regional office. The facility is changing their capacity from 36 to 44. The facility's prior capacity was 44. LPA will use the measurements previously established.
LPA inspects the room for health and safety hazard. LPA did not observe any violations of regulations this day. Director states that there has been no change in the set up of the rooms. The measurements on file for each room are as follows. The Sweet Potato Room measures 273 sq. ft allowing for 7 children. The Crickets room measures 456 sq. ft. allowing for 13 children. The Butterfly Room (formerly know as the grasshoppers) measures as 432 sq. ft. allowing for 12 children. And the Busy Bees Room (formerly know as the Butterflies) measures at 432 sq. ft. also allowing for 12 children. The total square footage is 1593 sq. ft to allow for a capacity of 45.
The outdoor measurement are on file for 1450 sq. ft, it's allowing 19 children. A new outdoor waiver must be submitted.

A Fire Clearance was granted to the facility on 9-13-21.

The following item has to be completed prior licensure:

ยท Request for out-door waiver

This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For a quarterly update on Licensing information, go to the CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: April CowanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 09/24/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021
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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