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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004172
Report Date: 06/26/2020
Date Signed: 06/26/2020 01:33:06 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:PFS - EARLY LEARNING CDC - INFANT CENTERFACILITY NUMBER:
414004172
ADMINISTRATOR:VILLALPANDO,ADRIANAFACILITY TYPE:
830
ADDRESS:24 SECOND AVENUETELEPHONE:
(650) 403-4300
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY:6CENSUS: 0DATE:
06/26/2020
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Adriana Villalpando and Jessica DiazTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted an announced Case Management visit for an increase in capacity and a Technical Assistance visit. LPA met with Site Supervisor Adriana Villalpando and Site Director . Facility is currently licensed for 6 infants in Room 232. Facility is requesting an increase to 12 infants after renovations were completed to open up and include the additional room next to Room 232. Facility is currently closed due to shelter in place order for San Mateo County. Facility plans to reopen on July 13, 2020.

LPA and Site Supervisor inspected facility indoors for Health and Safety Hazards.

Indoor Space: 525.20 square feet, allowing up to 15 children.

Outdoor Space was not measured. Space is shared with the toddler classrooms.

Capacity increase of 12 will be granted once fire clearance inspection has been approved by the Fire Inspector.

Report was reviewed and discussed with Site Supervisor Adriana Villalpando. A copy of report was provided.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 06/26/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/26/2020
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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