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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004219
Report Date: 11/12/2019
Date Signed: 11/12/2019 10:46:58 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:CHAMPIONS - FRANKLIN ELEMENTARYFACILITY NUMBER:
414004219
ADMINISTRATOR:TABORA, JOANNE, DIRFACILITY TYPE:
840
ADDRESS:2385 TROUSDALE DRIVETELEPHONE:
(650) 867-6046
CITY:BURLINGAMESTATE: CAZIP CODE:
94010
CAPACITY:137CENSUS: DATE:
11/12/2019
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Brennan Bennardo, Dee PhillipsTIME COMPLETED:
11:00 AM
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Licensing Program Manager (LPM) Alma Malig, Licensing Program Analyst (LPA) Jennifer Yee met with the Area Manager, Brennan Bennardo and Dee Phillips today for an Informal office Meeting.

The purpose of this meeting is to discuss an incident that occurred on 07/19/2019. Two children left the facility without staff knowledge. The staff found this out when the two children disclosed the information to the staff that they had just gotten back from visiting a friend. The staff believes the two children were gone for 5-10 mins. Staffs present during the incident were given written warnings and all staff members were retrained on supervision.

The following changes have been implemented to ensure no future incidents.
Area Manager, Brennan Bennardo provided copies of the implementation procedure stated below.
  • Immediately the red cones were placed around the exits as no-child zone
  • All children were told not to go beyond the point of the red cones.
  • New procedures for supervision in the outdoor play area have been implemented to ensure staff members can observe all areas of the playground.
  • Staff members are now required to stand in specific areas (identified as Hot Spots) on the playground to provide constant and total supervision.

The facility has been advised that there will be an increase in inspection.

This report was discussed and explained to the Area Manager Brennan Bennardo and Dee Phillips.
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 11/12/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/12/2019
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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