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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004466
Report Date: 08/13/2021
Date Signed: 08/13/2021 01:14:53 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:MENLO PARK CITY SCHOOL DISTRICT EARLY LEARNINGFACILITY NUMBER:
414004466
ADMINISTRATOR:MIHALY, JESSICAFACILITY TYPE:
850
ADDRESS:95 EDGE ROADTELEPHONE:
(650) 463-1236
CITY:ATHERTONSTATE: CAZIP CODE:
94027
CAPACITY:72CENSUS: 0DATE:
08/13/2021
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Applicant, Jessica MihalyTIME COMPLETED:
12:30 PM
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Licensing Program Analyst, LPA Yee met with Applicant/Director, Jessica Mihaly for a case management inspection. The facility is located at the Laurel Elementary School campus. The facility has requested to add a G2 classroom. G3 classroom will be removed from the license. No change in preschool capacity.

Daycare classrooms: G2, G4, G5. Days and Hours of operation: M-F, 7:30a-5:30p.

*Classroom G2 measures 930 square feet, allowing for 26 children.

There are a total of 6 toilets and 8 sinks available for children's use.
Cubbies are available to store children's personal belongings in each classroom. The classroom has been set up with children's toys, tables, chairs, and equipment for children's use. Napping mats are properly stored. The classroom is equipped with a working telephone, smoke/fire alarm, a carbon monoxide detector, and a fire extinguisher. A first aid kit is available. Jessica stated the facility conducts fire/emergency drills once a month and a log sheet is available. All cleaning supplies are inaccessible to the children. Drinking water for indoor and outdoor are readily available. Children bring their daily snacks, and lunches

Prior to approval: Fire clearance approval is needed.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2021
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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