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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 210111549
Report Date: 09/12/2023
Date Signed: 09/12/2023 11:13:27 AM

Document Has Been Signed on 09/12/2023 11:13 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SANTA MARGARITA CHILD CARE CENTERFACILITY NUMBER:
210111549
ADMINISTRATOR:URYU, ARLEENFACILITY TYPE:
850
ADDRESS:1055 LAS OVEJASTELEPHONE:
(415) 499-1277
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 23DATE:
09/12/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Claudia CadenaTIME COMPLETED:
11:10 AM
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On 9/12/2023, Licensing Program Analysts (LPA) Leong and Tso, made an unannounced case management visit to the child daycare facility listed above. The LPAs were granted entry by the head teacher, Claudia Cadena. The purpose of the visit was to follow up on an incident that occurred on 8/18/2023 involving a child climbing over a fence. The LPAs explained the purpose of the visit to Ms. Cadena. All individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The LPAs observed five staff members supervising 23 preschool aged children. The facility is operating within its capacity and in accordance with the required ratio of staff to children.

The LPAs observed that the fence is five feet high, which is in accordance with child care regulations (CCR). The LPAs observed that the outdoor area is safe and secure for the children. The LPAs also observed that the outdoor area is surrounded by a fence, which is in accordance with CCR. According to Ms. Cadena, the wooden house will be removed as a safety precaution because of the incident mentioned above. Ms. Cadena informed the LPAs that as a safety precaution, the center will construct a net that reaches over the fence.

Because the facility was in compliance with CCR, the department will close out the incident.

A copy of today’s report and the “Notice of Site Visit” were given to Claudia Cadena. Today's report was reviewed and discussed with Claudia Cadena. No deficiencies were cited today under the CCR, Title 22, Division 22
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/12/2023
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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