213000762-8-18-2025-05-CC-NGAA-DKNVPA-20250818163626

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 213000762
Report Date: 08/18/2025
Date Signed: 08/18/2025 04:36:39 PM

Document Has Been Signed on 08/18/2025 04:36 PM - 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:	NORTH BAY CHILDREN'S CENTER		FACILITY NUMBER:	213000762
ADMINISTRATOR/ DIRECTOR:	KRISTINA SISSECK		FACILITY TYPE:	850
ADDRESS:	932 C STREET		TELEPHONE:	(415) 883-6222
CITY:	NOVATO	STATE: CA	ZIP CODE:	94949
CAPACITY: 98	TOTAL ENROLLED CHILDREN: 70	CENSUS: 0	DATE:	08/18/2025
TYPE OF VISIT:	Case Management - Licensee Initiated	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:30 AM
MET WITH:	Kristina Sisseck		TIME VISIT/ INSPECTION COMPLETED:	04:45 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On August 18, 2025 at approximately 9:30am, Licensing Program Analysts (LPAs) Garcia and Quimbo conducted a scheduled, case management visit. LPAs met with Chief program officer, Kristina Sisseck and Program director, Paige Newton and explained the purpose of the visit. No children were present during visit. Facility is currently licensed for 98 preschool children. License at facility has been on inactive status since January 2022 due to construction and renovation of the whole building. Chief program officer has requested to remove inactive status and increase capacity to 112 preschool children (2 years to kindergarten). Chief program officer plans to resume operations at facility on August 25, 2025. Fire clearance was received on August 13, 2025. Per fire clearance, child care cannot be provided in the kitchen and admin areas. The facility has been operating on a temporary facility, license number 214005479 with a capacity of 45 children. Per Chief program officer, temporary facility's program operations have ceased as of 2 weeks ago. The facility site director will be Nicole Porter. LPAs toured, inspected and measured the on-limits areas and classrooms located at the facility. The facility is a combination center facility with preschool license and infant license with a toddler component. Indoors: There are 4 preschool classrooms: Room 102, Room 107, Room 112, and Room 116. The total indoor square footage for preschool license measured for 3,749.92 sq. ft. which cannot accommodate Chief program officer request of 112 children. Based on total indoor square footage of 3,749.92 sq. ft. it can only accomodate 107 children. There is a therapeutic classroom (Room 127) that will be shared between preschool, toddler and infant children on an as needed basis. LPAs reminded the Chief program officer that the children can't co-mingle. The child care center was observed to be clean, safe, sanitary and in good repair. Floors of all rooms have a surface that is safe and clean. A comfortable temperature for children is being maintained. Furniture and equipment were observed to be maintained in good condition, free of sharp, loose or pointed parts. Tables and chairs were observed to be age appropriate. There are rugs in classrooms that were observed to be clean, free of stains. Napping cots will be utilized for preschool children. Sheets and blankets will be provided by children's families and sent home weekly to be laundered. *Continue Report on Page 2*

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Nathan Garcia
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

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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California Health & Human Services Agency

California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:

Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.

Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NORTH BAY CHILDREN'S CENTER	FACILITY NUMBER: 213000762
	VISIT DATE: 08/18/2025

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

Facility representative was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior
to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Based on indoor square footage, the maximum capacity, facility will be licensed for 107 preschool children.

LPAs discussed with Chief program officer that physical plant is to remain as is. Any changes to the facility, the department must be made aware prior to and must approve of. Per Title 22 section 101212(c) The licensee shall notify the department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor space.

Facility #214005479 will be permanently closed effective as of today's date.

Prior to approving capacity increase and removing from inactive status the following items must be completed:
-Installation of sound alarms on exit doors.
-Window stoppers in each classroom.
-Installation of sinks in each classrooms and bathrooms.
-Final setup of each classroom

Proof of above will be submitted to LPA by set due date of 8/22/2025.

No deficiencies were issued during today's visit. Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representatives, Kristina Sisseck and Paige Newton.

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Nathan Garcia
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: NORTH BAY CHILDREN'S CENTER	FACILITY NUMBER: 213000762
	VISIT DATE: 08/18/2025

NARRATIVE

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Each classroom is equipped with an emergency backpack that includes a fully stocked first aid kit and emergency contact information. LPAs observed facility to have multiple fully charged fire extinguishers and smoke detectors. LPAs tested carbon monoxide detectors during visit, which were observed to be working.

LPAs observed each preschool classroom to have its own bathroom. Children have access to 10 toilets and 18 sinks. Total allowable capacity for toilets is 150 children. Total allowable capacity for sinks is 375 children. LPAs observed children's bathrooms to be in working condition. Sinks accessible to children do not provide water that is warmer than 120 degrees Fahrenheit. LPAs observed garbage bins with tight fitting lids throughout facility.

Outdoors: Preschool children will have access to outdoor area located directly outside facility. Outdoor area is fully enclosed and fenced. There is sufficient outdoor toys and materials that are age appropriate. There's also sufficient shade in the outdoor areas with age appropriate materials on wood chips. LPAs observed that there are 7 outdoor sinks with 2 drinking fountains. The total outdoor area measures for 8,658.53 sq. ft. which can accommodate Chief program officer request for 112 preschool children. LPAs did not observe any pools, spas or bodies of water on site.

There is a garden/greenhouse area that will be shared between infant, toddlers and preschoolers on an as needed basis. Chief program officer was reminded that the children can't co-mingle.

Drinking water will be made available to children both indoors and outdoors with accessible water fountains. Preschool program will provide food services that is located in an off-limit area.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care
Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.

LPAs referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information. LPAs advised Chief program officer to provide building permits to verify that the facility was constructed after 2010.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Nathan Garcia
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/18/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025

LIC809 (FAS) - (06/04)

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