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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005607
Report Date: 03/22/2023
Date Signed: 03/22/2023 02:52:31 PM

Document Has Been Signed on 03/22/2023 02:52 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:OLD FIREHOUSE SCHOOLFACILITY NUMBER:
214005607
ADMINISTRATOR:COHEN, ELIZABETHFACILITY TYPE:
850
ADDRESS:1510 FIFTH AVENUETELEPHONE:
(415) 419-5479
CITY:SAN RAFAELSTATE: CAZIP CODE:
94901
CAPACITY: 12TOTAL ENROLLED CHILDREN: 11CENSUS: 9DATE:
03/22/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
12:50 PM
MET WITH:Elizabeth CohenTIME COMPLETED:
03:07 PM
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On 3/22/2023, Licensing Program Analyst (LPA), Hanson Leong met with the director, Elizabeth Cohen, for a scheduled Case Management inspection to increase capacity to their current License. The current capacity of the facility is 12 preschool aged children. The director is requesting 26 preschool aged children (ages two to entry into first grade). Indoor health and safety hazards will be assessed during today's inspection, and the facility's capacity will be determined through measurements.

Indoor: There are two classrooms that will be used for the preschool program. Preschool classroom #1 (Colibri) was calculated for 538.35 sq ft. allowing for a capacity of 15 children. Preschool classroom #2 (Chocolate) was calculated for 358.8 sq ft. allowing for a capacity of 10 children. Total allowable capacity was calculated for 906.35 sq ft. allowing for a capacity of 26 children.



Outdoor: The outdoor square footage where children will be present during outdoor time is 1,433.25 sq. ft, allowing for a capacity of 19 children. Director was reminded that preschool children cannot co-mingle with the infant program. Due to the increased capacity to 26 preschool children, the director will be required to submit an outdoor waiver for the preschool program. The outdoor area was observed to be clean, safe, and equipped with toys that are age-appropriate for children. There are trees in the playground that will be used for natural shade for children.

The facility received their fire clearance from the fire department on 12/14/2022

LPA Leong will recommend that this facility be licensed for up to 26 preschool children, effective on 3/22/2023

A copy of this report, and the “Notice of Site Visit” were given to the director. A “Notice of Site Visit” must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100. An exit interview was conducted, and the report was reviewed with the Director, Elizabeth Cohen

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 03/22/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/22/2023
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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