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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380500240
Report Date: 10/29/2025
Date Signed: 10/29/2025 02:35:37 PM

Document Has Been Signed on 10/29/2025 02:35 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:GLENRIDGE COOPERATIVE NURSERY SCHOOLFACILITY NUMBER:
380500240
ADMINISTRATOR/
DIRECTOR:		MULCAHY, CAROLYNFACILITY TYPE:
850
ADDRESS:GLEN PARK CANYON (CHENERY-ELK)TELEPHONE:
(415) 586-2771
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94131
CAPACITY: 25TOTAL ENROLLED CHILDREN: 25CENSUS: 11DATE:
10/29/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:10 PM
MET WITH:Carolyn MulcahyTIME VISIT/
INSPECTION COMPLETED:
03:00 PM
NARRATIVE
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PV1= Parent Volunteer 1; PV2= Parent Volunteer 2; C1= Child 1.

On October 29, 2025 at approximately 1:10pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, case management visit to Glenridge Cooperative Nursery School, in regards to an unusual incident that was self-reported to the department October 14, 2025.

LPA met with director, Carolyn Mulcahy, and explained the purpose of the visit. Present during LPA's visit included 11 preschool children, 2 parent volunteers, and 2 teaching staff (including director).

The self-reported incident had occurred on October 9, 2025 at approximately 10:15am on the upper level of the facility. Director was present in the balcony area of facility with 5 children. PV1 was present in the upper level classroom in the art area with 5 children, including C1. PV2 was present in the back of the upper level classroom with 5 children. Teacher was off site on a hike with 7 children and 1 parent volunteer.

On date of incident, C1 unlatched the half door partition and exited the upper level classroom. Per director, PV1 was cleaning the floor in the art area while C1 exited the classroom. Two non-working parents were standing outside facility and observed C1 walking away from facility. Per director, parents advised C1 to return to the classroom. C1 returned to the classroom without any injuries. Entire incident of C1 leaving the classroom and returning back to the classroom was approximately less than 2 minutes. Director informed C1's authorized representative of incident.

Director has implemented facility procedures that includes "counting heads" during transition periods, documenting how many children there are during transition periods, and teaching staff and parent volunteers communicating with one another on how many children are present and where they are going in the classroom.
(Continue Report on Page 2...)
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/29/2025
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: GLENRIDGE COOPERATIVE NURSERY SCHOOL
FACILITY NUMBER: 380500240
VISIT DATE: 10/29/2025
NARRATIVE
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(Continued, Page 2...)
Per director, parent volunteers have been trained to count children during any transition period and to document if teaching staff are unable to document the number of children present. An additional parent volunteer job position of a "floater/facilitator" has been created. Per director, floater/facilitator is to check all areas of classroom that a child may be hiding to ensure no child is left without supervision.

Facility is being issued a Type B citation for the self reported incident due to a child being left without supervision. A civil penalty was assessed. Appeal rights were provided during today's visit.

Director was active in implementing facility protocols to ensure supervision is being maintained. Deficiency issued today is also being cleared today's date.

A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with director, Carolyn Mulcahy.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 10/29/2025 02:35 PM - It Cannot Be Edited


Created By: Catrina Quimbo On 10/29/2025 at 02:08 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: GLENRIDGE COOPERATIVE NURSERY SCHOOL
FACILITY NUMBER: 380500240

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/29/2025
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a)(1) No child(ren) shall be left without the supervision of a teacher at any time...
This requirement was not met as evidenced by:
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Civil penalty assessed during today's visit. Director self reported incident to department. Director implemented multiple facility protocols since incident that teaching staff and parent volunteers have been trained on.
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Based on interview, record review, and self reported incident, a child was able to exit facility without the supervision of a teacher. This poses a potential health, safety, or personal rights risk to children in care.
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Deficiency cleared during LPA's visit.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Catrina Quimbo
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 10/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/29/2025


LIC809 (FAS) - (06/04)
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