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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504578
Report Date: 09/26/2024
Date Signed: 09/26/2024 05:17:56 PM

Document Has Been Signed on 09/26/2024 05:17 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:YMCA OF SF., RICHMOND BRANCH, LAFAYETTE SITEFACILITY NUMBER:
380504578
ADMINISTRATOR/
DIRECTOR:
JAZZY MENDOZAFACILITY TYPE:
840
ADDRESS:4545 ANZA STREETTELEPHONE:
(415) 916-6580
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 200TOTAL ENROLLED CHILDREN: 200CENSUS: 53DATE:
09/26/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
04:05 PM
MET WITH:Alicia BrannanTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
NARRATIVE
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On September 26, 2024, Licensing Program Analyst (LPA) Van met with Site Coordinator Alicia Brennan for an unannounced inspection of the Plan of Correction (POC). The purpose of the inspection was explained, and entrance to the center was granted. The site coordinator and seven teachers supervised 53 children during the visit.

During the complaint investigation on September 18, 2024, the Center found that the required ratio of one teacher to 14 school-age children was not met; a teacher was observed supervising more than 14 children.

In today's inspection, LPA found that the Center operated within its licensed capacity and limitations. The Site Coordinator had submitted the teachers' schedule and a written plan of correction for the teacher/children ratio deficiency. Additionally, all staff members had received training on the teacher-child ratio for the school-age program. As a result, the deficiency cited on September 18, 2024, has been cleared.

No deficiencies were observed in today's inspection.

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

An exit interview was conducted, and the report was reviewed with the Site Coordinator, Alicia Brannan.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/26/2024
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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