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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506430
Report Date: 11/18/2025
Date Signed: 11/18/2025 04:26:29 PM

Document Has Been Signed on 11/18/2025 04:26 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:ST. PAUL'S CHURCH-LITTLEST ANGEL PREPARATORY PRESCFACILITY NUMBER:
380506430
ADMINISTRATOR/
DIRECTOR:		BALUYUT, MA CONCEPCIONFACILITY TYPE:
850
ADDRESS:221 VALLEY STREET, ROOM XTELEPHONE:
(415) 824-5437
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94131
CAPACITY: 38TOTAL ENROLLED CHILDREN: 21CENSUS: 18DATE:
11/18/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:05 PM
MET WITH:Ma Concepcion "Tina" BaluyutTIME VISIT/
INSPECTION COMPLETED:
04:50 PM
NARRATIVE
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On November 18, 2025 at approximately 1:05pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual inspection. LPA met with director, Ma Concepcion "Tina" Baluyut, and explained the purpose of the visit.

Preschool program operates on St. Paul's Church and school property, underneath the Church's rectory. Hours of operation are Monday through Friday 8:00am to 5:00pm. Present during LPA's visit included 5 teaching staff (including director) and 18 preschool children. All teaching staff present have fingerprint clearance and are associated to facility number. Preschool program is operating within capacity limits and ratio during LPA's visit.

With director, LPA inspected preschool areas, indoors and outdoors, for health and safety hazards. Preschool classroom includes toys, materials and children's equipment that are in good condition. There are rugs in the classroom that are clean. Per director, rugs are vacuumed daily by school's janitorial services. LPA observed classroom includes areas for language arts, dramatic play, science and "quiet" spaces. LPA observed classroom to be clean and organized. Furniture for children's use are age appropriate and in good condition. Per director, children's materials are sanitized daily.

There are cubbies and hooks for children's personal belongings. LPA observed cubbies to be labeled with children's individual names and photos. There are multiple fully charged fire extinguishers, multiple emergency backpacks, fire alarm system and carbon monoxide detectors throughout the facility. LPA tested carbon monoxide detector during today's visit, which was observed to be in working condition. LPA observed cleaning solutions, poisons and chemicals to be stored in classroom's high shelves, inaccessible to children. There is a storage cabinet located near children's cubbies that was observed to be free of poisons and was locked. LPA observed electrical outlets throughout classroom to have child safety covers.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
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: ST. PAUL'S CHURCH-LITTLEST ANGEL PREPARATORY PRESC
FACILITY NUMBER: 380506430
VISIT DATE: 11/18/2025
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Preschool program's restroom is located in the facility. LPA observed restroom to be in working condition and with age appropriate toileting equipment. Sinks accessible to children (inside the classroom and in the restroom) do not provide water that is warmer than 120 degrees Fahrenheit. There are storage drawers in the children's restroom that consist of children's personal clothing, if needed. LPA observed storage drawers to be labeled with children's individual names, and to be free of poisonous materials. There are garbage bins throughout the facility with tight fitting lids.

There are stairs in the facility that are made inaccessible with a child safety gate. Preschool children sleep in the classroom on cots. LPA observed cots to be labeled with children's individual names and to be stored appropriately, when not in use. Sheets and blankets are provided by children's families and are sent home weekly for laundering. Per director, cots are wiped down weekly. LPA observed sheets and blankets to be stored in children's individual bags so that they are not touching each other.

Outdoor area for children's use is fully enclosed and fenced. There is sufficient shade, if needed. Outdoor area includes sufficient materials, also in good condition. There is a "climbing wall" in the outdoor area with resilient padding underneath. LPA observed climbing wall does not include any steps but soft padding on the wall only. LPA did not observe any pools, spas or bodies of water on site.

Drinking water is available to preschool children, both indoors and outdoors, with children's individual water bottles. LPA observed children's water bottles to be labeled. Water bottles can be refilled through a classroom sink. Children bring their own food to the facility, daily. LPA observed children's lunch boxes and containers to be labeled with their individual names.

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.

For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1- CCP).

LPA verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP. Child care center completed testing and no lead exceedances.

LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water/testing-information)

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. 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 are available at: https://www.ada.gov/resources/child-carecenters/
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: ST. PAUL'S CHURCH-LITTLEST ANGEL PREPARATORY PRESC
FACILITY NUMBER: 380506430
VISIT DATE: 11/18/2025
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Children are signed into and out of program through an electronic application. LPA observed 18 children to be signed into preschool program during today's visit. Per director, each individual picking up and dropping off a child has a unique pin code number that acts as the individual's electronic signature.

Licensing documentation is posted in the entrance of the classroom, available for review. A childcare roster is maintained and was made available for review. Emergency disaster drills are conducted and documented. Last emergency disaster drill was conducted 10/16/2025. Isolation area for sick children is located in the director's office, if needed.

During today's visit, LPA reviewed six random children's files. Children's files were complete with a record of required immunizations, emergency and admission information. LPA also reviewed all teaching staffs' files which were also complete. Teaching staff records are complete with educational transcripts and immunization requirements. All teaching staff present have current Mandated Reporter certificates and current CPR and First Aid certifications that were made available for LPA's review.

Facility representative was reminded that all adults 18 and over, 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.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at
www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

During today's visit, no deficiencies were issued. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Ma Concepcion "Tina" Baluyut.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4