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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384000805
Report Date: 10/19/2023
Date Signed: 10/19/2023 04:07:06 PM

Document Has Been Signed on 10/19/2023 04:07 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:FAMILY SCHOOL CHILD DEVL.CTR.-BERNAL GATEWAY, THEFACILITY NUMBER:
384000805
ADMINISTRATOR:BECERRA, PATRICIAFACILITY TYPE:
850
ADDRESS:3101 MISSION STREETTELEPHONE:
(415) 550-4178
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 16TOTAL ENROLLED CHILDREN: 12CENSUS: 11DATE:
10/19/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Patricia BacerraTIME COMPLETED:
04:15 PM
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On 10/19/2023 at 2:50PM., Licensing Program Analyst (LPA) Luis J. Gomez met with Director, Patricia Bacerra. Purpose of the inspection was explained and was for an unannounced, plan of correction inspection. Present was the Director and two staff caring for 11 children. LPA inspected facility with licensee for health and safety hazards.

During inspection, LPA conducted record review, interviews, and observations.

At 3:00PM., LPA observed preschool classroom operating within the required Staff-Child ratio. Per director, meeting was held with staff, regarding classroom expectations. Per director, teacher supervision will be provided at all times.

Per director, her CPR/ 1st aid training course is scheduled for 10/27/2023. Confirmation email was provided to LPA during inspection.

Deficiency issued on 8/4/2023, have been cleared and ‘Cleared Plan of Correction Letter’ was provided.

Based on today's inspection, no deficiencies were observed in the areas evaluated according to Title 22 Division 12 Chap.1 Ca. Code of Regulations. Exit interview was discussed with director, Patricia Bacerra. Signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Director was advised for additional questions to call CCL Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

LPA unable to print report during inspection. Copy of this report will be sent to director.

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 10/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/19/2023
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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