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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001834
Report Date: 03/10/2025
Date Signed: 03/10/2025 02:22:05 PM

Document Has Been Signed on 03/10/2025 02:22 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:SOUTHEAST FAMILIES UNITED/MISSION HEAD STARTFACILITY NUMBER:
384001834
ADMINISTRATOR/
DIRECTOR:		EUGENIA JAMESFACILITY TYPE:
850
ADDRESS:1337 EVANS AVENUETELEPHONE:
(415) 920-7000
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY: 32TOTAL ENROLLED CHILDREN: 32CENSUS: 22DATE:
03/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:16 PM
MET WITH:Eugenia JamesTIME VISIT/
INSPECTION COMPLETED:
03:32 PM
NARRATIVE
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On March 10, 2025, Licensing Program Analyst (LPA) Sheran Lo conducted a case management inspection and met with Director Eugenia James. Purpose of the inspection was explained. Present were Director, 4 teachers, and 22 children in care. The case management was related to the unusual incident reports that was submitted by Director which occurred at the facility on 3/4/25.

The incident that occurred violated child's Personal Right. Staff was put on Administrative Leave on 3/4/25 after the incident.

During today's inspection, more information were obtained. Action taken was to terminate staff on 3/5/25, and facility plan to add personal rights training for all staff to prevent it from happening. Facility will conduct training on 3/19/25.

Exit interview was conducted with Director Eugenia James. The report and Notice of Site Visit was provided. Notice of Site Visit will be posted for 30 days.


California Code of Regulations, (Title 22, Division 12, Chapter 1), are being cited on the attached LIC 809D
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE: DATE: 03/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/10/2025
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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Document Has Been Signed on 03/10/2025 02:22 PM - It Cannot Be Edited


Created By: Sheran Lo On 03/10/2025 at 11:13 AM
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: SOUTHEAST FAMILIES UNITED/MISSION HEAD START
FACILITY NUMBER: 384001834

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/10/2025
Section Cited
CCR
101223(a)(1)

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101223 Personal Rights (a) The licensee shall ensure that each child is accorded the following personal rights:(1) To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not met as evidenced by
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Facility put staff on Administraive Leave, and then terminated. Facility will also have all staff training on Personal Rights.
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Based on investigation, Facility did not ensure staff treated children with Personal Rights which poses a potential Health, Safety, and Personal Rights risk to persons in care.
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Director agrees to provide proof of training and will email to LPA with names of participants.

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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.
SUPERVISOR'S NAME:Daniel J Oquendo
LICENSING EVALUATOR NAME:Sheran Lo
LICENSING EVALUATOR SIGNATURE:
DATE: 03/10/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/10/2025


LIC809 (FAS) - (06/04)
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