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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002040
Report Date: 01/16/2025
Date Signed: 01/16/2025 01:04:58 PM

Document Has Been Signed on 01/16/2025 01:04 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.THOMAS THE APOSTLE PRE&K LRNG CTRFACILITY NUMBER:
384002040
ADMINISTRATOR/
DIRECTOR:
MEN, JIA JUNFACILITY TYPE:
850
ADDRESS:710 - 40TH AVENUETELEPHONE:
(415) 387-5511
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94121
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: 58DATE:
01/16/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:33 AM
MET WITH:Jia (Jessie) Jun MenTIME VISIT/
INSPECTION COMPLETED:
01:20 PM
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On 1/16/2025, Licensing Program Analyst (LPA) Hanson Leong conducted an unannounced annual visit and met with the Director, Jia (Jessie) Jun Men. LPA explained the purpose of the visit to the director.

Fifty-eight preschool-aged children and eleven staff members were present during the visit. LPA reviewed all the parents' signatures on the facility’s sign-in/out sheet, which was found to be completed. The eleven staff members received criminal record clearance from the California Department of Social Services. The facility is within its capacity limits and ratios for today’s visit.

LPA observed that all required documents, such as the facility license, notification of parents’ rights, personal rights, car seat laws, emergency disaster plan, and daily activities schedule, were displayed and visible to the public.

LPA discovered that the facility did not have the outdoor waiver posted on the wall, which is required when the facility does not meet the outdoor space requirement of 75 square feet per child. An outside waiver is located in the facility’s physical file in the San Bruno Regional Office. LPA will work on an updated outdoor waiver and mail it out to the facility once completed.

The most recent emergency disaster drill was conducted on 12/18/2024, and the LPA observed that it was not documented. LPA reminded the licensee that such drills must be documented once completed. According to the Director, the emergency disaster drill log is missing from the wall where they post their other licensing documents.

The facility was observed to have multiple aid kit supplies, smoke and carbon monoxide detectors, and multiple fully charged fire extinguishers.

LPA inspected the indoor and outdoor areas to identify health and safety hazards. The facility was clean, safe, sanitary, and in good repair. Disinfectants, cleaning solutions, poisons, and other items that could pose a danger were stored in areas inaccessible to the children. All accessible cabinets and drawers in the classrooms were found to be free of hazardous materials or poisons.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/16/2025
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
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.THOMAS THE APOSTLE PRE&K LRNG CTR
FACILITY NUMBER: 384002040
VISIT DATE: 01/16/2025
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LPA observed that the four classrooms had age-appropriate toys, furniture, educational materials, and designated storage space for each child. Electrical outlets were fitted with child safety covers. The bathrooms were clean, fully operational, and equipped with suitable toileting equipment and sanitation products.

The outdoor playground has a fence that is at least four feet tall. The play equipment is in good condition and does not have sharp, loose, or pointed parts. The areas around and under climbing equipment, swings, and slides are cushioned with rubberized mats. There are no pools, spas, or bodies of water on the property. A water pitcher was observed available in the outdoor activity area.

The preschool program currently provides lunch and snacks for the children. Lunch menus are displayed in the facility. The children will bring water bottles from home. According to the director, none of the enrolled children has a documented allergy.

The facility offers different options for children to rest or nap, including mats and cots. LPA observed that sheets and blankets were available for the children. The families provide blankets for their children and wash them weekly.

LPA reviewed the files of five children and verified that their emergency contact and medical information were complete.



LPA reviewed five staff files and confirmed that all required forms were present. LPA found one staff member was current with their Pediatric First Aid/CPR certifications. The facility must have one certified Pediatric First Aid/CPR staff member. LPA found that all five staff members completed twelve units in Early Childhood Education (ECE), which means they are qualified to be teachers. LPA found two staff members were missing their MMR records from their files. LPA also found one staff member did not complete their Mandated Reporter Training (AB 1207). LPA reminded the director that staff MMR records and Mandated Reporter Training must be placed in their files once completed.

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.

LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 2 of 4
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.THOMAS THE APOSTLE PRE&K LRNG CTR
FACILITY NUMBER: 384002040
VISIT DATE: 01/16/2025
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Director 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.

LPA discussed the safe sleep regulations with director and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/safe-sleep as an additional resource. LPA also informed director of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02- CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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-care-centers

Director 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.

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

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
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.THOMAS THE APOSTLE PRE&K LRNG CTR
FACILITY NUMBER: 384002040
VISIT DATE: 01/16/2025
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The facility was issued the following technical violations, which must be emailed to the department when they are completed.

1. Missing staff Mandated Reporter Training certificates

2. Missing staff MMR records

Technical Violation: Violations of the Health and Safety Code (HSC), regulations (CCR), or interim licensing standards (ILS) that do not pose a health, safety or personal rights risk.

The director requested info about adding a toddler (18 months to 36 months) component to their facility license. A list of documents was provided and discussed with the director.

No deficiencies were issued today during LPA's visit.

A Notice of Site Visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the Director, Jia (Jessie) Jun Men.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE:

DATE: 01/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4