<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002539
Report Date: 02/25/2025
Date Signed: 02/25/2025 11:09:31 AM

Document Has Been Signed on 02/25/2025 11:09 AM - 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:ALEMANY CENTER-HEAD START (PS)FACILITY NUMBER:
384002539
ADMINISTRATOR/
DIRECTOR:		PETERSON, VALERIEFACILITY TYPE:
850
ADDRESS:956 ELLSWORTH STREETTELEPHONE:
(415) 544-7626
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 18TOTAL ENROLLED CHILDREN: 10CENSUS: 10DATE:
02/25/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:20 AM
MET WITH:Steven CoronaTIME VISIT/
INSPECTION COMPLETED:
11:25 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 2/25/2025 at 8:20AM., Licensing Program Analyst (LPA), Luis Gomez met with Director, Steven Corona. The purpose of today's visit was explained and was for an unannounced, annual random inspection. This facility is licensed to operate a preschool-age program. Present was Director and 3 staff supervising 10 children. The days and hours of operation are Monday- Friday, 8:00-4:00PM. Staff have criminal have record clearances on file. Children present had been signed-in. Program utilizes one classroom and the outside play area. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 8:30AM., LPA observed the following: Classroom was clean, neat, with age-appropriate materials and playthings available for the children. Floors and surfaces were clear of obstructions. Classroom was equipped with tables, chairs, scaled to the appropriate size. Facility lobby has labeled cubbies for storage of belongings. Furniture inspected was free of sharp corners or splinters. The children’s bathroom was clean with available supplies for handwashing. Toilets and faucets inspected were in operating condition. Facility had cabinets available for added storage. The kitchen/ storage areas were free of any liter/ rubbish, and all food items reviewed were current and properly stored. Per director, food services are brought daily to facility.

For scheduled rest/ nap services, LPA observed cleanable plastic cots available. Per director, blankets and supplies are washed weekly on-site. (REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/25/2025
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 5
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: ALEMANY CENTER-HEAD START (PS)
FACILITY NUMBER: 384002539
VISIT DATE: 02/25/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Page 2)
Facility has ventilation; lighting; and was a comfortable temperature. Facility had a functioning telephone service and fire extinguishers (3A40BC) and testable carbon monoxide detector.

At 8:50AM, LPA reviewed the outside play area. LPA observed absorbent turf padding installed around climbing structure. Area was completely enclosed with large tarp installed for available shading. The climbing structure was observed anchored.



LPA observed available drink water served from refillable cups and large pitchers, for children drink as they wish.

At 9:10AM., LPA reviewed facility records including a sample of the children files and personnel files. The personnel files reviewed contained Teacher's Proof of Qualifications; Notice of Employee Rights (LIC9052); Acknowledgement to Report Suspected Child Abuse (LIC9108); Proof of Immunization; and Personnel Record.
LPA reminded director all staff must have their current proof of completed mandated reporter training course (AB1207) in facility file. Advisory Note: Technical Violation (LIC9102TV) was issued.

Children’s files were reviewed and contained the: Identification and Emergency Information (LIC700); Notification of Parent’s Rights (LIC995); Consent for Emergency Medical Treatment (LIC627); Immunization Record; and Personal Rights (LIC613A).

Staff's Cardiopulmonary Resuscitation / First Aid certification was current, expiring on: 7/2025.


Facility emergency disaster drill (Fire and Earthquake) was completed on: 2/20/2025 and 2/21/2025.

Required postings (Spanish/ English) are in lobby including the: Facility License; Notification of Parent’s Rights (PUB394); Personal Rights (LIC613A); The Passenger Safety Laws (PUB269); Menus (February, 2025); and Emergency Disaster Plan (LIC610). During inspection, director posted the ALE Lead Testing results.

LPA advised director to ensure designated relocation site is open/ available during operating hours. Advisory Note: Technical Assistance (LIC9102TA) was issued.(REFER TO 809C, FOR CONT.)

SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: ALEMANY CENTER-HEAD START (PS)
FACILITY NUMBER: 384002539
VISIT DATE: 02/25/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(PAGE 3)
Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed childcare centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.

LPA has verified that lead testing procedure was completed in accordance with the Written Directives outlined in PIN 21-21- CCP.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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 reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, 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.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. An exit interview was discussed, reviewing facility evaluation report with Director, Steven Corona. Director’s signature on this form acknowledges receipt of these documents.



This report must be made available in facility for public review. Notice of site visit was provided and must remain posted for 30 days. Director was advised, any additional questions/ concerns to contact the office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025
LIC809 (FAS) - (06/04)
Page: 5 of 5