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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002696
Report Date: 10/03/2024
Date Signed: 10/03/2024 02:18:50 PM

Document Has Been Signed on 10/03/2024 02:18 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:LITTLE ANGELS NURSERY SCHOOLFACILITY NUMBER:
384002696
ADMINISTRATOR/
DIRECTOR:
VILLON, CARMENFACILITY TYPE:
850
ADDRESS:610-A CORTLAND AVENUETELEPHONE:
(415) 722-7476
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 20TOTAL ENROLLED CHILDREN: 13CENSUS: 12DATE:
10/03/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Carmen Villon TIME VISIT/
INSPECTION COMPLETED:
02:30 PM
NARRATIVE
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On October 3, 2024 at approximately 12:45pm, LPAs Catrina Quimbo and Maria Olguin-Leon conducted an unannounced, plan of correction visit (POC) to Little Angels Nursery School. LPAs met with director, Carmen Villon, and licensee, Rabab Tawfik, and explained the purpose of the visit. Present during LPAs’ visit included 12 children and 4 staff.

On September 18, 2024, LPAs conducted an unannounced, case management visit at facility. During case management visit, at approximately 3:00pm, LPAs observed director to be in the facility with 5 children. LPAs observed director escort two children at separate times to the restroom (located in the back of the classroom). LPAs observed the remaining 4 children were unsupervised in the front of the classroom. At time of incident, no additional staff were inside the facility. Facility was issued a Type A citation and a civil penalty was assessed. A plan of correction and signed LIC9224s were discussed with director.

Plan of correction was for director to hold a staff meeting, reinforcing the importance of supervision. Facility was also issued a Type B citation for incomplete staff records.

As of this date, LPAs observed completed LIC9224s for 13 enrolled children. LPAs observed notice of site visit given during case management visit to be posted and available for review. Director provided proof of a staff training conducted on September 26, 2024. LPAs observed staff files reviewed during case management visit, to be complete on this date.

Two of the three deficiencies cited on September 18, 2024 have been cleared during today's visit. POC letters were provided. LPAs discussed remaining deficiency and POC with director.

Notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with facility representative, Carmen Villon.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/03/2024
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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