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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384002696
Report Date: 06/04/2024
Date Signed: 06/04/2024 12:09:01 PM

Document Has Been Signed on 06/04/2024 12:09 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:		OUELLETTE, JOYFACILITY TYPE:
850
ADDRESS:610-A CORTLAND AVENUETELEPHONE:
(415) 722-7476
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: DATE:
06/04/2024
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Rabab TawfikTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On June 4, 2024 at 10:00am, Regional Manager (RM), Cindy Interiano, Licensing Program Manager (LPM) Marie Rodriguez, and Licensing Program Analyst (LPA) Catrina Quimbo met with licensee, Rabab Tawfik, for an informal office meeting. Licensee is the licensee for both 384004350 and 384002696.

The purpose of the informal meeting was to address licensee's non-compliance with facility.

Discussed during meeting included citations issued to facility 384002696:
  • Child Care Center Director Qualifications: CCR 101215.1
  • Drinking Water: CCR 101239.2.
  • Personal Rights: CCR 101223.
  • Written Directives-Lead Testing. CCR 101700.
  • Food services. CCR 101227.
  • Levy of Civil Penalty. HSC 1596.99

Licensee was advised of the following:
  • Licensee cannot be the director for licensed child care center while licensed family child care home is in operation.
  • A qualified director must be on site during operating hours.
  • Kitchen must be made inaccessible to children.
  • Drinking water cannot be withheld from children at any time.
  • Food cannot be withheld from children at any time.
  • CCLD recommends licensee change program's "restaurant style" food service policy to one of the following: "Family style" food service, obtain food vendor, enroll to food program, or children bring their own food to facility.
  • Children must be supervised at all times.
  • With a signed field form, public park can be utilized maximum use of once a week per group. Licensee must obtain a park permit from San Francisco Rec. and Park and an approved waiver from CCL.
  • Licensee 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.
(Continue Report on Page 2...)
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/04/2024
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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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: LITTLE ANGELS NURSERY SCHOOL
FACILITY NUMBER: 384002696
VISIT DATE: 06/04/2024
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During office meeting, Type A citation issued on March 5, 2024 (criminal record clearance for staff), Type A citation issued on April 2, 2024 (criminal record clearance for staff), Type B citation issued on April 2, 2024 (lead water testing for water fixture), are cleared during today's meeting.

Licensee stated they are aware of the importance to be in compliance with all licensing regulations. Department will conduct additional visits to facility to verify compliance with regulations as discussed today.

During meeting, licensee was provided with Forms/Records to be Maintained at the Facility (LIC311A), Entrance Checklist-Child Care Centers (LIC125), Child Care advocate and technical support program information.

Exit interview conducted and report was reviewed with the licensee, Rabab Tawfik.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2024
LIC809 (FAS) - (06/04)
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