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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384003012
Report Date: 11/05/2024
Date Signed: 11/05/2024 12:47:49 PM

Document Has Been Signed on 11/05/2024 12:47 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:SUNSHINE PRESCHOOL CENTERFACILITY NUMBER:
384003012
ADMINISTRATOR/
DIRECTOR:		YUZON, NADINEFACILITY TYPE:
850
ADDRESS:650 ANDOVER STREETTELEPHONE:
(650) 291-0512
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 30TOTAL ENROLLED CHILDREN: 30CENSUS: 9DATE:
11/05/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Nancy Azar, Maria SanchezTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
NARRATIVE
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On 11/5/2024 at 8:38AM. Licensing Program Analyst (LPA) Luis Gomez met with Teacher, Carolyn Arrospide. Licensee, Nancy Azar and Site Supervisor, Maria Sanchez arrived during visit. The purpose of Case Management report is to cite for deficiencies observed during inspection. Present were 4 staff supervising 9 children. LPA reminded licensee to ensure all . LPA inspected facility for health and safety hazards.

At 8:40AM., Based on observation, LPA confirmed exposed screws on gate in toddler area.


At 9:35AM., Based on observation and record review, LPA confirmed unqualified staff left alone with toddler children during outside play.
At 10:00AM. Based on observation, LPA confirmed dividing, separating preschool and toddler option has been removed.
At 10:10AM., LPA observed hazardous window blinds accessible to children in care.
At 10:55AM., Based on observation, LPA confirmed child (C1) left alone in bathroom.

Based on today's inspection, deficiencies were observed in areas evaluated according to California Title 22, Div. 12 Chap. 1, Health and Safety, Code of Regulations, and cited on 809D. Exit interview was discussed licensee, Nancy Azar, including the plans of correction and evaluation report. Licensee’s signature of this form acknowledges the receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was given and must remain posted for 30 days. Director was advised any additional questions to call office, Mon-Fri, 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: 11/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/05/2024
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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Document Has Been Signed on 11/05/2024 12:47 PM - It Cannot Be Edited


Created By: Luis Gomez On 11/05/2024 at 10:11 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: SUNSHINE PRESCHOOL CENTER
FACILITY NUMBER: 384003012

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/12/2024
Section Cited
CCR
101212(c)

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101212(c) Reporting Requirments (c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space. This requirement was not met as evidenced by:
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Facility will replace dividing wall in toddler area by the due date: 11/12/2024.

Proof of correction will be submitted to the Department via email.
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At 10:00AM. Based on observation, LPA confirmed dividing wall, separating preschool and toddler option has been removed. This poses a potential health and safety risk to children in care.
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Type B
11/12/2024
Section Cited
CCR101238(a)

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101238(a) Building and Grounds: The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not met as evidence by:
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Facility will remove exposed screws from gate by the due date: 11/12/2024.

Proof of correction will be submitted to the Department via email.
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At 8:40AM., Based on observation, LPA confirmed exposed screws on gate in toddler area. This poses a potential health and safety risk to children in care.
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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:Marie Rodriguez
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/05/2024


LIC809 (FAS) - (06/04)
Page: 2 of 3
Document Has Been Signed on 11/05/2024 12:47 PM - It Cannot Be Edited


Created By: Luis Gomez On 11/05/2024 at 10:21 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: SUNSHINE PRESCHOOL CENTER
FACILITY NUMBER: 384003012

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/05/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/12/2024
Section Cited
CCR
101229(a)(1)

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101229(a)(1) Responsibility for Providing Care and Supervision. (1) No child(ren) shall be left without the supervision of a teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). This requirement was not met as evidenced by:
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Facility will submit updated staff roster (LIC500) ensuring proper ratios are maintained by the due date: 11/12/2024.

Proof of correction will be submitted to the Department via email.
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At 9:35AM., Based on observation and record review, LPA confirmed unqualified staff left alone with toddler children during outside play. This poses a potential health and safety risk to children in care.
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Type B
11/12/2024
Section Cited
CCR101212(c)

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101238(a) Building and Grounds: The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors. This requirement was not me as evidenced by:
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Facility will remove/ repair hazardous blinds by the due date: 11/12/2024.

Proof of correction will be submitted to the Department via email.
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At 10:10AM., LPA observed hazardous window blinds, accessible to children in care. This poses a potential health and safety risk to children in care.
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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:Marie Rodriguez
LICENSING EVALUATOR NAME:Luis Gomez
LICENSING EVALUATOR SIGNATURE:
DATE: 11/05/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/05/2024


LIC809 (FAS) - (06/04)
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