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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384003047
Report Date: 03/26/2024
Date Signed: 03/26/2024 12:51:55 PM

Document Has Been Signed on 03/26/2024 12:51 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:UNIVERSITY CHILD CARE AT MISSION BAY (PS)FACILITY NUMBER:
384003047
ADMINISTRATOR:CAHILL, MEGANFACILITY TYPE:
850
ADDRESS:727 NELSON RISING LANETELEPHONE:
(617) 673-8000
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94158
CAPACITY: 206TOTAL ENROLLED CHILDREN: 288CENSUS: 235DATE:
03/26/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
11:06 AM
MET WITH:Director Megan Cahill /Executive Director Sandra HilliardTIME COMPLETED:
01:00 PM
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C1 = Child 1

On March 26, 2024 at approximately 8.20 AM, Licensing Program Analyst (LPA) Tso conducted an unannounced case management visit. LPA met with Director, Megan Cahill, and explained the purpose of the visit. Present in the facility is directors, 56 staff, and 235 children in care.

The case management visit is regarding an unusual incident that occurred on March 8, 2024. Facility self-reported incident to CCLD on March 8, 2024.

On March 8, 2024, it was reported to the Executive Director, by a parent that a staff moved C1 by putting the staff’s hand on C1’s upper arm and moved C1 to the carpet. The parent stated C1 fell on the ground. There were no injuries.

The inconsistent statements of C1 and the parent reporting to the facility were obtained. There was no sufficient evidence to the incident.

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

Exit interview conducted and report was reviewed with the Director, Sandra Hilliard.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 03/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/26/2024
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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