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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004165
Report Date: 10/23/2023
Date Signed: 10/23/2023 04:26:09 PM

Document Has Been Signed on 10/23/2023 04:26 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:STRATFORD SCHOOLFACILITY NUMBER:
384004165
ADMINISTRATOR:VILLAFLORES, GUILDAFACILITY TYPE:
850
ADDRESS:2425 19TH AVENUETELEPHONE:
(408) 973-7320
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 174TOTAL ENROLLED CHILDREN: 174CENSUS: 73DATE:
10/23/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Gilda VillafloresTIME COMPLETED:
04:40 PM
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During an unannounced Case Management inspection on October 23, 2023, Licensing Program Analysts (LPAs) Van and Tso met with the Site Director, Gilda Villaflores. The inspection followed up on an unusual incident and discussed preventive measures to ensure the safety and well-being of all children attending the facility. The facility has seven staff members and a Site Supervisor who supervises 73 children today.

On October 13, 2023, an incident was reported at the facility where three children, C1, C2, and C3, had left their classroom and headed towards the main gate. Upon investigation, it was found that the teacher in the classroom was aware of the children leaving and had followed them immediately, calling them back. The office assistant was also aware of the incident and had asked for assistance from all staff. All three children were returned to the classroom within a few seconds. After reviewing the Center’s video footage and considering this new information, no deficiency was observed.

Furthermore, the Center has installed a child-proof gate at the classroom entrance. However, the Director will contact the Fire marshal to ensure the child-proof gate complies with the fire code. In addition, the Center plans to have refreshment training for all staff on active supervision to prevent such incidents from happening again.

Today's report, October 23, 2023, and site notice were provided to the Director. LPA informed the Director that the site visit notice and deficiency page must be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/23/2023
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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