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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004165
Report Date: 02/27/2025
Date Signed: 02/27/2025 01:28:53 PM

Document Has Been Signed on 02/27/2025 01:28 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/
DIRECTOR:
LAYSAN ANDREWSFACILITY TYPE:
850
ADDRESS:2425 19TH AVENUETELEPHONE:
(408) 973-7320
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 174TOTAL ENROLLED CHILDREN: 174CENSUS: 70DATE:
02/27/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:05 PM
MET WITH:Laysan AndrewsTIME VISIT/
INSPECTION COMPLETED:
01:45 PM
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On February 27, 2025, Licensing Program Analyst (LPA) Van conducted an unannounced case management visit at the center and met with the Director, Laysan Andrews. The purpose of the inspection was explained, and entrance to the center was granted. This visit was in response to an unusual incident reported to the Department on February 10, 2025. Additionally, the inspection aimed to discuss and review the center’s emergency procedures, medical treatment protocols, and reporting requirements. At the time of the inspection, 11 staff members supervised 70 preschool children.

According to the director, the incident occurred in room 111 during naptime. On that day, one teacher was supervising 22 sleeping children. As the children were waking up, it was noticed that C1 was not responding to the teacher's calls. The director reported that C1 had vomited and urinated on themselves, with their eyes remaining closed. C1 was then carried to the isolation room, where the director cleaned them up, changed their clothes, and provided comfort. Staff members contacted C1's mother, who arrived within 3 to 5 minutes, and 911 was called. C1 was subsequently taken to the emergency room, accompanied by their mother and the director.

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SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/27/2025
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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: STRATFORD SCHOOL
FACILITY NUMBER: 384004165
VISIT DATE: 02/27/2025
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The Director stated that C1 returned to school two days after the incident and was in good spirits. C1 underwent an MRI and is still waiting for the results. The Director mentioned that she would follow up with the family by the end of the week.

During today’s inspection, LPA discussed the emergency protocol and medical procedures with the Director. The LPA emphasized that if a child is seriously ill or injured, it is crucial to contact emergency medical services immediately without delay. The center must also adhere to reporting requirements by submitting an unusual incident report within seven days of the occurrence. The Director mentioned that emergency procedures have been reviewed and verbally reiterated with all teachers since the incident. Additionally, the Director indicated that a comprehensive staff training session on emergency protocols is scheduled for March 3, 2025.

LPA informed the Director, Laysan Andrews, that no action would be taken at this moment.

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

An exit interview was conducted, and the report was reviewed with the director, Laysan Andrews.

SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE:

DATE: 02/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025
LIC809 (FAS) - (06/04)
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