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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004165
Report Date: 05/21/2024
Date Signed: 05/21/2024 10:04:14 AM

Document Has Been Signed on 05/21/2024 10:04 AM - 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:		VILLAFLORES, GUILDAFACILITY TYPE:
850
ADDRESS:2425 19TH AVENUETELEPHONE:
(408) 973-7320
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94116
CAPACITY: 174TOTAL ENROLLED CHILDREN: 92CENSUS: 83DATE:
05/21/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:35 AM
MET WITH:Gilda VillafloresTIME VISIT/
INSPECTION COMPLETED:
10:20 AM
NARRATIVE
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On May 21, 2024., Licensing Program Analyst (LPA) Van met with Stefanie Young, who granted LPA entry to the Center. During the visit, the Director, Gilda Villaflores, arrived. The purpose of the inspection is to follow up on an unusual incident and discuss preventative measures to ensure the safety and well-being of all children at the Center. Eleven teachers and a music teacher supervised 83 children.

The facility self-reported an incident on May 8, 2024, in which a child (C1) was left in the bathroom alone without supervision, which occurred at school on May 7, 2024. According to the report, the incident happened when a group of children were transitioning from the bathroom to the classroom. Unfortunately, the staff failed to adhere to the transitioning protocol, leaving C1 unaccounted for and alone in the bathroom.

Since the incident, the staff person involved has resigned. The Center has also taken proactive steps to address the issue, including a thorough review and training session on the importance of supervision and transitioning protocols.

Based on the interview and the incident report received on May 8, 2023, regarding the above incident, supervision was absent, resulting in a child being left unattended in the bathroom alone. As a result, the following Title 22 deficiency was cited on the next page.

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

An exit interview was conducted, and the report and appeal rights were reviewed with the Director, Gilda Villaflores.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Brendon Van
LICENSING EVALUATOR SIGNATURE: DATE: 05/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/21/2024
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 05/21/2024 10:04 AM - It Cannot Be Edited


Created By: Brendon Van On 05/21/2024 at 09:20 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: STRATFORD SCHOOL
FACILITY NUMBER: 384004165

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 05/21/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
05/31/2024
Section Cited
CCR
101229(a)(1)

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101229 Responsibility for Providing Care and Supervision (a)The licensee shall provide care and supervision as necessary to meet the children's needs. (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). Supervision shall include visual observation.

This requirement is not met, as evidenced by:
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The Director and Center took Immediate action to correct the incident. The Director reviewed and retrained all staff on supervision, accountability, name-to-face, and passport procedures. Training materials were provided to LPA during the visit. In addition, the staff person involved in the incident has since resigned. The deficiency is cleared.
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Based on the interview and incident report, the staff failed to provide adequate supervision and adhere to the transitioning protocol, leaving C1 unaccounted for and alone in the bathroom. 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:Garfield Leung
LICENSING EVALUATOR NAME:Brendon Van
LICENSING EVALUATOR SIGNATURE:
DATE: 05/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 05/21/2024


LIC809 (FAS) - (06/04)
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