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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004177
Report Date: 08/07/2024
Date Signed: 08/07/2024 11:08:11 AM

Document Has Been Signed on 08/07/2024 11:08 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:LAUREL HEIGHTS CHILD DEVELOPMENT CENTER(INFANT)FACILITY NUMBER:
384004177
ADMINISTRATOR/
DIRECTOR:		KRISTINA LANGNERFACILITY TYPE:
830
ADDRESS:2675 GEARY BLVD, SUITE 400TELEPHONE:
(415) 306-4730
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY: 64TOTAL ENROLLED CHILDREN: 56CENSUS: 31DATE:
08/07/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:29 AM
MET WITH:Aamena AllooTIME VISIT/
INSPECTION COMPLETED:
11:20 AM
NARRATIVE
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C1 = Child 1

On August 07, 2024 at approximately 8:30 AM, Licensing Program Analyst (LPA) Tso conducted an unannounced, case management visit. LPA met with the Assistant Director Aamena Alloo and explained the purpose of the visit. Present in the facility is director, 13 staff, and 31 children in care.

The case management visit is regarding an unusual incident that occurred on July 24, 2024. Facility self-reported incident to CCLD on July 31, 2024.

On July 24, 2024, C1 was playing on the playground near the opening of the gate when a teacher opened the gate and C1’s hand was pinched by the door.

LPA conducted interviews with the staff and observation of the gate and tested the how the gate is opened and closed. The Assistant Director stated that the staff had been reminded to ensure there is no child around the gate before open and close. Moreover, the Assistant Director stated that she had contacted the facility manager to study the feasibility of installation of the guard or cover between the gate and the pole to prevent the reoccurrence. An Advisory Note was issued.

There were no deficiencies cited at this time under CCR, Title 22, Div. 12, Chapter 3. A copy of today’s report was given to the Assistant Director.

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

Exit interview conducted and report was reviewed with the Assistant Director Aamena Alloo.
SUPERVISORS NAME: Garfield Leung
LICENSING EVALUATOR NAME: Man Tso
LICENSING EVALUATOR SIGNATURE: DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/07/2024
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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