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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004601
Report Date: 05/31/2024
Date Signed: 05/31/2024 02:41:50 PM

Document Has Been Signed on 05/31/2024 02:41 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:SFUSD-GEORGE WASHINGTON CARVER ELEMENTARY SCHOOLFACILITY NUMBER:
384004601
ADMINISTRATOR/
DIRECTOR:		LEWIS, CATHERINEFACILITY TYPE:
850
ADDRESS:1360 OAKDALE AVENUETELEPHONE:
(415) 330-1540
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94124
CAPACITY: 144TOTAL ENROLLED CHILDREN: 144CENSUS: 44DATE:
05/31/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Kamael BurchTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On May 31, 2024 Licensing Program Analyst (LPA) Garcia and Licensing Program Manager (LPM) Oquendo arrived at the facility to conduct an unannounced POC visit. LPA and LPM met with director, Kamael Burch and explained the purpose of the visit. At the time of the visit, there were 44 children present, supervised by 18 teachers in 5 day care rooms.

The facility was cited on April 27, 2023 for having lead exeedances in their water fixtures. LPA and LPM checked the location of the fixtures with lead exceedances from the lead water testing conducted on 10/15/22 and retested on 3/4/23. LPA and LPM observed that fixtures 'B', 'C', 'D', 'H', 'F' and 'K' were permanently capped off and were inaccessible to children. Per staff, the school district is planning on repairing all of the fixtures with exceedances during the summer. During the visit, LPA and LPM observed that there are water dispensers located in each classroom for the children, as main source of drinking water.

The deficiency cited on April 27, 2023 will be cleared.

All reports from this visit will be forwarded to Kristy Ouyang.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Nathan Garcia
LICENSING EVALUATOR SIGNATURE: DATE: 05/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/31/2024
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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