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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004853
Report Date: 07/01/2025
Date Signed: 07/01/2025 12:10:19 PM

Document Has Been Signed on 07/01/2025 12:10 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:HELEN HAWK CHILDREN'S CTR-COMPASS FAM SRVSFACILITY NUMBER:
384004853
ADMINISTRATOR/
DIRECTOR:		ELIZABETH PERLAFACILITY TYPE:
860
ADDRESS:111 PAGE STREETTELEPHONE:
(415) 644-0504
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY: 8TOTAL ENROLLED CHILDREN: 5CENSUS: 3DATE:
07/01/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:56 AM
MET WITH:Elizabeth PerlaTIME VISIT/
INSPECTION COMPLETED:
12:25 PM
NARRATIVE
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On July 1, 2025, Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced annual inspection and met with the facility director, Elizabeth Perla. The purpose of the visit was explained to the director and LPA was granted entry.
Upon entry, LPA observed three staff members, including the director, and three toddler children were present during today's inspection.

The facility operates the infant program with a toddler option Monday through Friday, 8:00 a.m. to 5:00 p.m. The facility meets the teacher-child ratio requirements at the time of inspection.

LPA verified the staff members' criminal backgrounds clearances through the Guardian website.

The outdoor rotation waiver was maintained at the facility and the director confirmed that the toddlers' outdoor schedule is 10:00 to 11:30 a.m. in the morning and 3:00 to 4:00 p.m in the afternoon.
The facility uses a paper sign-in/out system, and LPA verified that all parents' signatures matched and accounted for the number of children present for the day.

LPA and the director toured the infant-toddler room, which divided by a gate, and outdoor play area to check for potential health and safety hazards. The director stated they currently have only children 18 months and older enrolled at this time.
LPA observed the room was in good shape, and the temperature and ventilation levels were appropriate and at room temperature. The classroom is furnished with age-appropriate toys and materials. The furniture appeared to be in good repair and well-maintained.
See page 2.
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Zeynep Basak
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/19/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 4
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
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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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HELEN HAWK CHILDREN'S CTR-COMPASS FAM SRVS
FACILITY NUMBER: 384004853
VISIT DATE: 07/01/2025
NARRATIVE
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Page 2.
The facility provides breakfast, lunch, and snacks through to vendor, in addition to milk and drinking water.

LPA observed a smoke alarm, a carbon monoxide detector, and a fully charged fire extinguisher (size A10BC) in the classroom. According to the director, the facility conducts an emergency drill every month, and the last drill was conducted on June 15, 2025.
LPA observed cots, and the director stated that sheets and blankets were provided by the facility.
The changing table in the toddler room was observed, and the director confirmed that staff follow disinfecting/sanitizing procedures after each child.
LPA inspected the outdoor play area and no health or safety hazard were observed.
LPA observed disinfectants, cleaning solutions, and other chemicals were placed on a high shelf and were inaccessible to children.

Per the director, there are no children with allergies, and no medications are administered at this time.
LPA observed that the facility has a designated area in the office where sick children wait for a parent/legal guardian to pick them up.
LPA observed that the facility has a fully stocked first aid kit available in the classroom.

All posting requirements were met by the facility, including the License, Parent's Rights, and California Child Passenger Safety Law which is observed at the center.
During the inspection, LPA reviewed children's and personnel records. The records for each child were complete and included emergency and immunization records.
LPA reviewed the staff files and found all required documents complete, including valid mandated reporter training. LPA verified that the director has a valid CPR/First Aid Training certificate and a Mandated Reporter Training certificate that expire on 4/2027.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.
See page 3.
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Zeynep Basak
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC809 (FAS) - (06/04)
Page: 3 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: HELEN HAWK CHILDREN'S CTR-COMPASS FAM SRVS
FACILITY NUMBER: 384004853
VISIT DATE: 07/01/2025
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Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for
drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP).

LPA discussed the safe sleep regulations with licensee [or facility representative] and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed licensee [or facility representative] of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

To improve the quality and value of the new inspection process, a survey may be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or CARE tools, please send email inquiries to inspectionprocess@dss.ca.gov. For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

No deficiencies were cited during today's inspection.

An exit interview was conducted and the report was reviewed with the director, Elizabeth Perla.
Notice of Site Visit was provided and must remain posted for 30 days.
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Zeynep Basak
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC809 (FAS) - (06/04)
Page: 4 of 4