384004934-4-22-2025-05-CC-CQUO-DFYSSZ-20250422140846

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 384004934
Report Date: 04/22/2025
Date Signed: 04/22/2025 02:08:57 PM

Document Has Been Signed on 04/22/2025 02:08 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:	REGGIO PRESCHOOL		FACILITY NUMBER:	384004934
ADMINISTRATOR/ DIRECTOR:	MIRANDA PAN		FACILITY TYPE:	860
ADDRESS:	3886 17TH STREET		TELEPHONE:	(415) 697-9051
CITY:	SAN FRANICSCO	STATE: CA	ZIP CODE:	94114
CAPACITY: 32	TOTAL ENROLLED CHILDREN: 0	CENSUS: 0	DATE:	04/22/2025
TYPE OF VISIT:	Prelicensing	ANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:00 AM
MET WITH:	Miranda Pan		TIME VISIT/ INSPECTION COMPLETED:	02:30 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On April 22, 2025 at approximately 9:00am, Licensing Program Analysts (LPAs) Catrina Quimbo and Katie Krenn, conducted a scheduled, pre-licensing inspection. LPAs met with applicant, Miranda Pan, and explained the purpose of the visit. Present during visit included designated director of facility, Jordan Toledo, and consultant, Tony Ng. Application was submitted to department August 17, 2024. Applicant is requesting 32 preschool children (ages 2 years to 5.9 years old). Fire clearance was obtained March 19, 2025 for 32 preschool children. The facility will operate Monday through Friday 7:30am to 5:30pm. The facility will operate on the ground level of a commercial building. The facility includes 3 classrooms, a children's restroom, adult restroom and outdoor area. The facility was inspected, indoors and outdoors, for health and safety hazards, and measured to calculate capacity. Indoors: There are 3 classrooms that will be utilized for the preschool program: Main classroom, Art/Science classroom and Manipulative classroom. Total indoor square footage equals 939.83 sq. ft. allowing for a capacity of 26 preschool children. LPAs observed areas to be ventilated with appropriate temperature. Classrooms are equipped with furniture, toys and materials that were observed to be age appropriate and in good condition. LPAs observed children's materials to be clean and organized. Per director, toys and materials will be sanitized daily. Flooring in classrooms includes hardwood floors with rugs. LPAs observed rugs to be free of stains. Per director, rugs will be vacuumed daily and shampooed as needed. There are stairs in the Art/Science classroom that lead to the Manipulative classroom. Applicant plans to install a child safety gate. (Continue Report on Page 2...)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

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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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: REGGIO PRESCHOOL	FACILITY NUMBER: 384004934
	VISIT DATE: 04/22/2025

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Poisons, cleaning supplies and hazardous materials were observed to be stored in the adult restroom. LPAs observed adult restroom to have a child safety lock installed. Facility is equipped with multiple fully charged fire extinguishers, an emergency backpack with a first aid kit and a smoke alarm system. During visit, applicant installed working carbon monoxide detectors. LPAs reminded applicant and director first aid kit must have scissors and tweezers available.

Per applicant, children's medication will be stored in the front of the Main classroom in the emergency backpack. If medication requires refrigeration, there is a refrigerator in the Main classroom closet. LPAs observed closet to have a child safety lock installed.

This facility plans to provide Incidental Medical Services – IMS. For IMS information, see PIN 22-02-CCP. A Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) tollfree 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, available at: http://www.ada.gov/childqanda.htm.

Program plans to provide napping children with floor mats. LPAs observed floor mats to be color coded for one side of the mat to be on the floor. Children's families are to provide sleeping bags that will be sent home weekly for laundering. Sheets and blankets will be stored appropriately in Main classroom's closet so that children's sheets are not touching each other.

Applicant plans for isolation to be the outdoor area or in a classroom, when other children are not present. LPAs reminded applicant, children must always be supervised when isolated from other children. Program's discipline policy was discussed. Per applicant, discipline policy includes positive reinforcement and communication with children.

Children's restroom is located in between the Main classroom and Art/Science classroom. Children's restroom includes 2 toilets. There are 2 accessible sinks in the Art/Science classroom. Total allowable capacity for toilets is 30 children. Total allowable capacity for sinks is 30 children. LPAs observed sink and toilet to be in proper working condition. Applicant stated they are aware children must be supervised going to and from bathroom. LPAs reminded applicant water accessible to children cannot be more than 120 degrees Fahrenheit. LPAs observed garbage bins with tight fitting lids inside classrooms and children's restroom.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: REGGIO PRESCHOOL	FACILITY NUMBER: 384004934
	VISIT DATE: 04/22/2025

NARRATIVE

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Program does not plan to provide a food service at this time. Children's families are to provide lunch that will be stored in children's individual lunch boxes. LPAs reminded applicant and director children's personal materials must be labeled with their individual names. Program's eating procedures and policy was discussed. Children will be grouped into tables and supervised by staff while eating. Children are required to provide their own individual water bottles that can be refilled at center through accessible water fountains.

The requirement for Lead Water Testing was discussed (H&S Code 1597.16). Applicant was reminded a facility licensed after July 1, 2022, must have their water fixtures (used for drinking and food preparation) tested for lead 180 days after licensure and every 5 years thereafter. LPA advised applicant to review PIN 21-21-CCP. Per applicant, lead testing was completed March 2025.

Outdoor: Outdoor area is located outside Manipulative classroom. Total outdoor area measures for 259.77 sq. ft. allowing for a capacity of 3 preschool children. Outdoor area is fully enclosed and fenced. There are stairs and a side alley that are made inaccessible to children with child safety gates. Flooring in outdoor area includes artificial turf. LPAs did not observe any pools, spas or bodies of water on site. There is sufficient shade in outdoor area from neighboring buildings. There is a garden in the outdoor area with plants that are labeled.

Applicant also has a park permit to local park, Duboce Park. LPAs walked to park with applicant and director during today's visit. Playground is approximately 0.5 miles away from facility (10 minute walk). Playground is fully enclosed and fenced. There are two play structures (large and small) with resilient padding underneath. LPAs observed sign to be posted that large play structure is for children ages 6 years to 12 years old and small play structure is for children ages 2 years to 5 years old. Park also includes a swing set and sandbox area. Applicant plans to submit an open space waiver. LPAs did not observe any pools, spas or bodies of water in enclosed playground area.

LPA reviewed with director, the LIC 311A, Records to Be Maintained At The Facility, for child’s records, personnel records, administrative records, and documents to be posted.

Applicant plans to communicate with children's families through electronic communication and in person discussions. Sign in/out records will be maintained both electronically and hand written. Per applicant, each authorized representative will have their own individual code that acts as the individual's signature when signing in/out via electronic application. Director stated they are aware emergency disaster drills are to be documented when conducted. Per director, fire drills are conducted monthly and disaster drills are conducted at least once every three months.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: REGGIO PRESCHOOL	FACILITY NUMBER: 384004934
	VISIT DATE: 04/22/2025

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Applicant was reminded that all adults 18 and over responsible for administration or direct supervision of staff, persons who provides care and supervision to children, and staff who have contact with children, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5-days or, if the penalty is for a repeat violation, for a maximum of 30-days per person will be assessed if this regulation is violated.

Applicant was informed of the MyChildCarePlan.org site, a consumer education
website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website at https://www.cdss.ca.gov/inforesources/community-carelicensing/ subscribe and select the Child Care option to receive email communication.

During today's visit, applicant provided LPAs with most current park permit that will expire December 2025.

Based on indoor square footage, maximum capacity facility can be licensed for is 26 preschool children.

The following corrections are needed prior to the issuance of the license:
-Sound alarm system on 4 exit doors in facility.
-Inaccessibility of metal post in outdoor area.
-Inaccessibility of stairs in Art/Science classroom.
-Cushioning on corners of stair's post.
-Submission for outdoor rotation waiver and open space waiver.
-Working phone number on site.
-Centralized Application Bureau (CAB) final approval of application.

Applicant, Miranda Pan, understands that all proof of corrections must be provided to the Department within 30 days, or the application may be denied.

Exit interview conducted and report was reviewed with applicant, Miranda Pan.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/22/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2025

LIC809 (FAS) - (06/04)

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