410500303-6-13-2025-05-CC-RWAA-DHLTG4-20250613144230

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410500303
Report Date: 06/13/2025
Date Signed: 06/13/2025 02:42:49 PM

Document Has Been Signed on 06/13/2025 02:42 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:	HIGHLANDS CHRISTIAN SCHOOLS		FACILITY NUMBER:	410500303
ADMINISTRATOR/ DIRECTOR:	CAMACHO, CRYSTAL		FACILITY TYPE:	850
ADDRESS:	1900 MONTEREY DRIVE		TELEPHONE:	(650) 873-4090
CITY:	SAN BRUNO	STATE: CA	ZIP CODE:	94066
CAPACITY: 300	TOTAL ENROLLED CHILDREN: 74	CENSUS: 46	DATE:	06/13/2025
TYPE OF VISIT:	Annual/Required	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	09:10 AM
MET WITH:	Crystal Camacho		TIME VISIT/ INSPECTION COMPLETED:	03:00 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 6/13/2025, at approximately 9:00 am, Licensing Program Analysts (LPAs) Wadhwa and Basak conducted an unannounced annual inspection visit. LPAs met with Director Crystal Camacho and the Associate Director, Saama Srouji explained the purpose of the visit. Present today was the Director, 12 staff and 46 preschool children (5 toddler option). LPAs verified the staff member’s criminal background clearance through the Guardian Website. The facility is operating within the conditions, limitations, and capacity specified on the license during today’s visit. The facility operates Monday through Friday from 7:30 am to 5:30 pm. The program operates in 8 classrooms: Toddler Room, Giraffes (3-4 years old), Lions (3-4 years old), Lambs (2.5 - 3 years olds) KC 6 (4 to 5 year olds), KC 7 (4 to 5 year olds), Elephants ( 3 year olds), Bears ( 3 year olds). The program also uses the following spaces: Room 108 “Tree Room” an open area space between classrooms for Music and Bible activities, Room 113 as Exercise Room for indoor play time. The cafeteria is used by children from the KC classrooms as lunchroom. LPAs conducted a health and safety inspection indoors and outdoors with the Director. LPAs observed the facility has age-appropriate furniture, toys, and educational materials in each classroom. The carpeting, floors and rugs in each classroom were observed to be in good condition and free of any debris and hazards. Children's toys, materials and furniture were observed to be age appropriate and in good working condition. Continued on Page 2

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025

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: HIGHLANDS CHRISTIAN SCHOOLS	FACILITY NUMBER: 410500303
	VISIT DATE: 06/13/2025

NARRATIVE

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Storage for children's belongings is located inside the classroom and is labeled with children's individual names. Each classroom is equipped with a first aid kit, smoke and/or carbon monoxide detectors and fully charged fire extinguishers. LPAs observed fire sprinklers and fire alarm system implemented throughout the facility. LPAs observed children's allergies and medication to be properly stored and available for review in each classroom. Children nap on mats that are provided by the facility. Sheets and bedding is brought from home and is taken home once a week for cleaning, or as needed. Children bring lunch and snacks from home. Water bottles are brought from home and refilled at the facility.

The Toddler classroom, KC 6 and KC 7 have their own bathrooms located in the classroom. The other classrooms share a common girls and boys restroom located by the Lambs classroom. LPAs observed bathrooms to be in proper working condition, equipped with appropriate sanitation products. At approximately 10 am, LPAs observed
an unlocked cabinet under the bathroom sink containing disinfectant solutions making it accessible to children in care. LPAs discussed it with the Director, and the Director removed the bottles during the visit. A technical violation has been issued today.

LPAs toured the outdoor play area and observed it to be fully enclosed with age-appropriate equipment and shade. Playground equipment was observed to be in safe condition, free of sharp, loose or pointed parts with sufficient cushioning to absorb falls. The surface of the outdoor activity space is maintained in safe condition and free of hazards.

LPAs reviewed facility records, 7 staff files and 10 children’s files. All staff and children’s files were observed to be complete. Staff records reviewed today contained health screenings, immunization records for pertussis, and measles, current CPR and First Aid certifications, and mandated reporter training documentation. The Director stated that the school conducts emergency drills once a month, and the most recent one was conducted on 5/19/2025. Drill logs are maintained by the school’s front office and were made readily available for review. All required postings were observed to be posted and accessible for review. The facility uses Brighwheel app for sign in and sign out and LPAs observed all children to be properly signed in today.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025

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: HIGHLANDS CHRISTIAN SCHOOLS	FACILITY NUMBER: 410500303
	VISIT DATE: 06/13/2025

NARRATIVE

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The facility representative was reminded that all adults 18 and over, 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.

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.

This facility provides Incidental Medical Services – IMS. LPAs reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and
administrative records.
For IMS information see PIN 22-02-CCP. 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/.

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 today.

An exit interview was conducted, and the report was reviewed with the Director, Crystal Camacho.

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

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Ruhi Wadhwa
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 06/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/13/2025

LIC809 (FAS) - (06/04)

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