410500476-4-13-2026-05-CC-KKRN-DT4VBQ-20260413161756

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410500476
Report Date: 04/13/2026
Date Signed: 04/13/2026 04:18:13 PM

Document Has Been Signed on 04/13/2026 04:18 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:	NUEVA SCHOOL, THE		FACILITY NUMBER:	410500476
ADMINISTRATOR/ DIRECTOR:	ROBINSON, DAVID		FACILITY TYPE:	850
ADDRESS:	6565 SKYLINE BLVD		TELEPHONE:	(650) 350-4523
CITY:	HILLSBOROUGH	STATE: CA	ZIP CODE:	94010
CAPACITY: 24	TOTAL ENROLLED CHILDREN: 16	CENSUS: 15	DATE:	04/13/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	12:15 PM
MET WITH:	Megan Terra & David Robinson		TIME VISIT/ INSPECTION COMPLETED:	04:30 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 13, 2026, at approximately 12:15 PM, Licensing Program Analyst (LPA) Katie Krenn conducted an unannounced, annual inspection. LPA met with the director, David Robinson (D1), Site Supervisor for pre-kindergartener and Megan Terra (D2) ,Head of Lower School Division, LPA explained the purpose of the visit. Present at the facility, in addition to D1, were two teachers supervising 15 preschool children (ages 4 - 5 years old). The facility remains within its capacity limits and meets the required ratios for today’s visit. All staff present and working directly with the children during the visit and staff listed on the personnel report have obtained criminal record fingerprint clearance from the Department of Social Services and are associated with this facility on Guardian. Program operates Monday through Friday from 7:55AM – 3:45PM for a August through June school year. Per D1, there are no pools, spas, or bodies of water on the property. LPA reviewed the sign in and sign out sheets to verify that parents and caregivers are signing their children in and out. LPA observed that some parents and caregivers need to be reminded to use a full name signature. D1 said that they understood. LPA observed that all required postings—including the Facility License, Notification of Parents’ Rights (PUB 393), Personal Rights (LIC 613A), Child Passenger Restraint System (PUB 269), Emergency Disaster Plan (LIC 610), and Earthquake Preparedness Checklist—were displayed and visible to families in entry areas where children are dropped off and picked up. LPA observed that the licensing address needs to be updated. D1 and D2 said that they understood. The most recent emergency disaster drill was conducted in March 2026, and LPA observed that it was documented. LPA reviewed the emergency disaster drill log and found that drills are conducted at least once every six months. continued on page 2

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/07/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026

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: NUEVA SCHOOL, THE	FACILITY NUMBER: 410500476
	VISIT DATE: 04/13/2026

NARRATIVE

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The classroom had a first aid kit, smoke detectors, a fire pull alarm, a carbon monoxide detector, a charged fire extinguisher, and an emergency disaster kit. The facility uses an application for emergency contact information for each child. LPA observed a digital copy of the information available and verified that all the necessary information was included. LPA did not test the smoke alarm because it is an integrated system that is monitored by the fire department. LPA did test carbon monoxide detector and found it to be functioning properly.

LPA along with D2 toured the indoor and outdoor areas to look for health and safety hazards. The facility was clean, safe, and well-maintained. The indoor areas were a comfortable temperature with proper ventilation. Disinfectants, cleaning solutions, and poisons were securely stored out of children's reach, and all accessible cabinets in the classrooms were free of hazardous materials. LPA found some apple slicers in an accessible drawer, D1 removed them and stored them out of children’s reach. LPA said that they could also put a child safety lock that drawer.

LPA observed that the classroom had age-appropriate toys, furniture, educational materials, and designated cubbies for storage space, which are labeled for each child. LPA did not observed any accessible electrical outlets. Electrical outlets were fitted with child safety covers to prevent children's access. The classroom has its own bathroom containing two child sized toilets and a child sized sink. LPA observed that the bathroom was clean, fully operational, and equipped with suitable toileting equipment and sanitation products.

The entire outdoor play area has a surrounding fence that is at least four feet tall. The play equipment is in good condition and does not have sharp, loose, or pointed parts. The areas around and under climbing equipment and slides are cushioned with tanbark. The play area has a sandbox (which per D2, is raked and inspected daily), water tables, wood blocks, shaded areas, and a variety of suitable toys. LPA did not observe any pools, spas, or bodies of water on the property. Per D2, the children carry water bottles with them as they move in and out of the classroom.

The facility offers a lunch program, which has food that is prepared onsite by a third party. LPA inspected the kitchen where the food is prepared and observed it to be clean, orderly, and LPA did not observe any toxic materials present. Children bring their snacks from home.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

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: NUEVA SCHOOL, THE	FACILITY NUMBER: 410500476
	VISIT DATE: 04/13/2026

NARRATIVE

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Per D1, children nap in the classroom. LPA observed thick yoga style mats that were rolled up and numbered for each child. Per D1 yoga mats are cleaned and wiped down once a week. Per D1 if children bring bedding from home, bedding is taken home weekly for wash.

LPA reviewed the files of six children, confirming that their emergency contact and medical information were complete and in order. Per D2, none of the children currently in care are taking any medications or have any known allergies.

LPA reviewed three staff files and confirmed that all necessary forms were complete and in order.

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.

This facility provides Incidental Medical Services – IMS. LPA 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/.

Facility Representative was informed of the MyChildCarePlan.org website; 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.

To improve the quality and value of the 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.

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

Exit interview conducted and report was reviewed with the Site Supervisor, David Robinson and Head of Lower School Division, Megan Terra .

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2026

LIC809 (FAS) - (06/04)

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