410517432-10-10-2025-05-CC-KKRN-DMC3JU-20251010181806

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 410517432
Report Date: 10/10/2025
Date Signed: 10/10/2025 06:20:05 PM

Document Has Been Signed on 10/10/2025 06:20 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:	UNIVERSITY HEIGHTS CHILDREN'S CENTER		FACILITY NUMBER:	410517432
ADMINISTRATOR/ DIRECTOR:	GASTON, SHIRLEY		FACILITY TYPE:	850
ADDRESS:	2066 AVY AVENUE		TELEPHONE:	(650) 854-6993
CITY:	MENLO PARK	STATE: CA	ZIP CODE:	94025
CAPACITY: 31	TOTAL ENROLLED CHILDREN: 34	CENSUS: 35	DATE:	10/10/2025
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:08 AM
MET WITH:	Shirley Gaston		TIME VISIT/ INSPECTION COMPLETED:	06:15 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 October 10, 2025 at approximately 8:00AM Licensing Program Analyst (LPA) Katie Krenn arrived at the facility for an unannounced annual inspection. LPA met with the director, Shirley Gaston and explained the purpose of today's visit. Present at the facility in addition to the director, LPA observed six teachers and 35 preschool children (ages 2 - 5 years old). The number of children in attendance exceeds the approved capacity for this facility. Per the director, 2 of the children present were only here for picture day. All staff present have fingerprint clearance. This Facility operates out of buildings A and C. There is another licensed facility (410518206) operates at the address next door that is part of the same school. The director confirmed that there are no pools, spas, or bodies of water on the property. Program operates Monday through Friday from 7:45am – 5:30pm, year-round. The facility uses a digital sign in and sign out. Each person authorized to pick up the child has their own account, so the facility can see the full name of the person that signed the child in and out. LPA observed that required documents, such as the Notification of Parents’ Rights (PUB 393), Personal Rights (LIC 613A), Car Seat Laws (PUB 269), Emergency Disaster Plan (LIC 610), and Earthquake Preparedness Checklist (LIC 9148) were displayed and visible to the public, posted by a QR Code that parents use to sign the children in. A Daily Activity Schedule is posted inside the classroom. The Facility License is posted in the office. continued on page 2

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

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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Document Has Been Signed on 01/02/2026 03:27 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 10/17/2025 11:42 AM

Created By: Katie Krenn On 10/10/2025 at 04:11 PM

Link to Parent Document Below:

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: UNIVERSITY HEIGHTS CHILDREN'S CENTER	FACILITY NUMBER: 410517432
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/10/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Deficiency Dismissed

Type A

Section Cited

CCR

101216.3(a)(1)

Teacher-Child Ratio

(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance, except as specified in (b) and (c) below. (1) The number of children in attendance shall not exceed licensed capacity. This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	This page was created in error.
	POC Due Date: 10/10/2025
	Plan of Correction
1 2 3 4

Section Cited


	Deficient Practice Statement
1 2 3 4
	POC Due Date:
	Plan of Correction
1 2 3 4

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

	Daniel J Oquendo
NAME OF LICENSING PROGRAM MANAGER:

	Katie Krenn
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

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: UNIVERSITY HEIGHTS CHILDREN'S CENTER	FACILITY NUMBER: 410517432
	VISIT DATE: 10/10/2025

NARRATIVE

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The most recent emergency disaster drill was conducted in June 2025, and the LPA observed that it was documented. LPA reviewed the emergency disaster drill log and found that drills were conducted at least once every six months.

LPA observed that each classroom has an integrated smoke alarm detector in each classroom, which is tested and monitored by the fire department. LPA observed that there was a fully charged fire extinguisher and first aid kit accessible to each classroom. LPA observed a carbon monoxide detector in each building. LPA tested the carbon monoxide detector in each building.

The LPA inspected the indoor and outdoor areas for health and safety hazards. The facility was clean, safe, and well-maintained. Disinfectants, cleaning solutions, and poisons were securely stored out of children's reach, and all accessible cabinets and drawers in the classrooms were free of hazardous materials.

LPA observed that the classroom(s) had age-appropriate toys, furniture, and educational materials. Each Child had a designated storage space that included hooks and cubbies. LPA observed that electrical outlets were fitted with child safety covers to prevent children's access. The buildings had bathrooms with two child sized toilets and sinks available for children. LPA observed that the bathrooms were clean, fully operational, and equipped with suitable toileting equipment and sanitation products. LPA observed separate bathrooms available for staff.

There are several outdoor play areas. The fence for the exterior of the property is at least four feet tall. The play equipment is in good condition and does not have sharp, loose, or pointed parts. There are a variety of ridable toys and building blocks available. The areas around and under climbing equipment and slides are cushioned with a soft manufactured surface to prevent injuries from falls. LPA did not observe any pools, spas, or bodies of water on the property. Children also bring reusable water bottles, which they take with them when they go outside. Water bottles are refilled by teachers.

Per the director, the facility provides snacks for children. Children bring their own lunches to school with them. On Friday’s the facility orders pizza for the school.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

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: UNIVERSITY HEIGHTS CHILDREN'S CENTER	FACILITY NUMBER: 410517432
	VISIT DATE: 10/10/2025

NARRATIVE

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This an amended report.

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The facility offers mats for children to rest or nap. LPA observed that mats are stored collectively and unlabeled. Per the director the mats are cleaned everyday. LPA also observed bedding which per the director, is provided by parents and goes home weekly for laundering. The facility keeps extra bedding available.

To improve the quality and value of the inspection process, a survey will 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 tools, please send them by email 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.

Director was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

This Annual Inspection will be completed at a later date.

Exit interview conducted, report and appeal rights were reviewed with the director, Shirley Gaston.

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/10/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/10/2025

LIC809 (FAS) - (06/04)

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