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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517432
Report Date: 11/19/2025
Date Signed: 11/19/2025 05:05:16 PM

Document Has Been Signed on 11/19/2025 05:05 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 CENTERFACILITY NUMBER:
410517432
ADMINISTRATOR/
DIRECTOR:		GASTON, SHIRLEYFACILITY TYPE:
850
ADDRESS:2066 AVY AVENUETELEPHONE:
(650) 854-6993
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 31TOTAL ENROLLED CHILDREN: 34CENSUS: 33DATE:
11/19/2025
TYPE OF VISIT:Case Management - Annual ContinuationUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Shirley GastonTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
NARRATIVE
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On November 19, 2025 at approximately 10:45AM, Licensing Program Analyst (LPA) Katie Krenn arrived for the continuation of 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 33 preschool children (ages 2 - 5 years old). The number of children in attendance exceeds the approved capacity for this facility. The facility meets the required ratios for today’s visit. All staff present have fingerprint clearance from the department of Social Services and are associated with the facility.

This Facility operates out of buildings A and C. There is another licensed facility (410518206) that operates at the address next door that is part of the same school campus, it has a separate capacity from this facility.



Program operates Monday through Friday from 7:45am – 5:30pm, year-round.

The director confirmed that there are no pools, spas, or bodies of water on the property. LPA measured the outdoor area to confirm that there was sufficient outdoor space for both facilities to have all the children outdoors at the same time.

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.

The most recent emergency disaster drill was conducted in October 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.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/19/2025
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: UNIVERSITY HEIGHTS CHILDREN'S CENTER
FACILITY NUMBER: 410517432
VISIT DATE: 11/19/2025
NARRATIVE
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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. The Facility License is posted in the office, which is accessible to parents,

LPA reviewed the files of six children, confirming that their emergency contact and medical information were complete and in order.

LPA reviewed six staff files and confirmed that all necessary forms were complete and in order. LPA observed that all the files reviewed have current Pediatric First Aid and CPR certification. LPA verified that teachers have the required ECE units. LPA found that all teachers held current mandated reporter training certifications.

LPA observed that the facility stores medications for children in a centralized location that is inaccessible to children. LPA observed that the medications were labeled for each child and had written instructions on how to administer the medication. LPA none of the medications that LPA observed were expired.

Licensee 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/.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 02/19/2026 04:46 PM - It Cannot Be Edited

Document is an Amendment of Original Document on 02/19/2026 04:39 PM


Created By: Cindy Interiano On 11/19/2025 at 02:27 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: 11/19/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Request Denied
Type A
Section Cited
CCR
101161(a)
Limitations on Capacity and Ambulatory Status
(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation.

This requirement is not met as evidenced by:
Deficient Practice Statement
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***THIS IS AN AMENDMENT OF ORIGINAL REPORT DATED 11/19/25***
***Deficiency has been modified from a TYPE A violation to a TYPE B violation.***

Based on observation and record review, the licensee did not comply with the section cited above as the facility exceeded the facility capacity of 31 preschool children by having 33 preschool children present, which poses an immediate health, safety or personal rights risk to persons in care.
POC Due Date: 11/20/2025
Plan of Correction
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Facility will not exceed the facility's capacity of 31 total children in buildings A and C.
Section Cited
Deficient Practice Statement
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POC Due Date:
Plan of Correction
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Carol Marcroft
NAME OF LICENSING PROGRAM MANAGER:
Cindy Interiano
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/19/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/19/2025


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: 11/19/2025
NARRATIVE
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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 as specified in Health and Safety Code section 1597.16.
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 verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP.
LPA referred licensee [or facility representative] to the Department website for lead: Lead Toxicity Prevention and Water Testing Information
(https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)
Include the applicable scenario for the CCC, un-bolded, into the report:
• CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES, or
• CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING
LEAD EXCEEDANCES, or
• CCC COMPLETED SAMPLING BUT THE TEST RESULTS ARE NOT YET
AVAILABLE, or
• CCC DID NOT COMPLETE TESTING PRIOR TO THEIR DEADLINE, or
• CCC TESTING DEADLINE HAS NOT PASSED, or
• CCC HAS PROVIDED A WRITTEN ATTESTATION OF TESTING EXEMPTION

Director 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.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
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: 11/19/2025
NARRATIVE
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***THIS IS AN AMENDMENT OF ORIGINAL REPORT DATED 11/19/25***

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LPA Katie Krenn informed licensee, Shirley Gaston that this report dated 11/19/2025 documents one Type B citation.

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

Exit interview conducted and report was reviewed with the Director, Shirley Gaston.
NAME OF LICENSING PROGRAM MANAGER: Carol Marcroft
NAME OF LICENSING PROGRAM ANALYST: Cindy Interiano
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/19/2025
LIC809 (FAS) - (06/04)
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