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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410519028
Report Date: 03/20/2025
Date Signed: 03/20/2025 03:14:45 PM

Document Has Been Signed on 03/20/2025 03:14 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:PETITE SORBONNE PRESCHOOLFACILITY NUMBER:
410519028
ADMINISTRATOR/
DIRECTOR:		PETTY, JUNE M.FACILITY TYPE:
850
ADDRESS:319 E. SANTA INEZ AVENUETELEPHONE:
(650) 347-8510
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 36TOTAL ENROLLED CHILDREN: 36CENSUS: 10DATE:
03/20/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:26 PM
MET WITH:June M. PettyTIME VISIT/
INSPECTION COMPLETED:
03:30 PM
NARRATIVE
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On March 20, 2025, at approximately 12:30 PM, Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced annual inspection and met with the director, June M. Petty. The purpose of the visit was explained to the director, and LPA was granted access to the facility. The facility operates Monday to Friday from 8:00 AM to 5:30 PM.

Upon entry, LPA observed 2 staff members, including the director, and 10 children (2 to 5 years old) present. The facility operated within its capacity and complied with the staff-to-child ratio on this day. LPA verified the staff members’ background clearance on the Guardian website.

LPA inspected four daycare rooms, the children's bathroom, the food preparation area, and the outdoor play area with the director. LPA observed that the temperature and ventilation levels were appropriately maintained. The facility is equipped with a carbon monoxide detector and smoke alarms, along with a fully charged fire extinguisher (model 2A:10BC) located in the kitchen. The director stated that the facility conducts an emergency drill every month, with the most recent drill conducted on March 13, 2025.

LPA observed that the facility has age-appropriate furniture, toys, and educational materials in each classroom. The facility floors and rugs are in good condition and free of any hazards. Sleeping cots were observed in the storage area, and per the director, sheets and blankets are brought from home and washed weekly.
LPA observed children's bathroom, 3 toilets and sinks were clean, sanitary and in working condition. LPA observed the water temperature was proper. LPA confirmed that all cleaning solutions and other chemicals are properly stored and made inaccessible to children.

Page 2.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE: DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
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: PETITE SORBONNE PRESCHOOL
FACILITY NUMBER: 410519028
VISIT DATE: 03/20/2025
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LPA inspected the outdoor play area and found that there is a variety of play and sports equipment available for the children. All play structures are in good repair, and the playground is free from health and safety hazards. LPA observed the sand play area and discussed it with the director. June stated that daily health and safety inspections are conducted before children use the sand play area.
No bodies of water were observed on the premises.

LPA observed that the facility maintains a fully stocked first aid kit and a functioning telephone. Per the director, there is only one child who has egg allergy but it is not severe and no medication required.
There is an isolation area in the kitchen for ill children.

According to June the facility provides lunch, morning, and afternoon snacks in addition to drinking water. Per the director, the facility uses a paper sign-in/out and upon review, the record showed that all parents’ signatures matched and accounted for the number of children present.

All posting requirements are met by the facility, including the License, Parent’s Rights, and California Child Passenger Safety Law, as observed by the LPA.

The LPA reviewed the facility records, six children’s files, and two staff files. LPA found all required documents in the children’s files, including immunization records, LIC 700, and Personal Rights forms. LPA also confirmed that all necessary documents are available in the staff files, including Mandated Reporter Training and LIC 9052. LPA observed the director has a valid CPR which expires on 10/1/2025 and Mandated Reporter Certificate that expires on 9/30/2025.

The director 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.

See page 3.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: PETITE SORBONNE PRESCHOOL
FACILITY NUMBER: 410519028
VISIT DATE: 03/20/2025
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Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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, June M. Petty.

A notice of site visit was given to the director and must remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 03/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025
LIC809 (FAS) - (06/04)
Page: 3 of 3