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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414001933
Report Date: 08/09/2023
Date Signed: 08/10/2023 09:01:36 AM

Document Has Been Signed on 08/10/2023 09:01 AM - 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:SAN MATEO-FOSTER CITY SCHL DIST - PARKSIDE SCHOOLFACILITY NUMBER:
414001933
ADMINISTRATOR:CRISTINA HALEYFACILITY TYPE:
850
ADDRESS:1685 EISENHOWER STREET, ROOM 7TELEPHONE:
(650) 312-7575
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 0DATE:
08/09/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Principal, Cristina HaleyTIME COMPLETED:
01:45 PM
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On August 9th, 2023 at approximately at 11:40am, Licensing Program Analyst (LPA) Tapia-Mandujano arrived at the facility. LPA conducted an announced case management inspection for a room change from Room #5 to Room #8 without a capacity change. LPA met with Principal, Cristina Haley. Present in the facility are Principal, the facility is currently closed for the Summer. First day of school is August 15th, 2023. Fire clearance is pending.

Facility is located on Parkside Elementary School. Facility is licensed for 24 preschool age children in Room #5. Facility is requesting to do a room change from Room #5 to Room #8. Facility will also like to have preschool enrolled children's be in Rooms #1- #5 with TK and Kinder enrolled children as a group in the morning.

LPA measured Room #8 to measure to be 762.551sqft allowing for 21 children in the classroom. LPA also measured Room #1- #5 3514sqft. allowing for more than 24 preschool children.

LPA inspected Room #8 for health and safety hazard. Classroom is not fully set up. LPA observed that there is a working smoke detector, carbon monoxide detector, and fire extinguishers available in the classroom. Facility will ensure all cleaning solutions, poisons, and other chemicals that are dangerous to the children are stored inaccessible to the children. Room has age appropriate furniture. Furniture is steady and in good repair. Floor appears to be in good repair and free of any hazards. There is one sink in the classroom for children's use. Restroom Waiver to use adult size bathroom's sink will be requested.

Prior to approving room change of Room #8, the pending items must be completed:
*Fire Clearance is required
*Classroom needs to be fully set up
*Restroom Waiver needs to be approved
*Pending Management review of request to commingle preschool enrolled children and elementary school children

No deficiencies were cited today. Exit interview and report was discussed with Principal, Cristina Haley

This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For a quarterly update on Licensing information, go to the CCL website: www.ccld.ca.gov.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Leslit Tapia-Mandujano
LICENSING EVALUATOR SIGNATURE: DATE: 08/09/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/09/2023
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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