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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002466
Report Date: 03/19/2025
Date Signed: 03/19/2025 12:35:43 PM

Document Has Been Signed on 03/19/2025 12:35 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:BERESFORD MONTESSORIFACILITY NUMBER:
414002466
ADMINISTRATOR/
DIRECTOR:		UMASHA GUNAWARDENAFACILITY TYPE:
850
ADDRESS:178 CLINTON AVENUETELEPHONE:
(650) 367-5027
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY: 45TOTAL ENROLLED CHILDREN: 45CENSUS: 34DATE:
03/19/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:32 AM
MET WITH:Karina GarciaTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
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On March 19, 2025 @ 11:30 am, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced case management visit. LPA met with Director Karina Garcia and the purpose of the inspection was explained. Present in the facility today was Director, 6 staff and 34 children. LPA inspected classroom for Health and Safety Hazards.

Case Management visit was for an unusual incident report, which was self-reported by facility on 03/04/2025. Incident happened in Ladybirds classroom. Per Director, on 02/26/2025 children were washing hands at the sink. Sink is located next to door on left hand side. As C1 was waiting their turn, C1 put their hand in between the gap in the opened door. Per T1, C2 closed the door and C1’s fingers were smashed when door was closed. C1;s parents were called by Site supervisor and parent came to pick up C1. Per Director, C1 seemed fine, and a band aid was put on C1 finger. Per Director, C1 later expressed C1’s fingers hurt when touched. Parent took C1 for x-rays and it was determined child had fractured finger.

During today’s visit LPA spoke with T1 and C1 regarding incident. LPA observed C1’s fingers bandaged. C1 stated C1 had put her fingers between the open gap of opened door. LPA determined incident was an isolated incident and an accident. Director discussed with staff the importance of not allowing children to close doors or lift stoppers to close doors. Staff also had a discussion with children about safety and not to put fingers between doors and not closing doors themselves.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

Notice of site visit shall be posted and shall remain posted for 30 days.

Exit interview was conducted and report was reviewed with Director, Karina Garcia.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 03/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/19/2025
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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