414002749-10-22-2026-05-CC-DALO-DZ52ZX-20261022175104

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 414002749
Report Date: 10/22/2026
Date Signed: 10/22/2026 05:51:26 PM

Document Has Been Signed on 10/22/2026 05:51 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:	BUILDING KIDZ OF SSF, INC.(PRESCHOOL)		FACILITY NUMBER:	414002749
ADMINISTRATOR/ DIRECTOR:	JASMIN WOOD		FACILITY TYPE:	850
ADDRESS:	600 GRAND AVENUE		TELEPHONE:	(650) 837-9348
CITY:	SOUTH SAN FRANCISCO	STATE: CA	ZIP CODE:	94080
CAPACITY: 54	TOTAL ENROLLED CHILDREN: 54	CENSUS: 42	DATE:	10/22/2026
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	08:53 AM
MET WITH:	Regional Director, Sabrina Bhandari and Facility Director, Jasmin Wood.		TIME VISIT/ INSPECTION COMPLETED:	06:00 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 22, 2026 at approximately 8:50AM, Licensing Program Analysts (LPA) Alvarado conducted an unannounced annual visit at the facility. LPA met with Director, Jasmin Wood (D1), and explained the purpose of the visit. Shortly after Regional Director, Sabrina Bhandari(S1) arrived to the facility Present during the visit was S1,D1, 6 staff members, and 42 Children (9 Toddlers and 33 Preschoolers). The facility’s operating hours are Monday to Friday, 7:00AM to 6:00PM. This facility is a combination center, with an infant center (414002750) located on the same premises. The Facility is currently using The Waddlers Classroom(Room3), Sunshine Classroom(Room 4), and Moonlight/Preschool #2(Room 5). Facility is also currently using the Gymnasium and the Chapel for activities three days of the week with teacher lead activities such as Music and Dancing, that are no more than 30Mins. LPA along with D1 inspected the facility for any health or safety hazards, indoors and outdoors. The facility is equipped with operational Duo Carbon Monoxide and Smoke Alarm Detector that was tested and observed to be functional. There is also a fire alarm system running throughout the facility. There are fully charged fire extinguishers that are at least size 3A:40B:C. Emergency exits are marked and visible. First aid kits were observed and stored inaccessible to children. Poisons, cleaning detergents, or other chemicals are stored inaccessible to children. LPA reminded the facility that all Poisons, cleaning detergents, or other chemicals must be made inaccessible to children in care. Outlets were observed to be covered or blocked by furniture when not in use. Continued on Page 2...

Ali Zebila
Diana Alvarado
	DATE: 10/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026

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: BUILDING KIDZ OF SSF, INC.(PRESCHOOL)	FACILITY NUMBER: 414002749
	VISIT DATE: 10/22/2026

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LPAs observed there to be age-appropriate toys and learning materials present. Furniture is age-appropriate and free of rough or sharp edges. There are cubbies and hooks used to store children’s belongings. Children nap on mats that the facility provides. Bedding is brought from home and taken back once a week for laundering and to be returned the following week. LPA observed 3 Sinks and 4 Toilets. LPA observed toilets and sinks to be operational. The facility provides all meals for children and accommodates dietary needs and preferences if families prefer to bring food from home. Medication is stored centrally in the classroom and is kept with documentation such as consent forms and physician’s instructions regarding medication. Facility also has an allergy list posted for staff review.

There is an outdoor space reserved for the facility that is located across the street. Based on discussion with D1 and S1, the outdoor space is currently being worked on and requires additional work to be completed prior to use by the facility. Children are taken to the Gymnasium for play. There are no swimming pools or other similar bodies of water present in the facility. Per D1, there are no firearms or weapons stored in the facility.

LPA reviewed 7 staff files There is at least one staff member present with current Pediatric First Aid/CPR training on file Expiring 9/2028. Mandated Reporter Training certificates are available for review. Teacher’s transcripts are available for review. During Record Review, LPA observed that one teacher that was observd earlier in the morning does not meet the aid requirements. Facility will be issued one Type B ciation in regards to A ratio of one fully qualified teacher (as specified in Section 101216.1(c)) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d). During the record review, the aid did not meet the qualifications based on record review and LPA Reviewed 10 children’s files and Children’s files were observed to be complete.

LPA reviewed facility records observed all required postings to be posted and accessible for review in the main hallway of the facility. The facility last conducted an emergency drill on 9/2026. Drills are logged and available for review. Children are signed in and out via the facility’s app, Building Kidz Connect, or via paper sign-in/out sheets.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026

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: BUILDING KIDZ OF SSF, INC.(PRESCHOOL)	FACILITY NUMBER: 414002749
	VISIT DATE: 10/22/2026

NARRATIVE

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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.

Licensee [or facility representative] 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.

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.
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).

CCC COMPLETED TESTING AND IS IN THE PROCESS OF REMEDIATING LEAD
EXCEEDANCES, or

The facility tested its fixtures for lead on 1/18/2023. There is an exceedance of lead in Fixture C, which has a parts-per-billion (ppb) level of 11.0. LPA requested that forms LIC999 (with all tested fixtures labeled), LIC9275, and LIC9276 be submitted via email for review.

LPA referred licensee [or facility representative] to the Department website for lead: Lead
Toxicity Prevention and Water Testing Information.

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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026

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: BUILDING KIDZ OF SSF, INC.(PRESCHOOL)	FACILITY NUMBER: 414002749
	VISIT DATE: 10/22/2026

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LPA discussed the safe sleep regulations with licensee [or facility representative] and
discussed the Child Care Licensing Safe Sleep webpage at
https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-andresources/
safe-sleep as an additional resource. LPA also informed licensee [or facility
representative] of the importance of checking for recalled infant devices on the United States
Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and
recommended they register all infant devices with the CPSC to be notified of any recalls on
their purchased equipment.

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/.

Facility representative 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.

PIN 26-11-CCP was discussed and a copy was provided.

See LIC809D for deficiencies cited today regarding Staffing Ratio & Capacity. See LIC9102TV and LIC9102TA for technical violations and assistance provided today regarding records and documentation. Appeal rights were provided and explained.

A notice of site visit was provided and must remain posted for 30 days. Exit interview conducted and report was reviewed with Facility Representative, Jasmin Wood.

NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Diana Alvarado
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026

LIC809 (FAS) - (06/04)

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Document Has Been Signed on 10/22/2026 05:51 PM - It Cannot Be Edited

Created By: Diana Alvarado On 10/22/2026 at 04:24 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
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BUILDING KIDZ OF SSF, INC.(PRESCHOOL)	FACILITY NUMBER: 414002749
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/22/2026

DEFICIENCIES & PLANS OF CORRECTION (POCs)

Type B

Section Cited

CCR

101216.3(b)(1)

Teacher-Child Ratio

(b) The licensee may use teacher aides in a teacher-child ratio of one teacher and one aide for every 15 children in attendance. (1) A ratio of one fully qualified teacher (as specified in Section 101216.1(c) and one aide for every 18 children in attendance in a preschool program is allowed when the aide meets the qualifications specified in Section 101216.2(d). This requirement is not met as evidenced by:
	Deficient Practice Statement
1 2 3 4	Based on observation and record review, the licensee did not comply with the section cited above in one teacher aid who does not meet the qualifications specified in Section 101216.2(d) was observed present in the classroom with a qualified teacher and 18 preschool children present. which poses/posed a potential health, safety or personal rights risk to persons in care.
	POC Due Date: 11/06/2026
	Plan of Correction
1 2 3 4	Facility will submit a written plan and schedule indicating which teachers may be present with 18 children to prevent a similar scenario where an aid who does not meet the requirements under this section to be used as a teacher aid, if having more than 15 preschool children at any given time. Facility will submit to LPA via email by 11/6/2026. LPA also provided a Ratio Chart.

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.

	Ali Zebila
NAME OF LICENSING PROGRAM MANAGER:

	Diana Alvarado
NAME OF LICENSING PROGRAM ANALYST:

LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/22/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2026

LIC809 (FAS) - (06/04)

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