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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002750
Report Date: 10/30/2024
Date Signed: 10/30/2024 01:33:50 PM

Document Has Been Signed on 10/30/2024 01:33 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. (INFANT)FACILITY NUMBER:
414002750
ADMINISTRATOR/
DIRECTOR:		JAQUELINE GALDAMEZFACILITY TYPE:
830
ADDRESS:600 GRAND AVENUETELEPHONE:
(650) 837-9348
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 25TOTAL ENROLLED CHILDREN: 19CENSUS: 17DATE:
10/30/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:46 AM
MET WITH:Jacqueline and Ana GaldamezTIME VISIT/
INSPECTION COMPLETED:
02:00 PM
NARRATIVE
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On October 30th, 2024, Licensing Program Analysts (LPAs) Alvarado and Medrano and Licensing Program Manager (LPM) Rodriguez along with the South San Francisco Fire Inspectors, Terrance Gee and Caitlin Bucceri conducted a Case Management visit in-conjunction with a Plan of Correction visit to the facility’s preschool license at approximately around 10:35am. Upon arrival LPAs, LPM, and Fire Inspectors were allowed access to the facility by Teacher Mendez and Director Jacqueline Galdamez and stated the purpose of the inspection. LPAs, LPM, and Fire Inspectors toured and inspected the facility for health and safety hazards.

During the tour, at approximately 11:23 am, LPAs and LPM observed two infants sleeping on the floor in the infant classroom with a blanket placed on top of one of them.

California Code of Regulations, Title 22 Type B deficiencies are being cited on the following page(s):



This report and appeal rights were provided and exit interview was conducted with the Site Director, Jacqueline Galdamez. Notice of Site Visit and Type A Citation shall remain posted for 30 days.
Ali ZebilaTELEPHONE: (650) 730-4140
Diana AlvaradoTELEPHONE: 650-266-8800
DATE: 10/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/30/2024
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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Document Has Been Signed on 10/30/2024 01:33 PM - It Cannot Be Edited

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. (INFANT)
FACILITY NUMBER: 414002750

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/30/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/13/2024
Section Cited
CCR
101430(a)(3)(E)

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101430(a)(3)(E) Infant Care Activities
(a) Notwithstanding Section 101230, the following shall apply:(3)All infants shall be given the opportunity to sleep without distraction or disturbance from other activities at the center whenever the infant desires. (E) If an infant falls asleep before being placed in a crib, staff shall move the infant to a crib as soon as possible.

This requirement was not met as evidenced by:
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Executive director stated that they will submit a plan on how to prevent this from happening again as well as submit documentation for a training for infant staff about infant safe sleep.
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Based on observations of infant classroom, 2 infants were observed sleeping on the floor with blankets placed on top of them which is a potential health and safety risk to children in care.
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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.
SUPERVISOR'S NAME: Ali ZebilaTELEPHONE: (650) 730-4140
LICENSING EVALUATOR NAME: Diana AlvaradoTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 10/30/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/30/2024
LIC809 (FAS) - (06/04)
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