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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002941
Report Date: 11/25/2025
Date Signed: 11/25/2025 04:48:39 PM

Document Has Been Signed on 11/25/2025 04:48 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:ODYSSEY PRESCHOOLFACILITY NUMBER:
414002941
ADMINISTRATOR/
DIRECTOR:		ANNE DIAMOND, DIRECTORFACILITY TYPE:
850
ADDRESS:1151 E HILLSDALE BLVD.TELEPHONE:
(650) 525-1727
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 142TOTAL ENROLLED CHILDREN: 142CENSUS: 64DATE:
11/25/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:30 PM
MET WITH:Brooke Mace TIME VISIT/
INSPECTION COMPLETED:
04:50 PM
NARRATIVE
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On 11/25/2025 at 12:30PM., Licensing Program Analyst (LPA), Luis Gomez met with Assistant Director, Brooke Mace. The purpose of today's visit was explained and was for an unannounced,- annual random inspection. This facility is a combination center preschool with a toddler classroom onsite. Present was the Assistant Director and 12 staff supervising 64 children. Per Assistant Director, Licensee/ Director is not on site. The days and hours of operation are Monday- Friday, 8:30-5:30PM. The staff have criminal record clearances on file, and children present have been signed-in by guardians. The program utilizes 5 classroom: #1 (3-5 years old); # 2 (3-5 year old); #3 (3-5 year old); #4/ Toddler (18-36 months old); #5 (2-3 year olds) two shared, outside play areas (Preschool yard and Toddler yard). Signed waiver for rational use of outdoor space was observed posted in lobby. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 12:40PM., LPA observed the following: Classrooms were clean and neat, with age-appropriate materials and playthings available for the children. The classrooms were equipped with several tables/ chairs, and cubbies for children’s belongings. The furniture inspected was scaled to the appropriate size. LPA advised facility to cover the exposed sharp cornered furniture.

At 1:15PM., Based on observation, LPA confirmed accessible microwave oven in classroom #5. The children’s bathrooms were observed clean with supplies for hand washing. The toilets and faucets inspected were in operating condition, and diaper changing tables were available for staff as needed.

At 1:17PM., Based on observation, LPA observed trashing used for disposal of solid waste without a tight-fitting lid outside toddler classroom. Advisory Note: Technical Violation (LIC9102TV) was issued.

For scheduled rest/ napping services, LPA observed stackable cots available in each classroom. Per director, blankets and napping supplies are washed weekly by families. (REFER TO 809C, FOR CONT.)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/25/2025
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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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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Document Has Been Signed on 11/25/2025 04:48 PM - It Cannot Be Edited


Created By: Luis Gomez On 11/25/2025 at 03:54 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: ODYSSEY PRESCHOOL
FACILITY NUMBER: 414002941

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/25/2025

DEFICIENCIES & PLANS OF CORRECTION (POCs)
Type B
Section Cited
CCR
101238.3(b)
Indoor Activity Space
(b) The floors of all rooms shall have a surface that is safe and clean.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 1:30PM., Based on observation, LPA confirmed several holes (3) located on turf in preschool play yard. This poses a potential risk to the health and safety of children in care.
POC Due Date: 12/05/2025
Plan of Correction
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Facility will fill/ cover all holes (3) in preschool play area by the due date: 12/5/2025.
Proof of correction will be submitted to the Department via email.
Type B
Section Cited
CCR
101238(a)
Buildings and Grounds
(a) The child care center shall be clean, safe, sanitary and in good repair at all times to ensure the safety and well-being of children, employees and visitors.

This requirement is not met as evidenced by:
Deficient Practice Statement
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At 1:15PM., Based on observation, LPA confirmed accessible microwave oven in classroom #5. This poses a potential risk to the health and safety of children in care.
POC Due Date: 12/05/2025
Plan of Correction
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Facility will remove accessible microwave from classroom #5, by the due date: 12/5/2025.
Proof of correction will be submitted to the Department via email.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Luis Gomez
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 11/25/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/25/2025


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: ODYSSEY PRESCHOOL
FACILITY NUMBER: 414002941
VISIT DATE: 11/25/2025
NARRATIVE
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(Page 2)
The classroom has adequate ventilation, lighting; and was a comfortable temperature for the children. Facility had a functioning telephone service and fire extinguishers (3A40BC) and carbon monoxide detector.

At 1:20PM, LPA reviewed the outside play areas, Preschool and Toddler play yards. LPA observed climbing structure available with absorbent material (turf) installed underneath. Both outside areas were enclosed with available shading and seated rest. LPA observed drinking water was available via refillable bottles, for children to drink as they wish.

At 1:25PM., Based on observation, LPA confirmed debris and dirt on accessible water fixture on the preschool yard. Advisory Note: Technical Violation (LIC9102TV) was issued.

At 1:30PM., Based on observation, LPA confirmed several holes located on turf in preschool play yard.

At 2:20PM., LPA reviewed facility records including a sample of 3 children’s files and the personnel files. The personnel files reviewed contained Teacher's Proof of Qualifications; Notice of Employee Rights (LIC9052); Acknowledgement to Report Suspected Child Abuse (LIC9108); Personnel Record/ Resume; and Proof of completed mandated reporter training course (AB1207)

LPA reminded director to ensure the staff’s proof of immunization is stored in the facility records. Advisory Note: Technical Violation (LIC9102TV) was issued.

The children’s files were reviewed and contained the: Identification and Emergency Information; Notification of Parent’s Rights; Consent for Emergency Medical Treatment; Immunization Record; and Personal Rights (LIC613A).

The staff is documenting infant napping conditions during each 15 minute review, via the application on tablet. Logs included name, date, time, and staff's name.

The staff's Cardiopulmonary Resuscitation / Pediatric First Aid certification was current, expiring on: 07/31/2027.

The combination center is conducting emergency disaster drills (earthquake and fire) every 6 months, with last drills completed on: 9/12/2025.

The required postings include the: Facility License; Notification of Parent’s Rights (PUB394); Personal Rights (LIC613A); The Passenger Safety Laws (PUB269); Outdoor Space Waiver; Menus (November, 2025); and Emergency Disaster Plan (LIC610). (REFER TO 809C, FOR CONT.)

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC809 (FAS) - (06/04)
Page: 8 of 8
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: ODYSSEY PRESCHOOL
FACILITY NUMBER: 414002941
VISIT DATE: 11/25/2025
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Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.
LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN21-21- CCP.

The assistant director, Brooke Mace 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 Child Care Center. A civil penalty of $100.00 minimum/ day for maximum of 5 days or, if the penalty is repeat violation, for a maximum of 30 days per person will be assessment if this regulation is violated.

The facility’s Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. 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/.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication.

Based on today's inspection, deficiencies were observed in the areas evaluated according to the Title 22, Division 12, Chap. 1 Ca. Code of Regulations and cited on LIC809D. An exit interview discussing facility evaluation report and plan of correction was conducted with Assistant Director. The assistant director signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was provided and must remain posted for 30 days. Assistant Director was advised, any additional questions/ concerns to contact the San Bruno Regional Office, Mon-Fri, 8:00am-5:00pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Luis Gomez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC809 (FAS) - (06/04)
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