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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004138
Report Date: 09/17/2026
Date Signed: 09/17/2026 11:37:15 AM

Document Has Been Signed on 09/17/2026 11:37 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:THOMAS EDISON ELEMENTARY SCHOOLFACILITY NUMBER:
414004138
ADMINISTRATOR/
DIRECTOR:		ZIMIGA, LISAFACILITY TYPE:
850
ADDRESS:1267 SOUTHGATE AVENUETELEPHONE:
(650) 991-1250
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 14DATE:
09/17/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Geraldine MalunayTIME VISIT/
INSPECTION COMPLETED:
11:50 AM
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On September 17, 2026, Licensing Program Analyst (LPA) Van conducted an unannounced inspection of the preschool program at the Thomas Edison Elementary School campus. LPA met with Site Supervisor Geraldine Malunay, who granted access to the classroom and confirmed the inspection's purpose. The center Director, Lisa Zimiga, was not present. At the time of inspection, the site supervisor, a teacher aide, and a substitute were supervising 14 children. The center met its staffing-to-children ratios and was in compliance.

The program operates in classroom KB only, Monday through Friday from 8:00 AM to 2:30 PM. All staff are fingerprinted through the Jefferson Elementary School District.

LPA conducted a walkthrough of the indoor and outdoor activity spaces with the Site Supervisor. The preschool classroom was orderly, well-maintained, and arranged into designated areas for calming, reading, writing, and play. Age-appropriate toys, learning materials, and furnishings were in good condition. The Site Supervisor reported that staff sanitize toys and materials daily, and district custodial staff clean the carpets daily. Electrical outlets were secured with child-safety covers, and staff stored cleaning supplies on high shelves, out of children's reach. Lower cabinets contained no hazardous materials.

Safety equipment in the classroom included a functioning centralized fire alarm system, smoke detectors, a fully charged fire extinguisher, and a stocked first aid kit. A carbon monoxide detector was present. A working classroom phone was also available. Children’s belongings were stored in labeled cubbies with names and photos. Classroom sinks were accessible, functioning properly, and stocked with appropriate sanitation supplies.


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Garfield Leung
Brendon Van
DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 5
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: THOMAS EDISON ELEMENTARY SCHOOL
FACILITY NUMBER: 414004138
VISIT DATE: 09/17/2026
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The children’s restroom is located within the classroom and was clean, sanitary, and equipped with appropriate toileting fixtures.

LPA observed the nap area where children rest on individual cots labeled with their names. The school district provides sheets and blankets, which are sent home weekly, or more often if needed, for laundering. Staff members sanitize cots weekly or as needed. Staff stores each child’s blanket separately in a labeled bag to prevent contact with other children’s bedding.

Meals are served inside the classroom. The school district provides breakfast, lunch, and snacks. The daily menu was posted and available for review. A covered trash bin was present, and the Site Supervisor stated that custodial staff removes garbage daily. Drinking water is accessible indoors and outdoors through individual water bottles that can be refilled at the classroom sink or water fountain.

The outdoor play yard is fully enclosed and shared with other district programs. The classroom posted a shared-use outdoor waiver. The yard contained a play structure with resilient surfacing underneath, along with various outdoor toys and materials in good condition. The play structures had a manufacturer sticker label indicating they were appropriate for children aged 2-5. The yard storage sheds were locked and inaccessible to children. No bodies of water were observed on the premises.

LPA reviewed a sample of children’s and personnel records. Children’s files were complete and included required documents such as immunization records, admission agreements, needs and services plan, emergency contact information, and personal rights forms.

Multiple staff members held current CPR certifications, maintained required immunization records, and were up to date on mandated reporter training. The site supervisor’s and staff members’ educational documentation confirmed completion of the required ECE units. However, the substitute teacher had no paperwork available for review during the inspection. According to the substitute, she is employed by the school district, and all of her records are with the district office.


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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
LIC809 (FAS) - (06/04)
Page: 3 of 5
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: THOMAS EDISON ELEMENTARY SCHOOL
FACILITY NUMBER: 414004138
VISIT DATE: 09/17/2026
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According to the Site Supervisor, the center conducted monthly fire and earthquake drills with the elementary school, and the most recent drills were completed on 8/27/2026.

The Site Supervisor 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.

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

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

The Site Supervisor 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.


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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
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: THOMAS EDISON ELEMENTARY SCHOOL
FACILITY NUMBER: 414004138
VISIT DATE: 09/17/2026
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LPA discussed Child Abuse Mandated Training AB1207 with the Site Supervisor. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Pesticide regulations were discussed with the Site Supervisor. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The Site Supervisor was advised that a free one-hour online course is available on the Department of Pesticide Regulation's website: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov

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.

During today’s inspection, LPA requested the following updated documents from the Center to complete the 2026, annual inspection.

· LIC 308 - Designation of Responsibility


· LIC 500 – Personnel Report
· LIC 610 – Emergency Disaster Plan
· Site supervisor documentation/qualification for Geraldine Malunay. LPA provided the required checklist to Ms. Malunay during the visit.

No deficiencies were cited today.
A notice of site visit was given and must remain posted for 30 days.

The exit interview was conducted, and the report was reviewed with the Site Supervisor, Geraldine Malunay

NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2026
LIC809 (FAS) - (06/04)
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