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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004679
Report Date: 04/09/2024
Date Signed: 04/09/2024 02:18:12 PM


Document Has Been Signed on 04/09/2024 02:18 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 KIDZFACILITY NUMBER:
414004679
ADMINISTRATOR:FRANCIS, SOPHINFACILITY TYPE:
830
ADDRESS:1496 ADOBE DRIVETELEPHONE:
(650) 735-5249
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY:18CENSUS: DATE:
04/09/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Sophin FransisTIME COMPLETED:
02:30 PM
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On April 9, 2024, at approximately 1pm, Licensing Program Analysts (LPAs) Janet Gil and Winnie Lee arrived at the facility. LPAs conducted an unannounced case management inspection for an increase of capacity. LPAs met with Director, Sophin Fransis. The facility has requested to increase capacity from 18 to 19 infant children. Fire clearance has been granted. Present in the facility were 14 infant age children with 5 staff. All adults working in the facility are fingerprint cleared.

The facility is located on Adobe Drive. Facility’s infant license is currently licensed for 18 infant children in classroom D. LPAs measured room D. Classroom D measured for a total of 668.297 allowing 19 infant age children.

LPAs inspected classroom D for health and safety hazards. LPAs observed that there is a smoke detector, carbon monoxide detector, and fire extinguisher in classroom. Smoke and carbon monoxide detector was not tested due to children in care being in nap time. LPAs observed facility has no cleaning solutions, poisons, or other chemicals accessible to children to children in care. Rooms have age-appropriate toys and no accessible outlets.

This facility meets the licensing requirements to increase capacity to 19 infants and re-licensure is recommended and approved as of today, 4/9/2024. New license shall be posted when received.
No deficiencies were cited today. Exit interview and report was discussed with director Sophin Fransis.

This report and notice of site visit were discussed with the licensee and must be made available to the public upon request. For a quarterly update on Licensing information, go to the CCL website: www.ccld.ca.gov.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Janet GilTELEPHONE: 650-266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/09/2024
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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