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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004754
Report Date: 10/02/2023
Date Signed: 10/02/2023 03:40:02 PM

Document Has Been Signed on 10/02/2023 03:40 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:L'ACADEMY PRESCHOOL SAN MATEOFACILITY NUMBER:
414004754
ADMINISTRATOR:RACHEL HENDRIXFACILITY TYPE:
850
ADDRESS:608 N. EL CAMINO REALTELEPHONE:
(415) 361-1879
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 18DATE:
10/02/2023
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME BEGAN:
01:19 PM
MET WITH:Helena GengTIME COMPLETED:
03:50 PM
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On October 2, 2023, Licensing Program Analyst (LPA) Sheran Lo conducted an unannounced case management inspection and met with the Director Helena Geng. The purpose of the inspection was explained. Present in the facility were Director, 5 teachers, and 18 children in care.

Facility is requesting to decrease capacity to operate with 22 children ages 2 to entry into first grade and 10 children ages 18 to 36 months in two separate sections of the room. A child safety gate will be installed to create two sections of the room. Facility will provide photo when it is installed. LPA measured and inspected for health and safety hazards.

Facility will use a rotation schedule for outdoor space for each age group. Director is aware that the different age groups can not commingle at any time.

This request will be approved when our office receives fire clearance.

Exit interview was conducted with Director Helena Geng. Report and Notice of Site Visit was provided.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE: DATE: 10/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/02/2023
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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