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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004945
Report Date: 03/13/2025
Date Signed: 03/13/2025 12:17:57 PM

Document Has Been Signed on 03/13/2025 12:17 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:KIDS KONNECT INFANT CARE & PRESCHOOLFACILITY NUMBER:
414004945
ADMINISTRATOR/
DIRECTOR:		GROMOWSKI, COURTNEYFACILITY TYPE:
850
ADDRESS:137 NORTH SAN MATEO DRIVETELEPHONE:
(650) 452-2542
CITY:SAN MATEOSTATE: CAZIP CODE:
94401
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 17DATE:
03/13/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:25 AM
MET WITH:Avinna Amores NublaTIME VISIT/
INSPECTION COMPLETED:
12:30 PM
NARRATIVE
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On March 13, 2025, at approximately 8:30 AM, Licensing Program Analyst (LPA) Zeynep Basak conducted an unannounced annual inspection and met with the director, Avinna Amores Nubla. The purpose of the visit was explained to the director, and LPA was granted access to the facility. The facility operates Monday to Friday from 7:30 AM to 5:30 PM.

Upon entry, LPA observed four staff members, including the director, and seventeen preschool children present. The facility operated within its capacity and complied with the staff-to-child ratio on this day. LPA verified the staff members’ background clearances on the Guardian website.

LPA inspected a daycare room, the children’s bathroom, the food preparation area, and the outdoor play area with the director. LPA observed that the temperature and ventilation levels are appropriately maintained. The facility is equipped with a carbon monoxide detector and a smoke alarm, along with a fully charged fire extinguisher (model 2A:10BC) located in the classroom. The director stated that the facility conducts a fire drill quarterly, with the most recent drill conducted on September 5, 2024.

LPA observed that the facility has age-appropriate furniture, toys, and educational materials in each classroom. The facility floors and rugs are in good condition and free of any hazards. Sleeping cots were observed in the storage area, and per the director, sheets are provided by the facility while blankets are brought from home and washed weekly.

LPA observed that the children’s bathroom toilets and sinks were clean, sanitary, and in working condition, with the water temperature at an appropriate level. LPA confirmed that all cleaning solutions and other chemicals are properly stored and made inaccessible to children.

See page 2.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE: DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/13/2025
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 3
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: KIDS KONNECT INFANT CARE & PRESCHOOL
FACILITY NUMBER: 414004945
VISIT DATE: 03/13/2025
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LPA inspected the kitchen and found it clean and free of any food contamination. LPA observed that food was properly stored and up to date.

LPA inspected the outdoor play area with the director and confirmed that there is a variety of play and sports equipment available for the children. All play structures are in good repair, and the playground is free from health and safety hazards. LPA observed the sand play area and discussed it with the director. Avinna stated that daily health and safety inspections are conducted before children use the sand play area.

LPA observed that the facility maintains a fully stocked first aid kit and a functioning telephone. Per the director, there are seven children with allergies enrolled at this time. LPA observed that the medication box was properly stored and contained the required forms alongside the EpiPen/medication in the original box and was up to date.

The director stated that there is an isolation area in the office for ill children to wait until their guardians arrive.

LPA observed no bodies of water on the premises.

According to Avinna, the facility provides lunch, morning, and afternoon snacks in addition to drinking water. Per the director, the facility uses an electronic sign-in/out app called Pro Care. Parents are provided with a scan code to sign in and out. Upon review, the record showed that all parents’ signatures matched and accounted for the number of children present.

All posting requirements are met by the facility, including the License, Parent’s Rights, and California Child Passenger Safety Law, as observed by the LPA.

The LPA reviewed the facility records, the children’s files, and the staff files. LPA found all required documents in the children’s files, including immunization records, LIC 700, and Personal Rights forms. LPA also confirmed that all necessary documents are available in the staff files, including Mandated Reporter Training and LIC 9052.

See page 3.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
Page: 2 of 3
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: KIDS KONNECT INFANT CARE & PRESCHOOL
FACILITY NUMBER: 414004945
VISIT DATE: 03/13/2025
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The director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records.
For IMS information see PIN 22-02-CCP. 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 director 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.

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.

No deficiencies were cited today.
A notice of site visit was given to the director and must remain posted for 30 days.
An exit interview was conducted, and the report was reviewed with the director, Avinna Amores Nubla.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Zeynep Basak
LICENSING EVALUATOR SIGNATURE:

DATE: 03/13/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025
LIC809 (FAS) - (06/04)
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