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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005063
Report Date: 12/29/2023
Date Signed: 12/29/2023 02:37:10 PM

Document Has Been Signed on 12/29/2023 02:37 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:GLORIOUS ACADEMYFACILITY NUMBER:
414005063
ADMINISTRATOR:JEN, SARAHFACILITY TYPE:
830
ADDRESS:2727 S. EL CAMINO REAL, #FTELEPHONE:
(650) 671-8991
CITY:SAN MATEOSTATE: CAZIP CODE:
94403
CAPACITY: 16TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
12/29/2023
TYPE OF VISIT:PrelicensingANNOUNCEDTIME BEGAN:
01:40 PM
MET WITH:Sarah JenTIME COMPLETED:
03:30 PM
NARRATIVE
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On December 29, 2023 at approximately 1:40pm, Licensing Program Analyst (LPA) Catrina Quimbo, conducted a follow up pre-licensing inspection. LPA met with applicant, Sarah Jen, and explained the purpose of the inspection. No children were present during LPA's visit.

Applicant is requesting a combination center of an infant program (3 months to 24 months) and a preschool program (2 years to entry into first grade). Applicant is requesting for 16 infants and 85 preschool children.

Applicant submitted application November 1, 2023. LPA conducted initial pre-licensing visit November 28, 2023.

Based on LPA's visit conducted 11/28/2023, following had to be completed:
-Posting of all required licensing documentation.
-Installation of working carbon monoxide detector.
-Sound alarm system on exit door in infant classroom.
-Submission of all documents indicated on LIC184C.
-LPA's review and approval of resubmitted documents indicated on LIC184C.
-Management approval (open space as outdoor space).

During LPA's visit conducted on this date, no measurements were taken today. LPA inspected day care areas for corrections needed.

Fire clearance for 16 infant children was obtained 11/17/2023. LPA observed posting of required licensing documentation to be properly posted outside classroom. LPA observed sound alarm system on exit door in infant classroom to be working. Per applicant, fire alarm system installed in facility is a dual smoke and carbon monoxide detector. LPA advised applicant to install additional carbon monoxide detectors in each classroom.
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SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE: DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 12/29/2023
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 2
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: GLORIOUS ACADEMY
FACILITY NUMBER: 414005063
VISIT DATE: 12/29/2023
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LPA observed classroom to be equipped with age appropriate toys, materials and furniture. Children's materials were observed to be new, in good working condition. There is a crib in the classroom that was observed to be free of loose articles and items. There is sufficient storage for children's materials that will be maintained in facility's hallways.

Updated Indoors: The infant program will operate in infant classroom #4 only. The infant program was measured for 366.13 sq. ft. allowing for a capacity of 10 children.

Facility itself does not include an outdoor area. There is an open area in center that will be utilized as an "outdoor" activity space area only. During initial pre-licensing, applicant planned to utilize open area as an additional classroom and "outdoor" activity area with wall partitions. Due to wall partitions not yet being approved by the fire department, LPA will only approve of the open space as an "outdoor" area only.

Updated Outdoors: Entire open "outdoor" activity space measures for 4,724.49 sq. ft. allowing for a capacity of 62 children. Applicant plans to submit a waiver request to utilize open space as the "outdoor" activity space, that will be shared between preschool and infant programs. LPA did not observe any bodies of water on site.

During visit, LPA obtained updated proof of control of property with updated use of facility to include a child care center.

Based on classroom square footage, LPA will approve for a provisional license of 10 infant children, effective today's date.

LPA will approve for a regular license for the 10 infant children when following is complete:
-Updated fire clearance with updated capacity is obtained.
-Submission of all documents indicated on LIC184C.
-LPA's review and approval of resubmitted documents indicated on LIC184C.

Exit interview conducted and report was reviewed with applicant, Sarah Jen.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Catrina Quimbo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2023
LIC809 (FAS) - (06/04)
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