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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005081
Report Date: 06/10/2025
Date Signed: 06/10/2025 03:53:08 PM

Document Has Been Signed on 06/10/2025 03:53 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 KIDZ SCHOOLFACILITY NUMBER:
414005081
ADMINISTRATOR/
DIRECTOR:		SMITH, JESSICAFACILITY TYPE:
860
ADDRESS:1633 LAUREL STREETTELEPHONE:
(650) 718-6800
CITY:SAN CARLOSSTATE: CAZIP CODE:
94070
CAPACITY: 72TOTAL ENROLLED CHILDREN: 63CENSUS: 52DATE:
06/10/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Director, Jessica Smith and Owner, Navin ChughTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On June 11th, 2025, at approximately 12:00pm, Licensing Program Analyst (LPA) Tapia-Mandujano conducted a Case Management-Incident unannounced inspection. LPA explained the purpose of the inspection with Director, Jessica Smith.

Facility is a single license that offers infant, toddler, and preschool age components. Present in the facility were Director, 8 infant children with 3 staff in Caterpillars, 14 toddlers with 4 staff between Ladybugs and Grasshoppers, and 30 preschool age children between Dragonflies and Honeybees. Owner, Navin Chugh arrived during inspection. All adults present during inspection have fingerprint clearance and are associated.

Department was notified of an Unusual Incident Report on May 30th, 2025. Facility reported an incident that occurred on May 30th, 2025 in the Infant classroom (Caterpillars) where a child had an allergic reaction and emergency services were contacted. During today's inspection, LPA interviewed Director and Owner, conducted a health and safety inspection, and obtained information about polices and procedures for administering medication.

Based on interviews conducted, Child (C1) had an allergic reaction to egg in the Infant classroom. Per interviews conducted, parents for all children in the Infant classroom bring their own food and snacks. On 5/30/25, another child in the classroom brought eggs. Per interviews conducted, the child who brought eggs ate separately from C1 around 11:30am. Per interviews conducted, staff were aware of the egg that was brought on this day and separated C1 from child who was eating eggs. Staff cleaned off the feeding chair, cleaned the floor for any excess, and washed the child’s hand for C1’s safety.

Per interviews conducted, it is not determined exactly how C1 could have been exposed to the eggs due to the staff taking safety precautions. At approximately 1:20pm, C1 started to display mild symptoms of an allergic reaction. Facility notified family of C1’s symptoms and due to the symptoms becoming more severe, staff had to administer epi-pen and contacted emergency services. C1 no longer needed medication and return to the facility on June 2nd, 2025.

Due to the incident occurring, Facility has asked all families in the program to no longer bring any egg/egg-based food items to the facility as of June 2nd, 2025. Based on information and procedures being followed, department believes the facility followed appropriate procedures.

No Deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.

A notice of site visit was given and must remain posted for 30 days.

Exit interview was conducted and report was reviewed with Director, Jessica Smith and Owner, Navin Chugh. A copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Leslit Tapia-Mandujano
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/10/2025
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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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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