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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005081
Report Date: 07/21/2025
Date Signed: 07/21/2025 05:14:04 PM

Document Has Been Signed on 07/21/2025 05:14 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: 56CENSUS: 46DATE:
07/21/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:20 AM
MET WITH:Director, Jessica Smith and Owner, Navin ChughTIME VISIT/
INSPECTION COMPLETED:
05:45 PM
NARRATIVE
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On July 21st, 2025, at approximately 9:20am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced Case management -deficiencies in concurrent with a complaint investigation. LPA met with Director, Jessica Smith. Owner, Navin Chugh arrived during the inspection. LPA explained the purpose of the inspection.

Facility is a single license that offers infant, toddler, and preschool age components. Present in the facility today were Director and 11 staff supervising 6 infants in Caterpillars, 15 toddlers in Ladybugs and Grasshoppers, and 25 preschool age children in Dragonflies and Honeybees. LPA verified that all adults present during inspection have fingerprint clearance and are associated.

During the course of the investigation of the complaint, LPA obtained video footage as part of the investigation. While reviewing the video footage, LPA observed that there were instances where the preschool classroom was operating over appropriate teacher to child ratio by stepping out of the classroom. LPA also observed staff being on their phones while children were outside and staff stepping out of classrooms while children slept resulting in children being left without direct visual observation from staff. Based on observations from video footage, facility will receive two type B deficiencies.

***California Code of Regulations, (Title 22, Div. 12, Ch 3) were cited on this day. Please refer to 9099D for more information.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required will result in an immediate $100 civil penalty. This report is public and can be reviewed.

Exit interview conducted and report was reviewed with Director, Jessica Smith and Owner, Navin Chugh. Appeal rights were provided during visit.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Leslit Tapia-Mandujano
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/21/2025
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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Document Has Been Signed on 07/21/2025 05:14 PM - It Cannot Be Edited


Created By: Leslit Tapia-Mandujano On 07/21/2025 at 03:51 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BUILDING KIDZ SCHOOL
FACILITY NUMBER: 414005081

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/21/2025
Section Cited
CCR
101216.3(a)

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101216.3: Teacher-Child Ratio: (a) "There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance"

This requirement was not met as evidenced by:
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Facility has been made aware that the staff are stepping out of the classroom causing the classroom to be operating out of appropriate teacher to child ratio.

Facility will submit a written plan on how they will esnure that staff are following appropriate teacher to child ratios.
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Based on observation and record review of video footage, there were instances where the preschool classrooms were more than 12 children with one teacher present by stepping out of the classroom, which poses a potential health, safety or personal rights risk to persons in care.
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Facility will also retrain staff on teacher to child ratios and what steps to take if a staff has to step out of ratio.

Written plan and training notes must be submitted to LPA Tapia-Mandujano via email by August 21st, 2025.
Type B
08/21/2025
Section Cited
CCR101229(a)(1)

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101229 Responsibility for Providing Care and Supervision:(a)"The licensee shall provide care and supervision as necessary to meet the children's needs...(1)...Supervision shall include visual observation."

This requirement was not met as evidenced by:
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Facility was made aware that staff are not following the facilities supervision policy and are not having direct visual observation of children in care at all times.

Facility will submit a written plan on how they will ensure that the staff have direct visual observation of children at all times both inside and outside.
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Based on observation and record review of video footage, there were instances where teachers did not have direct visual supervision of children which poses a potential health, safety or personal rights risk to persons in care.
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Facility will have a training to enforce the written plan and practices for staff to have visual observation of children at all times both inside and outside.

Written plan and training notes must be submitted to LPA Tapia-Mandujano via email by August 21st, 2025.
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Leslit Tapia-Mandujano
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 07/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/21/2025


LIC809 (FAS) - (06/04)
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