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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005081
Report Date: 08/21/2025
Date Signed: 08/21/2025 07:18:08 PM

Document Has Been Signed on 08/21/2025 07:18 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: 47CENSUS: 41DATE:
08/21/2025
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:15 PM
MET WITH:Director, Jessica SmithTIME VISIT/
INSPECTION COMPLETED:
05:50 PM
NARRATIVE
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On August 21st, 2025 at 12:15pm, Licensing Program Analyst (LPA), Tapia-Mandujano conducted an unannounced inspection for the plan of correction (POC) inspection regarding the substantiated complaint and case management inspection that was conducted on 7/21/25. LPA met with Director, Jessica Smith. The purpose of the inspection was explained. Owner, Navin Chugh arrived during inspection.

During today’s visit, LPA also conducted a Health and Safety inspection. Facility is a single licensing with components for infants, toddlers, and preschoolers. Present in the facility were Director with 3 staff supervising 9 infants, 4 staff supervising 16 toddlers in two separate classrooms, and 4 staff supervising 16 preschoolers in two separate classrooms. During the health and safety inspection, LPA observed that there were a total 13 toddlers in the bathroom area exceeding the allowed grouping of 12. Type B citation was issued.

On 7/21/25, the facility was cited for a substantiated complaint and a case management-deficiencies that were found while conducting the complaint investigation. Facility received a Type A deficiency for not complying with Title 22 Regulations, Section 101223(a)(3) for Children’s personal rights. Facility also received two Type B citations for not complying with Tittle 22 regulations, Section 101216.3(a) for facility being out of teacher to child ratio and Tittle 22 regulations, Section 101229(a)(1) for facility not having direct supervision of children at all times.

During today’s inspection, LPA reviewed the agenda for training that was held on July 23rd, 2025 that included policies for Children’s Personal right’s, Supervision, and Ratios. All staff signed each policy acknowledging they understand the above policies. LPA also reviewed children’s file to ensure that the LIC 9224, Acknowledgement of Receipt of Licensing Report was signed and are placed in each child’s file. LPA also reviewed directors list checking off that the form was received.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Leslit Tapia-Mandujano
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/21/2025
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 4
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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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: BUILDING KIDZ SCHOOL
FACILITY NUMBER: 414005081
VISIT DATE: 08/21/2025
NARRATIVE
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LPA observed that the Notice of Site Visit and report documenting a Type A citation are posted on the parent board. LPA also reminded Owner, Navin Chugh and Director, Jessica Smith that parents must receive any documentation that documents any Type A citation. Per Owner and Director, the report was made available to parents by having it posted and having it available in the front desk to review and for parents to sign the LIC 9224 form (Technical Violation was issued).

Deficiencies cited on 7/21/25 were cleared today.

Based on today's inspection, deficiencies were observed according the Title 22 Division 12 Ca. Code of Regulations.

Exit interview was discussed with Owner, Navin Chugh and Director, Jessica Smith.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Facility was advised any additional questions to call Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Leslit Tapia-Mandujano
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 08/21/2025 07:18 PM - It Cannot Be Edited


Created By: Leslit Tapia-Mandujano On 08/21/2025 at 04:27 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: 08/21/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
09/02/2025
Section Cited

101804(b)(4)

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WD: 101804: Care for Toddlers within a Licensed Preschool Center: "(b)
Licensed child care centers with an optional toddler component shall be subject to the following requirements: (3) The maximum group size..., shall not exceed 12 toddlers."

This requirement is not met by evedice by:
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Facility will have a staff meeting for all staff to be aware that toddlers cannot exceed a maximum group size of 12 and discuss new procedure when using the restroom for children.

Facility has a daily routine schedule posted in each classroom with times when their classroom used the restroom and will also post a restroom schedule in each classroom for all staff to be made aware if the restroom is available.
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Based on observation during physical plant inspection, LPA observed there were 13 toddlers with 3 staff in the bathroom area exceeding the maximum group size of 12, which poses a potential health, safety or personal rights risk to persons in care.
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Staff will also use their walkie talkies to communicate when they are going to the restroom to ensure that restroom is available.

Facility will submit proof of the staff meeting agenda with the procedure to follow and send pictures of the schedule posted in each classroom to LPA Tapia-Mandujano by September 2nd, 2025.

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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: 08/21/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/21/2025


LIC809 (FAS) - (06/04)
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