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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005219
Report Date: 01/12/2026
Date Signed: 01/12/2026 03:41:45 PM

Document Has Been Signed on 01/12/2026 03:41 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 PACIFICAFACILITY NUMBER:
414005219
ADMINISTRATOR/
DIRECTOR:		RIA AGUINALDOFACILITY TYPE:
860
ADDRESS:2450 SKYLINE DRIVETELEPHONE:
(650) 359-4321
CITY:PACIFICASTATE: CAZIP CODE:
94044
CAPACITY: 46TOTAL ENROLLED CHILDREN: 38CENSUS: 37DATE:
01/12/2026
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:15 PM
MET WITH:Jheel JawharkarTIME VISIT/
INSPECTION COMPLETED:
04:15 PM
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On January 12, 2026 at approximately 1:15pm, Licensing Program Analyst (LPA) Quimbo conducted an unannounced, case management visit. LPA met with licensee, Jheel Jawharkar, and explained the purpose of the visit.

Present during visit included 37 children (11 toddlers and 26 preschoolers), 6 teaching staff and licensee. Facility is operating within capacity limits and ratio during LPA's visit. All staff present during today's visit have fingerprint clearance on file.

Facility is licensed for a capacity of 46 children (12 toddlers and 34 preschoolers) in three classrooms. The toddler component operates in "Nemo" classroom-Classroom A (18 months to 36 months). The preschool component operates in the "Dolphin" classroom-Classroom B and C (3.5. years old to kindergarten/TK age) and "Jellyfish" classroom-Classroom D (3 years to 4.5 years old). Facility is also licensed for the outdoor area located directly outside the Jellyfish classroom. There is an approved outdoor waiver rotation on file.

Licensed outdoor area has been updated and renovated that included removing internal fencing and additional structures, affecting outdoor square footage. Licensee informed the department and submitted documentation of changes to outdoor area October 2025.

During today's visit, LPA inspected and remeasured outdoor area for health and safety hazards. LPA observed outdoor area to be fully enclosed and fenced. Fence that previously separated the playground area and the tricycle area has been removed. There is a play structure in the playground space that was observed to be new, in good condition and secured to ground. LPA observed flooring underneath play structure to have resilient padding underneath. There is no longer a sandbox in the outdoor area. LPA observed there is soft padding and cushioning throughout the playground space. There continues to be a separate space for tricycles that continues to be in good condition.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/12/2026
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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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 PACIFICA
FACILITY NUMBER: 414005219
VISIT DATE: 01/12/2026
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Preschool outdoor area measurements:
The preschool outdoor area measures for 2,896.91 square feet which accommodates the licensed capacity of 34 preschool children.

LPA observed an area for toddler use that is fully enclosed and fenced. Enclosed space is separate from preschool use. LPA observed toddler area to include new outdoor materials that are in good condition. Flooring in toddler space includes artificial turf and soft padding that was in good condition.

Toddler outdoor area measurements:
The toddler outdoor area measures for 647.01 square feet which does not accommodate the licensed capacity of 12 toddler children.

Toddler children use both the enclosed toddler outdoor area and the remainder of the playground. Per licensee, toddler children use the entire playground space when preschool children are not utilizing the playground. Outdoor waiver of the preschool and toddler children sharing the space at alternate times is on file.

There is an area of shade in the outdoor area, if needed. Drinking water is available to children through their individual water bottles that can be refilled on site through kitchen's sink. In the outdoor area, there is also a storage shed and staff room that is not for children's use. LPA did not observe any pools, spas or bodies of water on site.

The total outdoor area measures for 3,543.92 square feet which accommodates the licensed capacity of 46 children. An updated outdoor rotation waiver will be provided to the facility due to the outdoor square footage changing. Licensee will submit an updated outdoor rotation request to the department. Licensee is also aware a fire inspection for updated outdoor area may be needed.

No deficiencies were issued today during today's visit.

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

Exit interview conducted and report was reviewed with the licensee, Jheel Jawharkar.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/12/2026
LIC809 (FAS) - (06/04)
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