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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 214005365
Report Date: 11/15/2023
Date Signed: 11/15/2023 04:09:52 PM

Document Has Been Signed on 11/15/2023 04:09 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:CREART EARLY EDUCATION & PRESCHOOLFACILITY NUMBER:
214005365
ADMINISTRATOR:ALBA VAN DERBEEK, PATRICIAFACILITY TYPE:
850
ADDRESS:1055 LAS OVEJAS AVE., #9 & #10TELEPHONE:
(415) 444-0600
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY: 24TOTAL ENROLLED CHILDREN: 15CENSUS: 11DATE:
11/15/2023
TYPE OF VISIT:Case Management - Licensee InitiatedANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Patricia Van Der BeekTIME COMPLETED:
04:15 PM
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On 11/15/2023, Licensing Program Analyst (LPA) Hanson Leong, made an announced case management visit to the child daycare facility listed above. The LPA was granted entry by the Director, Patricia Van Der Beek. Ms. Van Der Beek requested that the hillside activity area be added to the preschool facility during the unannounced required visit from the infant program on 11/15/2023, license # 214005364. The LPA explained the purpose of the visit to Ms. Van Der Beek. Present in the facility: 2 staff members, and 11 preschool aged children. All individuals listed on the facility’s roster have been granted permission to work or be present in a childcare facility. The facility is operating within its capacity and in accordance with the required ratio of staff to children.

The LPA and Ms. Van Der Beek both performed comprehensive inspections of the hillside activity area to look for possible threats to health and safety. The hillside activity area is built on a hill and then flattens out at the top, surrounded by trees and a patio. The LPA observed that the hillside activity area is in safe condition and free of hazards. The hillside activity area is surrounded by a fence that is at least 4 feet high to protect children and keep them in the outdoor activity area. Ms. Van Der Beek was reminded by the LPA that the hillside activity area is constructed atop a hill and that she is prohibited from using high climbing equipment, slides, swings, and other similar equipment. The LPA reminded Ms. Van Der Beek that the hillside activity area is only for free play.

The LPA will approve the hillside activity area and the hillside activity area will take effect on 11/15/2023.

Ms. Van Der Beek provided the following document to the LPA during today's visit: Facility Sketch

No deficiencies were cited today under CCR, Title 22, Div. 12.

A copy of today’s report was given to Patricia Van Der Beek. The Notice of Site Visit was given to Patricia Van Der Beek and must remain posted on, or immediately adjacent to, the interior side of the main door for 30 days. Exit interview conducted and report was reviewed with Patricia Van Der Beek.

SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Hanson Leong
LICENSING EVALUATOR SIGNATURE: DATE: 11/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/15/2023
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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