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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380506367
Report Date: 10/28/2025
Date Signed: 10/28/2025 05:31:55 PM

Document Has Been Signed on 10/28/2025 05:31 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:SFUSD-THERESA S. MAHLER (EES) PRESCHOOLFACILITY NUMBER:
380506367
ADMINISTRATOR/
DIRECTOR:		COOK, CAROLYNEFACILITY TYPE:
850
ADDRESS:990 CHURCH STREETTELEPHONE:
(415) 695-5871
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY: 80TOTAL ENROLLED CHILDREN: 52CENSUS: 50DATE:
10/28/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:46 AM
MET WITH:Ms. Nicole ScottTIME VISIT/
INSPECTION COMPLETED:
05:15 PM
NARRATIVE
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On October 28, 2025 at approximately 8:45AM, Licensing Program Analyst (LPA) Katie Krenn arrived for an unannounced annual inspection. LPA met with the Principal, Ms. Nicole Scott and explained the purpose of today's visit. Present at the facility in addition to the Principal, were nine staff supervising 50 preschool children (ages 2 - 5 years old). This is a Title five program and maintains the following ratios. For toddlers (18 months to 36 months old) a 1:4 adult-child ratio and a 1:16 teacher-child ratio. For preschool children (36 months to enrollment in kindergarten) a 1:8 adult-child ratio and a 1:24 teacher-child ratio. The facility remains within its capacity limits and meets the required ratios for today’s visit.

This facility is operating on the SFUSD Theresa Mahler Early Education School Site. All staff at the facility have caregiver background checks through the San Francisco Unified School District. Facility operates in classrooms 1, 2, and 3 during the school year. The program offers two summer sessions. The preschool program currently operates Monday through Friday 7:30 AM to 5:30 PM.
Per Principal, there are no pools, spas, or bodies of water on the property.

LPA reviewed the sign in and sign out sheets and found that all the children present had been signed in. LPA reminded principal the importance of using full names on sign-in sheets. Principal confirmed that they understood.

LPA observed that all required documents, such as the facility license, notification of parents’ rights, personal rights in three languages, car seat laws, earthquake preparedness checklist, and monthly menus, were displayed and visible by the main entrance where children are dropped off and picked up by parents and caregivers.
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/28/2025
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 7
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: SFUSD-THERESA S. MAHLER (EES) PRESCHOOL
FACILITY NUMBER: 380506367
VISIT DATE: 10/28/2025
NARRATIVE
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Per principal, the most recent emergency disaster drill was in October 2025 and LPA observed that it was documented. LPA reviewed the emergency disaster drill log and found that drills were conducted at least once every six months.

Each classroom has an emergency preparedness backpack with necessary supplies, including a first aid kit, and medical and contact information for each child. LPA observed the teachers carry the backpack with the class to the playground, so they can be prepared in the event of emergency.

LPA observed that each classroom has several smoke alarms which are part of an integrated system throughout the campus, which is inspected by the fire department. LPA observed that the carbon monoxide detectors in each classroom, required new batteries. LPA observed new batteries put into each carbon monoxide detector. LPA observed the testing of the new batteries in the carbon monoxide detectors and found them all to be functioning properly. LPA observed that there was at least one fully charged fire extinguisher and first aid kit in each classroom.

The LPA inspected the indoor and outdoor areas for health and safety hazards. The facility was clean, safe, and well-maintained. Disinfectants, cleaning solutions, and poisons were securely stored out of children's reach, and all accessible cabinets and drawers in the classrooms were free of hazardous materials.

LPA observed that the three classrooms had age-appropriate toys, furniture, educational materials, and designated storage space for each child, which included cubbies, bins, and hooks which were labeled for each child. LPA observed a few electrical outlets without covers. During the visit, staff replaced the missing covers. Each classroom had a bathroom with at least two child accessible toilets and sinks available for children. LPA observed that the bathrooms were clean, fully operational, and equipped with suitable toileting equipment and sanitation products. LPA observed separate bathrooms available for staff.

The outdoor play area has a sandbox, which is covered when not in use. LPA observed that the sandbox was clean. Per Principal, they do not have a problem with keeping it clean. LPA observed that the outdoor play equipment is for children ages 2 years to five years old. The outdoor play equipment is in good condition and does not have sharp, loose, or pointed parts. There are a variety of bikes and other outdoor toys available. The areas around and under climbing equipment and slides are cushioned with a soft manufactured surface to prevent injuries from falls. LPA did not observe any pools, spas, or bodies of water on the property.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC809 (FAS) - (06/04)
Page: 6 of 7
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: SFUSD-THERESA S. MAHLER (EES) PRESCHOOL
FACILITY NUMBER: 380506367
VISIT DATE: 10/28/2025
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Per principal, on hot days the facility may use water tables. LPA reminded the principal, that water tables need to be drained after each use. LPA observed children’s personal water bottles from home, which are carried outdoors when the children go out. LPA also observed a drinking fountain and bottle filling station in the outside play area.

Per the principal, the preschool program has a meal service through the school district that provides breakfasts, lunch, and snacks. This facility is nut-free. Per the principal, currently none of the enrolled children have any allergies. The facility does not administer any medication to the children.

The facility offers cots for children to rest or nap. LPA observed that the stackable cots have space between them to allow for air flow. Each cot is labeled with a child’s name. LPA observed that bedding from home is available for children. Per principal, the bedding goes home weekly for laundering and the facility cleans the cots.

LPA reviewed the files of six children, confirming that their emergency contact and medical information were complete and in order.

LPA reviewed five staff files and confirmed that all necessary forms were complete and in order. LPA observed that one para teacher did not have documented ECE units. LPA discussed a plan of correction with the principal. LPA verified that a staff person onsite held current Pediatric First Aid and CPR certification. LPA found that all teachers held current mandated reporter training certifications.

To improve the quality and value of the inspection process, a survey will be sent to the email address provided. Please complete the survey and share your inspection experience. If you have any questions regarding the process or tools, please send them by email to inspectionprocess@dss.ca.gov.
For additional information regarding the inspection and its tools and methods, please visit the Program website at www.cdss.ca.gov/inforesources/community-care-licensing/inspection-process.

Background checks are completed by the school district.

No deficiencies were issued today during LPA's visit.

A Notice of Site Visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with the Principal, Ms. Nicole Scott.
NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/28/2025
LIC809 (FAS) - (06/04)
Page: 7 of 7