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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384001473
Report Date: 03/05/2025
Date Signed: 03/05/2025 04:58:34 PM

Document Has Been Signed on 03/05/2025 04:58 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:ROOM TO GROW PRESCHOOL, THEFACILITY NUMBER:
384001473
ADMINISTRATOR/
DIRECTOR:
KRIS TAYLORFACILITY TYPE:
850
ADDRESS:3786 MISSION STREETTELEPHONE:
(415) 826-9598
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 26TOTAL ENROLLED CHILDREN: 26CENSUS: 15DATE:
03/05/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
03:45 PM
MET WITH:Kris TaylorTIME VISIT/
INSPECTION COMPLETED:
05:05 PM
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On 3/5/2025 at 3:45PM. Licensing Program Analyst, (LPA) Luis Gomez met with Director, Kris Taylor. The purpose of today's inspection was explained and was for unannounced, case management inspection, in response to an unusual incident report. Present was the Director and 5 staff supervising 15 children. Children present had been properly signed in. Facility was inspected for health and safety hazards.

On 1/21/2025., facility submitted an unusual incident reported to the Department. Per incident report, child in care, C1, sustaining an injury from child (C2) throwing an object and hitting them below the eye. Per director, staff immediately provided first aid to child’s injury and guardians of involved parties were notified.

During inspection LPA conducted interviews, observation, and record review.
Per director, facility has since created a behavior plan to better identify issues as they arise, and assist child (C2) before an incident occur. Facility staff are also being provided training to ensure preventative measures are implemented in the classroom to prevent injuries.

LPA reminded director, once facility has identified child as requiring elevated staff supervision, the facilities must provided a level of care that meets the child's classroom needs. Advisory Note: Technical Violation (LIC9102TV) was issued during inspection.

*** No deficiencies were cited today against Title 22, Division 12, Chap. 1, Ca Code of Regulations***

This report must be made available in facility for public review. Notice of site visit was given and must remain posted for 30 days. Director was advised, any additional questions/ concerns to contact the Regional Office, M-F, 8:00AM- 5:00PM, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Luis Gomez
LICENSING EVALUATOR SIGNATURE: DATE: 03/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/05/2025
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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