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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004588
Report Date: 11/29/2023
Date Signed: 11/29/2023 10:43:33 AM

Document Has Been Signed on 11/29/2023 10:43 AM - 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:MISSION MONTESSORI (INF)FACILITY NUMBER:
384004588
ADMINISTRATOR:DOMINGO, ROCHELLEFACILITY TYPE:
830
ADDRESS:50 FELL STREETTELEPHONE:
(415) 805-8315
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY: 54TOTAL ENROLLED CHILDREN: 54CENSUS: 10DATE:
11/29/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Mia AcunaTIME COMPLETED:
11:01 AM
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On November 29, 2023, Licensing Program Analyst (LPA) Sheran Lo conducted an unannounced case management inspection and met with the Site Supervisor Mia Acuna. The purpose of the inspection was explained. Present in the facility were Supervisor, 7 teachers, and 10 children in care.

LPA remeasured the infant outdoor space to be 382.5 sq ft. which allows 5 children in the gated area. Facility has an indoor playground of 2,268 sq ft. that allows 30 children use for play. Discussed today, facility will plan to extend the outdoor space for more infants and request for a waiver to use indoor playground for gross motor activities. Supervisor agrees to update our office with the plans.

Exit interview was conducted with Supervisor Mia Acuna. Report and Notice of Site Visit was provided.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Sheran Lo
LICENSING EVALUATOR SIGNATURE: DATE: 11/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/29/2023
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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