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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004947
Report Date: 07/22/2025
Date Signed: 07/22/2025 03:41:46 PM

Document Has Been Signed on 07/22/2025 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:L'ACADEMY PRESCHOOL SF-HAYES VALLEY 2FACILITY NUMBER:
384004947
ADMINISTRATOR/
DIRECTOR:
SARA GARCIAFACILITY TYPE:
860
ADDRESS:42 WALLER STREETTELEPHONE:
(415) 980-9855
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94102
CAPACITY: 53TOTAL ENROLLED CHILDREN: 18CENSUS: 15DATE:
07/22/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:00 AM
MET WITH:Leny Hernandez & Zhen Zhen LiTIME VISIT/
INSPECTION COMPLETED:
04:00 PM
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On July 22, 2025 at approximately 11:00am, Licensing Program Analysts (LPAs) Catrina Quimbo and Zeynep Basak, conducted an unannounced, case management visit for an increase in capacity and the addition of a component. LPAs met with site director, Leny Hernandez, and explained the purpose of the visit.

Facility is currently licensed for a total capacity of 53 children: preschool component for 48 children (ages 2 years to 6 years old) in classrooms 2, 3 and 4. Infant component for 5 children (0 to 24 months) in classroom 1. Present during LPAs' visit included 15 children (5 infants and 10 preschool age) and 7 teaching staff (including director).

Licensees, Zhen Zhen Li and Helena Geng, requested to be licensed for 68 children: preschool component for 18 children (ages 2 years to 6 years old) in classroom 2. Toddler component for 18 children (18 months to 36 months) in classroom 3. Infant component for 32 children (6 months to 24 months) in classroom 1 and classroom 4.

Fire clearance was received March 27, 2025 for a total of 59 children: preschool component for 16 children (ages 2 years to entry into first grade), toddler component for 15 children (18 months to 36 months) and infant component for 28 children (birth to 2 years old).

Hours of operation are Monday through Friday 8:30am to 5:30pm. All indoor and outdoor activity space utilized for the children was inspected today. LPAs informed site director, Leny Hernandez, that staff are required to maintain direct visual supervision of the children at all times during indoor and outdoor activities.

LPAs continued to tour the facility and measured indoor activity space. Preschool component measured for 633.11 square feet which is sufficient to accommodate the requested capacity. Toddler component measured for 657.93 square feet which is sufficient to accommodate the requested capacity. Infant component measured for 1,156.92 square feet which is sufficient to accommodate the requested capacity.
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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Catrina Quimbo
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/22/2025
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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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: L'ACADEMY PRESCHOOL SF-HAYES VALLEY 2
FACILITY NUMBER: 384004947
VISIT DATE: 07/22/2025
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LPAs observed all indoor activity space to be complete with safe, age-appropriate furniture and equipment, including tables, chairs, cubbies, napping cots, bookshelves, and other activity supplies for the children.

At approximately 1:00pm, licensee, Zhen Zhen Li, arrived to the facility.

Per licensee, classroom 1 will be designated for infants ages 0 months to 24 months. There is a designated crib area for napping infants in classroom 1 that is separate from infants' activity area. There are sufficient cribs and toilets in infant classroom. LPAs observed all hazardous items to be inaccessible to children. Classroom 4 will be designated for older infants ages 12 months to 24 months only. Per licensee, cots will be provided for all infants who have the ability to climb out of the crib.

LPAs observed a total of 8 sinks and 6 toilets available for children’s use. These are sufficient to accommodate the requested capacity of 68 children.

The facility currently has a fully fenced play ground area that is separated between infant and preschool components. Per licensee, toddler component children will utilize the preschool playground on a rotation schedule. A playground waiver to share the playground between different components shall be submitted to the department. LPAs did not observe any pools, spas or bodies of water on site.

Licensee was reminded that any changes to the facility must be reported to and approved by Community Care Licensing. Any changes to facility, the department must be made aware prior to the changes and must be approved by department. Per Title 22, Section 101212(c) The licensee shall notify the Department in writing of his/her intent prior to making any structural changes that reduce the total amount of indoor or outdoor activity space.

Licensee and site director were reminded children participating in the toddler component must have written authorization from the child's authorized representative. Licensee and site director were also reminded preschool component, toddler component and infant component children cannot co-mingle with one another and must remain physically separate.

Based on fire clearance, the maximum capacity facility can be licensed for is 59 children (16 preschoolers, 15 toddlers and 28 infants).



The following corrections are needed prior to the issuance of the capacity increase:
-Submission of outdoor rotation waiver (toddler component sharing preschool component outdoor area).
-Updated Application for a Child Care License (LIC200A) with capacity of 59 children.
-Centralized Application Bureau (CAB) final approval of application.
-Management approval.

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

DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
LIC809 (FAS) - (06/04)
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