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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 384004950
Report Date: 01/10/2025
Date Signed: 01/10/2025 12:25:07 PM

Document Has Been Signed on 01/10/2025 12:25 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:MISSION NEIGHBORHOOD CENTERS INC.FACILITY NUMBER:
384004950
ADMINISTRATOR/
DIRECTOR:		SARINA ESCALANTEFACILITY TYPE:
860
ADDRESS:1240 VALENCIA STREETTELEPHONE:
(415) 206-7752
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY: 75TOTAL ENROLLED CHILDREN: 75CENSUS: DATE:
01/10/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:30 AM
MET WITH:Director Sarina EscalanteTIME VISIT/
INSPECTION COMPLETED:
12:20 PM
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Centralized Application Bureau (CAB) Licensing Program Analyst (LPA) Jamel Maiwandi met with Director Sarina Escalante and Ron Bamba for the purpose of an announced pre-licensing inspection at 1240 Valencia Street San Francisco CA 94110 on 1/10/2025 at approximately 10:30am. Applicant Barbara Walden was not present during inspection. Applicant is requesting 37 preschool children ages 3-5, 22 toddlers ages 18 months, and 16 infants ages 3-18 months. Facility will operate Monday through Friday from 7:00am to 6:00pm and drop-in hours are from 7:00pm-10:00pm.

Applicant acknowledges that the following documents must be posted at all times: License, Emergency Disaster Plan, Personal Rights, Parents' Rights Poster, Effects of Lead Exposure, car seat poster, menus, and daily schedule. LPA provided and discussed LIC311A and the forms that must be in each child's and each staff member's file. Applicant stated the Needs and Services plans will be kept in the classrooms. Parents will provide formula, breast milk, and baby food for their children.

INDOOR ACTIVITY SPACE:
There is one infant classroom (#1), three toddler classrooms (#1,#2,#3) and two preschool classrooms (#1,#2) located in the facility. Due to active construction throughout facility, LPA took preliminary measurements and will return to remeasure and complete pre-licensing inspection once facility and classrooms have been fully set up for operation and admittance of children. LPA did not measure preschool classroom #1 due to active construction.

OUTDOOR ACTIVITY SPACE:
There is one outdoor activity area located in the facility. Due to active construction, LPA could not measure outdoor area and will return to measure once construction is complete.

Report continues on page 2
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE: DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
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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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: MISSION NEIGHBORHOOD CENTERS INC.
FACILITY NUMBER: 384004950
VISIT DATE: 01/10/2025
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Exit interview conducted and report was reviewed with Director Sarina Escalante and Ron Bamba

The following is required before a license will be issued:
· Approved Fire Clearance
· Facility fully set up and construction of classrooms complete
· Final measurements of classrooms
· Final LPM approval
SUPERVISORS NAME: Mai Lor
LICENSING EVALUATOR NAME: Jamel Maiwandi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/10/2025
LIC809 (FAS) - (06/04)
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