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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410500408
Report Date: 02/26/2026
Date Signed: 02/26/2026 03:06:31 PM

Document Has Been Signed on 02/26/2026 03:06 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:KIRK HOUSE PRESCHOOLFACILITY NUMBER:
410500408
ADMINISTRATOR/
DIRECTOR:		ESTEVERENA,RUTHFACILITY TYPE:
850
ADDRESS:1148 JOHNSON STREETTELEPHONE:
(650) 323-8667
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 44TOTAL ENROLLED CHILDREN: 44CENSUS: 26DATE:
02/26/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Ruth EsteverenaTIME VISIT/
INSPECTION COMPLETED:
03:15 PM
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On February 26, 2026 at approximately 9:15AM, Licensing Program Analyst (LPA) Katie Krenn arrived at Kirk House Preschool to conduct an unannounced annual inspection. LPA met with the Director, Ms. Ruth Esteverena (D1) and explained the purpose of today’s visit. During today’s inspection, LPA observed five staff supervising 26 preschool children (ages 2 – 5 years old). All staff present during today’s inspection have received background fingerprint clearance from the Department of Social Services and are associated with this facility on Guardian.

The facility operates Monday through Friday as a part-day program. Hours of operation for the main program are 9:00AM to 12:00PM with optional morning care starting at 8:15AM and optional aftercare until 1:00PM.

The program operates in four classrooms: Art Room, Block Room, and Turtle Room, with periodic use of Room 12 in a building across an outdoor walk way. There are two outdoor play areas available for the children. One play area is for children aged 2 – 3 years old and a larger outdoor play area is for children aged 3 - 5 years old. This is a Nut-Free Facility. Per D1, there are no pools, spas, or other similar bodies of water on the property.

LPA observed that all required postings, including the facility license, Notification of Parents’ Rights, Personal Rights, Car Seat Law, and Emergency Disaster Plan, were displayed and visible in the hallway area where children’s personal belongings are stored.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 02/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/04/2026
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: KIRK HOUSE PRESCHOOL
FACILITY NUMBER: 410500408
VISIT DATE: 02/26/2026
NARRATIVE
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The most recent emergency disaster drill was conducted on January 2026, and LPA observed that it was documented in the emergency drill log. Drills are conducted at least once every six months. Children are signed in and out using paper sign-in/out sheets. LPA reviewed the sign-in/out sheets. LPA observed that parents and caregivers are not using their full name when signing the child in and out. LPA reminded D1 that sign in and sign out sheets must have a full name signature. D1 stated that they understood. Per D1, they are planning to start using an app for sign ins in the future.

The facility is equipped with a first aid kit in each classroom, an integrated smoke detector and fire alarm, a carbon monoxide detector, and fully charged 2A10BC fire extinguishers accessible to each classroom. LPA tested the carbon monoxide detector and observed it to be operational. Smoke detectors are part of an integrated system inspected by the fire department.

LPA inspected the indoor and outdoor areas for health and safety hazards. The facility was clean, safe, and well-maintained. Disinfectants, cleaning solutions, and other hazardous items were stored in locked cabinets and inaccessible to children. Electrical outlets were covered with child safety covers. LPA observed age-appropriate toys, furniture, and learning materials in all classrooms. Bathrooms were clean, fully operational, and equipped with appropriate toileting and handwashing facilities. Drinking water was accessible to children throughout the day from non-contaminating fixtures.

The outdoor play area was observed to be free of debris and hazards. The area is enclosed by a fence at least four feet high. Play structures and swings were in good condition and cushioned with sand and woodchips. Sandboxes are not covered when not in use, but are inspected every morning. Per D1, they do not have any trouble keeping the sandboxes clean. LPA did not observe any pools, spas, or bodies of water on the property. D1 confirmed that there were no firearms or weapons stored at the facility.

Children bring snacks and lunches from home. The facility does not provide meals but uses the kitchen for preparation as needed. This is a part-day program and does not offer nap time; therefore, no napping supplies were observed.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
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: KIRK HOUSE PRESCHOOL
FACILITY NUMBER: 410500408
VISIT DATE: 02/26/2026
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LPA reviewed six children’s files and confirmed that emergency contact and medical information were complete. Allergy information and medication storage were properly documented and medications were stored inaccessible to children.

LPA reviewed five staff files. LPA verified that four staffs member hold current Pediatric First Aid and CPR certification. All staff reviewed had completed Mandated Reporter Training. Staff qualifications and immunization records were available for review. LPA observed that two staff are missing required immunization records. One staff did not have complete medical information available for review. LPA was able to verify that four staff have the required Early Childhood Education units for fully qualified teachers.

Facility Representative was reminded that all adults 18 and over, including employees and volunteers, except as specified in Health and Safety Code section 1596.871, must obtain a criminal record clearance or exemption, or transfer their existing clearance or exemption, prior to initial presence in a Child Care Center. A civil penalty of $100.00 minimum/day for a maximum of 5 days or, if the penalty is for a repeat violation, for a maximum of 30 days per person will be assessed if this regulation is violated.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Child Care Centers (CCCs) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and then every 5-years after the date of the first test as specified in Health and Safety Code section 1597.16.
For child care center licenses issued after July 1, 2022, the licensee shall test their water for lead within 180 days of licensure pursuant to Written Directives section 101700 (PIN 21-21.1-CCP.).
LPA verified that the lead testing was completed in accordance to the Written Directives (Interim Licensing Standards) outlined in PIN 21-21.1-CCP.
LPA referred facility representative to the Department website for lead: Lead Toxicity Prevention and Water Testing Information (https://www.cdss.ca.gov/inforesources/child-care-licensing/water-testing-information)
Include the applicable scenario for the CCC, un-bolded, into the report:
• CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES, or

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
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: KIRK HOUSE PRESCHOOL
FACILITY NUMBER: 410500408
VISIT DATE: 02/26/2026
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514- 0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility Representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

To improve the quality and value of the inspection process, a survey may 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 CARE tools, please send email inquiries 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.

A notice of site visit was given and must remain posted for 30 days.

No deficiencies were cited during today’s visit.

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

DATE: 02/26/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/26/2026
LIC809 (FAS) - (06/04)
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