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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410503400
Report Date: 09/10/2024
Date Signed: 09/10/2024 12:45:57 PM

Document Has Been Signed on 09/10/2024 12:45 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:SEA BREEZE SCHOOLFACILITY NUMBER:
410503400
ADMINISTRATOR/
DIRECTOR:		WEBER, JERELYNFACILITY TYPE:
850
ADDRESS:900 EDGEWATER BLVDTELEPHONE:
(650) 574-5437
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 126TOTAL ENROLLED CHILDREN: 126CENSUS: 95DATE:
09/10/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:05 PM
MET WITH:Jerelyn WeberTIME VISIT/
INSPECTION COMPLETED:
01:00 PM
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On September 10, @ approx. 1:10PM, Licensing Program Analyst (LPA) Maria Olguin-Leon conducted an unannounced, plan of correction (POC) visit and met with School Admission Director Jaime Briones. Director arrived during visit. Present during today’s visit were Directors, 17 staff and 95 preschool children.

On August 27, 2024, LPA issued a Type A deficiency for an adult working at the facility with no criminal background clearance. A POC was developed with Director. As of this date, LPA confirmed S1 has criminal background clearance as of 8/28/2024. LPA did a random audit of signed and completed Acknowledgement of Receipt of Licensing Reports (LIC9224) for children. LPA observed facility site visit and reports to be properly posted.

Deficiency issued has been cleared as of this date. LPA provided licensee a copy of POC letter. No deficiencies were cited today.

Report was reviewed with Director Jerelyn Weber. A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/10/2024
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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