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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 410517145
Report Date: 03/24/2023
Date Signed: 03/24/2023 11:08:50 AM

Document Has Been Signed on 03/24/2023 11:08 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:IHSD, INC-HALF MOON BAY HEAD START CENTERFACILITY NUMBER:
410517145
ADMINISTRATOR:INES LOPEZFACILITY TYPE:
850
ADDRESS:900 NO CABRILLO HIGHWAYTELEPHONE:
(650) 726-3869
CITY:HALF MOON BAYSTATE: CAZIP CODE:
94019
CAPACITY: 20TOTAL ENROLLED CHILDREN: 20CENSUS: 0DATE:
03/24/2023
TYPE OF VISIT:Case Management - OtherANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Ines Lopez, Barbara DonnellyTIME COMPLETED:
11:30 AM
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Licensing Program Analyst (LPA) Andrea Medlin met with facility representative for this case management visit. The purpose of this visit is due to facility re-opening after significant damage to facility due to the recent heavy storms. Facility had been flooded with structural damage. Facility has renovated and fixed all areas that were damaged including a wall, floors, and mold. The San Mateo County Fire Department approved the fire clearance on 3/22/2023 and approval is on file. Facility operates in a portable on the property of Lutheran Church. Days and hours of operation: Monday-Friday 8:00AM-4:00PM. Physical plant toured to inspect for health and safety hazards. There are fully charged fire extinguishers that meet minimum requirements, smoke detectors, and a carbon monoxide (CO) detector in the facility. Children's bathrooms inspected; all toilets and hand washing facilities are in safe and sanitary operating condition. A separate staff bathroom is available. No pools, spas, hot tubs, fish ponds, or similar bodies of water are present. Per staff, there are no firearms or weapons on site. Variety of age appropriate toys and materials for children are available. Classroom is set up for child care and furniture and equipment for children is present. Snacks and meals are provided by facility; sample menu is available and posted. Adequate first aid supplies are available. Outdoor play area inspected for health and safety hazards. The areas around and under high climbing equipment is cushioned with soft rubber and tanbark. The outdoor area looks the same and no damage noted. Facility is approved to resume operation effective today, 3/24/2023.

This report is reviewed with facility representative and a copy of this report must be made available for public review upon request.

Notice of Site visit posted and shall remain posted for 30 days.
SUPERVISORS NAME: Daniel J Oquendo
LICENSING EVALUATOR NAME: Andrea Medlin
LICENSING EVALUATOR SIGNATURE: DATE: 03/24/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/24/2023
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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