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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000717
Report Date: 10/21/2025
Date Signed: 10/21/2025 04:47:43 PM

Document Has Been Signed on 10/21/2025 04:47 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:IHSD, INC-FAIR OAKS HEAD START CENTERFACILITY NUMBER:
414000717
ADMINISTRATOR/
DIRECTOR:
HATFIELD, BRITNEYFACILITY TYPE:
850
ADDRESS:3502 MIDDLEFIELD ROADTELEPHONE:
(650) 368-1728
CITY:MENLO PARKSTATE: CAZIP CODE:
94025
CAPACITY: 86TOTAL ENROLLED CHILDREN: 60CENSUS: 51DATE:
10/21/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:39 AM
MET WITH:Britany HatfieldTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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On October 21, 2025 at approximately 8:00am, Licensing Program Analyst (LPA) Katie Krenn arrived for an unannounced annual inspection. LPA met with the Site Supervisor, Britany Hatfield (S1) and explained the purpose of today's visit. Present at the facility in addition to the S1 were 12 staff supervising 51 preschool children (ages 2 - 5 years old). The facility remains within its capacity limits and meets the required ratios for today’s visit.

Facility operates in three classrooms and three outdoor play areas.

Program operates Monday through Friday from 8:00am – 4:00pm for a ten-month school year. School is closed for summer, winter, and spring breaks as well as holidays.

Per S1, there are no pools, spas, or bodies of water on the property.

LPA reviewed the sign in app for each classroom and found that all the children present had been signed in. LPA observed that some parents need to be reminded to use their full name when signing the children in and out. LPA reminded S1 the importance of using full names on sign in sheets. S1 confirmed that they understood.

LPA observed that all required documents, such as the facility license, notification of parents’ rights, personal rights, car seat laws, emergency disaster plan, earthquake preparedness checklist, and monthly menus, were displayed and visible to the public in each classroom where children are dropped off and picked up by parents and caregivers.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Katie Krenn
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/03/2025
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: IHSD, INC-FAIR OAKS HEAD START CENTER
FACILITY NUMBER: 414000717
VISIT DATE: 10/21/2025
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Per S1, the most recent emergency disaster drill was in September 2025 and LPA observed that it was documented. LPA reviewed the emergency disaster drill log and found that drills were conducted at least once every six months.

Each classroom has an emergency preparedness backpack and wheeled suitcase with necessary supplies, including a first aid kit, and a folder with medical and contact information for each child. Per the S1, the teachers carry the backpack with the class to the playground, so they can be prepared in the event of emergency.

LPA observed that each classroom has several combination smoke alarms and carbon monoxide detectors. LPA observed at least one detector in each room was tagged with March 2025, per S1 that is when the batteries were last replaced. LPA tested one of the detectors and found that it was functioning properly. LPA observed that there was at least one fully charged fire extinguisher in each classroom.

The LPA inspected the indoor and outdoor areas for health and safety hazards. The facility was clean, safe, and well-maintained. Disinfectants, cleaning solutions, and poisons were securely stored out of children's reach, and all accessible cabinets and drawers in the classrooms were free of hazardous materials.

LPA observed that the three classrooms had age-appropriate toys, furniture, educational materials, and designated storage space for each child, which included cubbies, bins, and hooks which were labeled for each child. LPA did not observe any accessible electrical outlets. Each classroom had a bathroom with at least three child accessible toilets and at least two sinks available for children. LPA observed a changing table in each bathroom within arm’s reach of a sink. LPA observed that the bathrooms were clean and equipped with suitable toileting equipment and sanitation products. LPA observed separate bathrooms available for staff.

Each outdoor play area has a sandbox, which is covered when not in use. LPA observed that the level of sand in the sandboxes was low. Per S1, they already ordered more sand. Fences for the exterior of the property are at least four feet tall. The play equipment is in good condition and does not have sharp, loose, or pointed parts. There are a variety of bikes and other outdoor toys available. The areas around and under climbing equipment and slides are cushioned with a soft manufactured surface to prevent injuries from falls. LPA did not observe any pools, spas, or bodies of water on the property.

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

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
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: IHSD, INC-FAIR OAKS HEAD START CENTER
FACILITY NUMBER: 414000717
VISIT DATE: 10/21/2025
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Per S1, on hot days the facility may use water tables and sprinklers. Per S1, water tables are drained after each use. Portable water dispensers are available in each classroom and are carried outside, when the children go outside.

Per the S1, the preschool program currently provides a catering service, Chefables which provides breakfasts, lunch, and snacks. This facility is nut-free and shellfish-free. Food allergies and preferences are accommodated by the catering service.

The facility offers cots for children to rest or nap. LPA observed that the stackable cots have space between them to allow for air flow. Each cot is labeled with a child’s name. Sheets are provided by the facility and washed weekly on sight. LPA observed a washer and a dryer available. LPA observed blankets stored in the children’s cubbies. Per S1, the blankets are provided from home and go home weekly for laundering. The facility keeps extra bedding available.

LPA reviewed the files of six children, confirming that their emergency contact and medical information were complete and in order.

LPA reviewed five staff files and confirmed that all necessary forms were complete and in order. LPA verified that three of the five staff members held current Pediatric First Aid and CPR certifications. During a review of the staff transcripts, LPA found that all the Lead Teachers had successfully completed twelve units in Early Childhood Education (ECE), which qualifies them to serve as fully qualified teachers and supervise teacher’s aides. All the files reviewed had current Mandated Reporter Training Certificates.

To improve the quality and value of the inspection process, a survey will 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 tools, please send them by email 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

Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.

No deficiencies were issued today during LPA's visit.

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.

Exit interview conducted and report was reviewed with the Site Supervisor, Britany Hatfield

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

DATE: 10/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/21/2025
LIC809 (FAS) - (06/04)
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