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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414000829
Report Date: 08/06/2024
Date Signed: 08/06/2024 05:45:25 PM

Document Has Been Signed on 08/06/2024 05:45 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:PENINSULA JEWISH COMMUNITY CENTER PRESCHOOLFACILITY NUMBER:
414000829
ADMINISTRATOR/
DIRECTOR:		LEVIN, STEPHANIEFACILITY TYPE:
850
ADDRESS:800 FOSTER CITY BLVD.TELEPHONE:
(650) 378-2670
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 243TOTAL ENROLLED CHILDREN: 243CENSUS: 0DATE:
08/06/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:34 PM
MET WITH:Nicole FrancisTIME VISIT/
INSPECTION COMPLETED:
05:55 PM
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On August 6, 2024, at approximately 1:10pm, Licensing Program Analyst (LPA) Maria Olguin-Leon, conducted a case management inspection at Peninsula Jewish Community Center Preschool. LPA met with Director, Nicole Francis and explained the purpose of the inspection. Facility is currently on summer break and not in session.

Facility is a licensed combination program for infant, preschool and after school. Facility has submitted an application for increase in an infant capacity to department. For the increase infant capacity program, one of the prior licensed preschool classrooms, classroom #3 will be utilized. Hence, the preschool capacity will decrease. Program requested to decrease capacity from 243 preschool children to 231 preschool children.

Classroom #3, previously a preschool classroom, was measured today for the infant capacity. Classroom #3 was measured for 688.5 sq ft. sq ft. The total allowable capacity measured for Classroom #3 that will be deducted from preschool capacity measures for 688.5 sq ft. sq ft. equaling 19 children.

Application originally requested decrease of 12 children, however LPA measured for 19 children. LPA reminded Director final capacity approval will be based on fire inspection clearance/approval. Classrooms #4, 5, 7, 8, 9, 10, 11, 12, 13, 14, 15 will remain as the preschool program.

Preschool program capacity will decrease from 243 preschool children to 224 preschool children, if approved by fire inspection. Director is aware that infant children and preschool children are not to commingle.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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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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: PENINSULA JEWISH COMMUNITY CENTER PRESCHOOL
FACILITY NUMBER: 414000829
VISIT DATE: 08/06/2024
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Director 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.

LPA will approve the preschool decrease capacity from 243 to 224 preschool children, pending fire inspection clearance.

A copy of this report, and the “Notice of Site Visit” were given to the director. A “Notice of Site Visit” must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Director, Nicole Francis.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC809 (FAS) - (06/04)
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