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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002899
Report Date: 06/05/2025
Date Signed: 06/05/2025 04:35:25 PM

Document Has Been Signed on 06/05/2025 04:35 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:SCSD BRITTAN ACRES PRESCHOOLFACILITY NUMBER:
414002899
ADMINISTRATOR/
DIRECTOR:		SUSAN DAWLEY, DIRECTRFACILITY TYPE:
850
ADDRESS:2000 BELLE AVENUETELEPHONE:
(650) 832-4041
CITY:SAN CARLOSSTATE: CAZIP CODE:
94070
CAPACITY: 84TOTAL ENROLLED CHILDREN: 62CENSUS: 58DATE:
06/05/2025
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:15 AM
MET WITH:Site Supervisor, Alicia YoungTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
NARRATIVE
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On June 5th, 2025, at approximately 9:15am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced Case Management visit. LPA met with Site Supervisor, Alicia Young and explained the purpose of the visit. SCSD-Program Director, Sue Dawley later joined the inspection. Present in the facility were Site Supervisor and 6 staff supervising 58 preschool age children. LPA inspected all classrooms. LPA found that Room 24 (Dragonflies) had 25 children being supervised by 2 fully qualified teachers, making them out of teach to child ratio by one child. Deficiency was received. All adults present are fingerprint cleared through the San Carlos School District.

Department received a capacity increase application on May 20th, 2025. Facility is requesting to Increase Capacity from 84 to 91 preschool age children (Ages 2 into entry into First Grade) with room additions of room 26 and 27. Fire clearance for 91 preschool age children with room additions was received May 22, 2025.

Facility is located on Brittan Acres Elementary School. Facility is licensed for rooms 22, 23, 24, and 25. Elementary has changed the Room numbers to the following: Room 22 is now 25, Room 23 is now 24, Room 24 is now 23, and Room 25 is now 22. Of the classrooms licensed, program is currently only operating in (newly numbered) Room 22 (Ducklings), 23 (Hummingbirds), and 24 (Dragonflies).

Hours of operation are Monday through Friday 7:30am to 5:30pm. Children are signed into and out of program using Bright Wheel application with authorized representatives' electronic signatures.

LPA inspected and measured new Classrooms with Site Supervisor. As currently set up, LPA measured Room 26 to be 1,086.54sqft divided by 35sqft. allowing for 31 children. Room 27 was measured to be 1276.44sqft. divided by 35sqft. allowing 36 children. Each classroom has one toilet and one sink. LPA observed toilet and sink to be in working condition.

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NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Leslit Tapia-Mandujano
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/05/2025
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: SCSD BRITTAN ACRES PRESCHOOL
FACILITY NUMBER: 414002899
VISIT DATE: 06/05/2025
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Rooms 26 and 27 are currently being used for Transitional Kindergarten through the Elementary School and have not been set up for Preschool. Rooms 26 and 27 must be set up prior to approval according to Preschool regulations. Per Site Supervisor, materials stored in classrooms by district will be removed/modified to make inaccessible prior to Preschool use. Hazardous materials will be made inaccessible and be kept behind locked cabinets or in high shelves out of reach of children.

LPA observed each classroom is equipped with age-appropriate furniture that was in good working condition. LPA observed a carbon monoxide detector and smoke alarm. LPA observed each classroom to include a fire alarm system and fully charged fire extinguisher. Storage for children's belongings is located inside each classroom.

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.

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).

Facility does not plan to use the current water sources for prepping food and/or serving water. Facility will submit an attestation to be exempt from testing faucets in these rooms for lead.

Prior to approve capacity increase to 91 preschool age children in Rooms 26 and 27, facility must submit proof of the correction of the following items:


*Rooms 26 and 27 to be fully set up for Preschool use according to Tittle 22 regulations
*Required postings to be posted in Rooms 26 and 27
*Attestation request to be exempt from water lead testing
*Outdoor hose to be put away by the outdoor picnic tables
*Sounding Alarm to be installed in the outdoor gate located by Picnic tables and residential Street

Deficiencies were cited today under CCR, Title 22, Div. 12, Chapt. 1.

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

Exit interview conducted and report was reviewed with Site Supervisor, Alicia Young.

NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Leslit Tapia-Mandujano
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/05/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2025
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/05/2025 04:35 PM - It Cannot Be Edited


Created By: Leslit Tapia-Mandujano On 06/05/2025 at 03:42 PM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SCSD BRITTAN ACRES PRESCHOOL
FACILITY NUMBER: 414002899

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/05/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/20/2025
Section Cited
CCR
101216.3(a)

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101216.3:Teacher-Child Ratio:
(a) There shall be a ratio of one teacher visually observing and supervising no more than 12 children in attendance...

This requirement is not met as evidenced by:
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Site Supervisor stated there are usually three staff in the classroom. SCSD-Program Director stayed in the classroom to be in teacher to child ratio. Both SCSD-Program Director and Site Supervisor are aware of teacher to child ratio.
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Based on observation and record review, the licensee did not comply with the section cited above. LPA observed two fully qualified teachers with 25 preschool children in Room 24 (Dragonflies), which poses a potential health, safety or personal rights risk to persons in care.
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Facility will submit a written schedule for each classroom with number of enrolled children. Facility will also develop a written plan on how they will ensure that there is always coverage in the event staff are not present. Plan should include meaures for staff who call in last minute and are scheduled to be off.

Written plan will be submitted to LPA Tapia-Mandujano by 6/20/25.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
Marie Rodriguez
NAME OF LICENSING PROGRAM MANAGER:
Leslit Tapia-Mandujano
NAME OF LICENSING PROGRAM ANALYST:
LICENSING PROGRAM ANALYST SIGNATURE:
DATE: 06/05/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/05/2025


LIC809 (FAS) - (06/04)
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