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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414002899
Report Date: 06/17/2025
Date Signed: 06/17/2025 05:48:56 PM

Document Has Been Signed on 06/17/2025 05:48 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: 91TOTAL ENROLLED CHILDREN: 124CENSUS: 94DATE:
06/17/2025
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Site Supervisor, Alicia Young and Assistant Director, Jeannine SolisTIME VISIT/
INSPECTION COMPLETED:
06:20 PM
NARRATIVE
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On June 17th, 2025, at approximately at 9:45am, Licensing Program Analyst (LPA) Tapia-Mandujano conducted an unannounced Case management -deficiencies in concurrent with a complaint investigation. LPA met with Site Supervisor Alicia Young and Assistant Director, Jeannine Solis and explained the purpose of the inspection. Present in the facility today were Site Supervisor and 16 staff supervising 94 preschool age children. Facility is operating outside of capacity limitations resulting in a immediate health and safety citation.
On June 6th, 2025, LPA received an Unusual Incident Report documenting that on May 29th, 2025, Child#1 (C1) had climbed over the playground fence leaving daycare premises. Based on interviews conducted, staff observed C1 climbing the fence and verbally told child to get off. Staff stated that their efforts of verbally telling C1 to get off were not successful and C1 climbed over completely and ran towards the residential street. Staff stated that the child made it outside the gate to the driveway of the first house on the street next to the facility. Staff stated that the C1’s parents were notified.

Due to the facility not reporting the incident within a timely manner citation was given.

***California Code of Regulations, (Title 22, Div. 12, Ch 3) were cited on this day. Please refer to 9099D for more information.
A plan of correction was also discussed. Facility was also notified that an office meeting may be scheduled at a later date.

LPA Tapia-Mandujano informed facility representative, Alicia Young and Assistant Director, Jeannine Solis, that this report dated June 17, 2025 documents one Type A citation which shall be posted for 30 consecutive days as there is an immediate risk to the health, safety, or personal rights of children in care.

Also, LPA Tapia-Mandujano informed the facility representative to provide a copy of this licensing report dated June 17, 2025 that documents any Type A citation to parents/guardians of all children currently enrolled including the Arundel Preschool children who are temporarily being housed by Brittan Acres, by the next business day or the next day the children are in care, and to any newly enrolled parents/guardians for 12 months from the date of this report. A signed Acknowledgement of Receipt of Licensing Report (LIC 9224), or other written statement, must be placed in the child's file for verification.

Upon receipt of this report, Licensee shall post the Notice of Site Visit. Notice of Site Visit shall be posted for 30 consecutive days. Failure to maintain postings as required, will result in an immediate $100 civil penalty. This report is public and can be reviewed.
NAME OF LICENSING PROGRAM MANAGER: Marie Rodriguez
NAME OF LICENSING PROGRAM ANALYST: Leslit Tapia-Mandujano
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/17/2025
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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Document Has Been Signed on 06/17/2025 05:48 PM - It Cannot Be Edited


Created By: Leslit Tapia-Mandujano On 06/17/2025 at 04:32 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: 06/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/18/2025
Section Cited
CCR
101212(d)

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101212: Reporting Requirements: (d): "Upon the occurrence, during the operation of the child care center of any of the events specified in (d)(1) below, a report shall be made to the Department by telephone or fax within the Department's next working day and during its normal business hours. In addition, a written report containing the information specified in (d)(2) below shall be submitted to the Department within seven days following the occurrence of such event. "


This requirement was not met as evidenced by:
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Facility will develop a written plan with clear instructions and procedures for when to report any Unusual Incident Reports.

Plan should include instructions on how to communicate incidents/injuries internally following the chain of command.
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Based on interview and record review, the facility did not comply with the section cited above as the facility failed to report the incident that occurred on 5/29/25 both verbally and in writing in a timely manner which poses a potential health, safety or personal rights risk to persons in care.
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Facility will also conduct a training to ensure all staff are trained on the updated written policies.

Facility will submit to LPA Tapia-Mandujano both the written plan and the training notes with signatures obtained of all staff present by May July 18th, 2025.

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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: 06/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/17/2025


LIC809 (FAS) - (06/04)
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Document Has Been Signed on 06/17/2025 05:48 PM - It Cannot Be Edited


Created By: Leslit Tapia-Mandujano On 06/17/2025 at 04:45 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: 06/17/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/18/2025
Section Cited
CCR
101161(a)

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101161: Limitations on Capacity: (a): "(a) A licensee shall not operate a child care center beyond the conditions and limitations specified on the license, including the capacity limitation."

This requirement was not met as evidenced by:
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Facility administrators acknowledge that there cannot be more than 91 preschool age children present at any give time.

Facility will submit a written plan on how they will resolve this by the end of the day of June 18th, 2025.
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Based on observation, interview, and record review the facility did not comply with the section cited above as the facility has 94 preschool age children present with 124 enrolled children exceeding the licensed capacity of 91 preschool age children. This poses an immediate health, safety and personal rights risk to children in care.
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If facility decides to increase capacity, increase of capacity application will be submitted to the department.

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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: 06/17/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 06/17/2025


LIC809 (FAS) - (06/04)
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