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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004456
Report Date: 03/21/2025
Date Signed: 03/21/2025 11:39:05 AM

Document Has Been Signed on 03/21/2025 11:39 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:2ND GENERATION CABOT (PS)FACILITY NUMBER:
414004456
ADMINISTRATOR/
DIRECTOR:		HOLLY ANDERSONFACILITY TYPE:
850
ADDRESS:342 ALLERTON AVETELEPHONE:
(650) 225-3666
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 264TOTAL ENROLLED CHILDREN: 264CENSUS: 34DATE:
03/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:45 AM
MET WITH:Holly AndersonTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
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On March 21, 2025 at approximately 8:45AM, Licensing Program Analyst (LPA) Alvarado conducted an unannounced, case management visit to 2nd Generation Cabot (Preschool) in regards to an incident that was self-reported March 14, 2025. LPA met with Executive Director, Holly Anderson(D1), and explained the purpose of the visit. LPA Alvarado along with (D1) Conducted a Health and safety inspection for the Preschool license.

Under the preschool license, present during LPA's visit included 7 staff members supervising 34 children (Preschool Age). During LPA's visit, preschool children were transitioning during morning arrival.

On March 14, 2025, Teacher 1 (T1) and (T2) were present in the “Crocodiles” preschool classroom. C1 at approximately 12:23PM was leaving the restroom area located in the classroom when another child closed the door on C1. Teachers 1(T1) and 2 (T2) were transitioning from outdoors to indoors, and getting ready for lunch.

During today’s visit at approximately 10:21AM, LPA spoke with (T2) to gather more information regarding the self-reported Incident that occurred with C1. During today's visit, LPA observed that the classroom the bathroom area is a half wall, where supervision is maintained. The restroom door also does not lock, but can swing, and the door also has a finger safe protector. C1 has since returned to facility the day after the incident, as of March 14, 2025. C1 has returned with no restriction.

See LIC9102-TV for technical violation issued today regarding Buildings and Ground

No deficiencies were issued during today's visit. A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with Facility representative, Holly Anderson
SUPERVISORS NAME: Ali Zebila
LICENSING EVALUATOR NAME: Diana Alvarado
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
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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