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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004456
Report Date: 08/27/2025
Date Signed: 08/27/2025 05:32:22 PM

Document Has Been Signed on 08/27/2025 05:32 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: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: 51DATE:
08/27/2025
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:00 AM
MET WITH:Director, Holly AndersonTIME VISIT/
INSPECTION COMPLETED:
05:45 PM
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On 8/27/2025, at approximately 10:00AM, Licensing Program Analysts (LPAs) Jonathan Tse and Diana Alvarado conducted an unannounced annual visit at the facility. LPAs met with Director Holly Anderson and explained the purpose of the visit. Present during the visit was Director, 20 staff members, and 51 preschool-age children. The facility is operating within staffing and ratio requirements on this day.

This facility is a combination center, with infant (414004455) and school-age (414004457) licenses located at the same address.

This facility currently operates in two buildings: Sea Bird House and Sea Turtle House.
The following classrooms were inspected in Sea Bird House: Penguins, Ospreys, and Herons.
The following classrooms were inspected in Sea Turtle House: Toads, Salamanders, and Chameleons.

LPAs and Director inspected the facility for any health or safety hazards. There are fully charged 2A10BC fire extinguishers located in each building. Carbon monoxide detectors were observed to be present in each classroom inspected. There are fire alarm systems running throughout each building. Electrical outlets were observed to be childproof. Poisons, cleaning detergents, and other chemicals are stored inaccessible to children in care. Emergency exits are clearly marked and visible. Evacuation routes are accessible for review. There are first aid kits located in each classroom.



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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/27/2025
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: 2ND GENERATION CABOT (PS)
FACILITY NUMBER: 414004456
VISIT DATE: 08/27/2025
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LPAs observed there to be age-appropriate toys and learning materials present in each classroom. Furniture is age-appropriate and free of rough or sharp edges. There are cubbies available for children that are labeled. Cots are provided by the facility and labeled with each child’s name. Sheets are provided by the facility, and bedding is brought from home. Bedding is brought home once a week for cleaning. LPAs observed each child’s bedding to be stored in separate, labeled containers. Per Director, there are washing and drying machines available on site for cleaning as needed.

Per Director, the facility provides lunch and AM/PM snacks. Food allergies and dietary preferences are documented and accounted for. Water bottles are brought from home and refilled at the facility. LPAs reviewed storage of milk and observed milk to be stored appropriately in a refrigerator, with expiration dates marked and visible. LPAs observed that medications are stored with emergency backpacks that are located in each classroom. Medications were observed to be kept with original packaging and physician’s instructions.

LPAs observed the outdoor play areas to be free of debris and other loose articles. Outdoor play areas are enclosed by fences that are at least four feet high. There are age-appropriate toys and equipment available for children to use. Slides and other play structures are cushioned with resilient padding in the form of tanbark. Helmets are brought from home for children to use. Shade is available from umbrellas or buildings. Drinking water is readily accessible for children. There are no swimming pools or other similar bodies of water present. There are no firearms or weapons stored in the facility.

LPAs reviewed six staff files, five children’s files, and facility records. There is at least one staff member present with current Pediatric First Aid/CPR training. Bright Horizons has an alternative Mandated Reporter Training that has been approved by the Department. All staff have current Mandated Reporter Training certificates available for review. All staff have qualifications, and immunization records available for review.

Children’s files are maintained digitally and were made available for review during the visit. Children’s files were observed to be complete. Children are signed in and out of the facility via sign-in/out sheets located in the entrance of the facility. LPAs verified that all children present were signed in during the visit.


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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
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: 2ND GENERATION CABOT (PS)
FACILITY NUMBER: 414004456
VISIT DATE: 08/27/2025
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Required postings were observed to be present and accessible for review at the entrance of the facility. The facility last conducted an emergency drill on 8/25/2025. Drills are conducted on a monthly basis and are properly logged and documented.

The building that this facility is located in was constructed in 2017. Documentation was provided to the Department and is on file. This facility is exempt from lead testing requirements due to being constructed after 2010.

To improve the quality and value of the new inspection process, a survey may 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 CARE tools, please send email inquiries 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, 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.

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).





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NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC809 (FAS) - (06/04)
Page: 4 of 5
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: 2ND GENERATION CABOT (PS)
FACILITY NUMBER: 414004456
VISIT DATE: 08/27/2025
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This facility provides Incidental Medical Services – IMS. LPA reviewed storage of “medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see PIN 22-02-CCP. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication. Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Facility representative was informed of the MyChildCarePlan.org website; a consumer education website that helps families obtain child care by connecting them to child care providers and Resource and Referral Agencies (R&Rs) throughout California.

No deficiencies were cited during today’s visit on 8/27/2025.
A notice of site visit was given and must remain posted for 30 days.

Exit interview conducted and report was reviewed with the facility representative, Holly Anderson.
NAME OF LICENSING PROGRAM MANAGER: Ali Zebila
NAME OF LICENSING PROGRAM ANALYST: Jonathan Tse
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2025
LIC809 (FAS) - (06/04)
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