<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004662
Report Date: 09/25/2024
Date Signed: 09/25/2024 06:18:59 PM

Document Has Been Signed on 09/25/2024 06:18 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:KIDS KONNECT INFANT CARE & PRESCHOOLFACILITY NUMBER:
414004662
ADMINISTRATOR/
DIRECTOR:		NASIRIPOUR, YASHAFACILITY TYPE:
830
ADDRESS:1968 OLD COUNTY ROADTELEPHONE:
(650) 306-1780
CITY:REDWOOD CITYSTATE: CAZIP CODE:
94062
CAPACITY: 24TOTAL ENROLLED CHILDREN: 24CENSUS: 13DATE:
09/25/2024
TYPE OF VISIT:POCUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:00 PM
MET WITH:Yasha NasiripourTIME VISIT/
INSPECTION COMPLETED:
12:50 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On September 25, 2024, Licensing Program Analyst (LPAs) Maria Olguin-Leon and Luis Gomez, conducted an unannounced plan of correction (POC) visit to facility. LPAs met with Director Yasha Nasiripour and the purpose of the visit was explained. Present was Director, 5 staff and 13 children. Facility is operating within capacity.

During inspection, LPA conducted record review, interviews, and observation.

On 8/30/2024, Director submitted an updated plan to identify and address outbreaks that occur in facility.
LPAs advised director to include additional information on timeline for reporting incidents, and resources provided by the facility to families. Facility should submit follow-up information, including internal procedure taken by facility.

*** No Deficiencies were cited against Title 22, Division 12, Chapter 1, CA Code of Regulations***

A notice of site visit was given and must remained posted for 30 days.
Exit interview conducted and report was reviewed with Yasha Nasiripour.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 09/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1