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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414004749
Report Date: 06/01/2026
Date Signed: 06/01/2026 12:32:04 PM

Document Has Been Signed on 06/01/2026 12:32 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:LATCHKEY ALTERNATIVE CENTER, THEFACILITY NUMBER:
414004749
ADMINISTRATOR/
DIRECTOR:		N.FELDMAN& M.HARRISFACILITY TYPE:
850
ADDRESS:1200 SKYLINE DRIVETELEPHONE:
(650) 755-8574
CITY:DALY CITYSTATE: CAZIP CODE:
94015
CAPACITY: 54TOTAL ENROLLED CHILDREN: 34CENSUS: 31DATE:
06/01/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:50 AM
MET WITH:Matthew Feldman and Nicole FeldmanTIME VISIT/
INSPECTION COMPLETED:
12:45 PM
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On June 1, 2026, Licensing Program Analyst (LPA) Van conducted an unannounced annual inspection and met with the Operating Manager (OM), Matthew Feldman. The purpose of the inspection was explained, and the OM granted LPA access to the Center. At the time of inspection, seven staff members were supervising 31 children. During the visit, the Site Director, Nicole Feldman, arrived. The facility complies with the staff-children’s ratios today.

All staff present had criminal record clearances verified through the CDSS Guardian Background Check System. LPA advised the OM and Director to ensure that all staff members are formally associated with both programs, as the teachers assigned provide care and supervision to children in the preschool and school-age programs.

The Latchkey Alternative Center program is a combination preschool and school-age program that operates only in classrooms 700A and 700B at Franklin Delano Roosevelt Elementary School. The preschool program separates children into two groups: Dinosaurs (4- to 5-year-olds) in 700B and Teddy Bears (2- to 3-year-olds) in 700A.



LPA inspected the physical plant to assess any potential health and safety hazards. The center utilizes the Brightwheel system for electronic sign-in and sign-out. Each family member or authorized representative is assigned a unique code to complete the process. Upon review, the records confirmed that the system accurately identifies the individual who completes each entry and records the corresponding timestamps.

The classrooms were observed to be well-maintained, with appropriate temperature control and adequate ventilation. Age-appropriate toys and learning materials were available throughout all classrooms. Furniture was sturdy, in good condition, and free of observable hazards.
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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2026
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: LATCHKEY ALTERNATIVE CENTER, THE
FACILITY NUMBER: 414004749
VISIT DATE: 06/01/2026
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The center is equipped with a centralized smoke alarm and a carbon monoxide detector, as well as fully charged 2A:10BC fire extinguishers.

LPA observed that each child has an individual cubby for personal belongings. All emergency supplies are stored in a secure, locked area. Medications were stored in a centralized location within the staff office. Upon review, all medications were in their original containers and accompanied by the required parental consent forms. However, several medications were identified as having recently expired. LPA reminded the OM and Director to conduct periodic reviews of all stored medications to ensure they remain current and unexpired. First-aid supplies were fully stocked and readily accessible to children.

LPA observed that all cleaning solutions, poisons, and other hazardous chemicals were stored in areas inaccessible to children. Sleeping cots were stored appropriately when not in use. According to the OM, families provide all napping equipment, including blankets. LPA reminded the OM and Director to ensure that gates to all off-limits areas remain locked at all times to prevent children from accessing restricted spaces.

All children's toilets and handwashing stations are in good working order and properly sanitized. There is a separate staff bathroom on the premises. LPA observed no bodies of water on the premises. Per the OM and Director, no guns or weapons are present on site.
The food preparation area is clean and orderly. The center provides breakfast, lunch, and pm snacks for children, and all food is prepared on-site. All solid waste storage containers have tight-fitting lids. Children bring water bottles. The center has a water filtration system available for children to refill their water bottles.

The center operates under an approved waiver authorizing shared use of the outdoor activity space between the preschool and school-age programs. The outdoor play area was observed to be well-maintained, clean, and free of debris. The space is fully enclosed with appropriate fencing. All play structures were in proper working condition with no observable safety concerns. Impact-absorbing cushioning was installed beneath all swings and climbing structures.

All required postings, such as the facility License, Notification of Parent Rights, Personal Rights, Car Seat Law, Emergency Disaster Plan, and Daily activities, were posted.
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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
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: LATCHKEY ALTERNATIVE CENTER, THE
FACILITY NUMBER: 414004749
VISIT DATE: 06/01/2026
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Random children's records and personnel records were reviewed during the inspection. Records review showed the facility has complete records of each child, including immunizations, admission agreements, emergency contact information, and personal rights.

Staff records indicate that all staff and other individuals who require caregiver background checks have received criminal records and child abuse index clearances or exemptions. All staff members have valid CPR certification, licensing documentation, and current mandated reporter training. The director's and staff's educational qualifications showed they had the required ECE units.

According to the OM, the center typically conducts its fire and earthquake drills in coordination with the Elementary School’s scheduled drills. The most recent drills were completed on 5/8/2026. However, the center did not maintain internal documentation of these drills. LPA reminded the OM and Director of the requirement to ensure all emergency drills are documented internally by the center.

Assembly Bill (AB) 2370, Chapter 676, Statutes of 2018, requires all licensed Childcare 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.

CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES:

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN 21-21.1-CCP.

The Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02-CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. 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/.
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NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
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: LATCHKEY ALTERNATIVE CENTER, THE
FACILITY NUMBER: 414004749
VISIT DATE: 06/01/2026
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The Director 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 Childcare 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.

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

LPA discussed AB1207, the Child Abuse Mandated Training, with the Director. As of January 1, 2018, all staff must complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Pesticide regulations were discussed with the Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one-hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.

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.

During the visit, LPA requested the following updated documentation to be sent to the Licensing Office to complete this year’s annual inspection.
1. LIC 610 Emergency Disaster Plan
2. LIC 500 Personnel Report
3. LIC 308 Designation of Facility Responsibility

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

Exit interview conducted, and the report was reviewed with the Operating Manager (OM), Matthew Feldman, and Site Director, Nicole Feldman.
NAME OF LICENSING PROGRAM MANAGER: Garfield Leung
NAME OF LICENSING PROGRAM ANALYST: Brendon Van
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/01/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2026
LIC809 (FAS) - (06/04)
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