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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 414005013
Report Date: 08/06/2024
Date Signed: 08/06/2024 05:46:01 PM

Document Has Been Signed on 08/06/2024 05:46 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:PENINSULA JEWISH COMMUNITY CENTERFACILITY NUMBER:
414005013
ADMINISTRATOR/
DIRECTOR:		FRANCIS, NICOLEFACILITY TYPE:
830
ADDRESS:800 FOSTER CITY BLVD.TELEPHONE:
(650) 212-7522
CITY:FOSTER CITYSTATE: CAZIP CODE:
94404
CAPACITY: 29TOTAL ENROLLED CHILDREN: 0CENSUS: 0DATE:
08/06/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:35 PM
MET WITH:Nicole FrancisTIME VISIT/
INSPECTION COMPLETED:
05:55 PM
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On August 6, 2024, at approximately 1:10pm, Licensing Program Analyst (LPA) Maria Olguin-Leon, conducted an unannounced case management inspection at Peninsula Jewish Community Center Infant Center. Facility submitted an application on July 2024, for an increase of capacity for the infant program. LPA met with Director, Nicole Francis, and explained the purpose of the inspection. Currently facility is on summer break and not in session.

Program is a licensed combination program for infants, preschool and after school. The program is adding classroom #3 room to their infant program and decreasing classroom from preschool capacity. Program is requesting to increase capacity from 29 infants to 41 infants. Director plans to use classroom #3 for infants ages 12 months to 24 months. Director was reminded that preschool children cannot commingle with the infant program.

Classroom #3, previously a preschool classroom, was measured today for the infant classroom. Classroom #3 was measured for 688.5 sq ft. The total allowable capacity measured for Classroom #3 measures for 688.5 sq ft. equaling 19 infants. Classrooms #1, #2, and #10 will remain infant classrooms. Classroom #1 is for infants 6mths-12months, and the remainder of the classrooms are for 12mths – 24mths infants. Based on LPA meaurements classroom #3 accomodates 19 infants.

LPA observed classroom to be equipped with a variety of toys and equipment that are in good working condition. Classroom is equipped with a centralized fire alarm system. Carbon monoxide and smoke alarm is built into the fire alarm system. LPA observed a fully charged fire extinguisher. Electrical outlets were made inaccessible with child safety covers. Program will utilize cots for napping children that will be stored in the classroom. LPA observed room to be completely set up and ready for infant program.

Cont. page 2...
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE: DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/06/2024
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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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: PENINSULA JEWISH COMMUNITY CENTER
FACILITY NUMBER: 414005013
VISIT DATE: 08/06/2024
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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 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.

LPA will approve infant capacity increase to from 29 to 48 infants, pending approved fire inspection clearance.

A copy of this report, and the “Notice of Site Visit” were given to the director. A “Notice of Site Visit” must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

An exit interview was conducted, and the report was reviewed with the Director, Nicole Francis.
SUPERVISORS NAME: Marie Rodriguez
LICENSING EVALUATOR NAME: Maria Olguin-Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC809 (FAS) - (06/04)
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