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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434415326
Report Date: 04/07/2026
Date Signed: 04/07/2026 04:55:04 PM

Document Has Been Signed on 04/07/2026 04:55 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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME:STANFORD ARBORETUM CHILDREN'S CENTERFACILITY NUMBER:
434415326
ADMINISTRATOR/
DIRECTOR:
MONROE, MARY ALLISONFACILITY TYPE:
830
ADDRESS:215 QUARRY ROADTELEPHONE:
(650) 725-6322
CITY:STANFORDSTATE: CAZIP CODE:
94305
CAPACITY: 40TOTAL ENROLLED CHILDREN: 40CENSUS: 34DATE:
04/07/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
12:45 PM
MET WITH:Mayra GonzalezTIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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On April 7, 2026, at 12:45 PM, Licensing Program Analyst (LPA) Elimika Woods conducted an unannounced Annual Random Inspection and met with Assistant Director Mayra Gonzalez. LPA disclosed the purpose of the inspection and toured the facility, both inside and outside, to conduct a health and safety inspection. There were 34 infant and toddler children present during the inspection, along with 10 additional staff members. The facility consists of four classrooms and operates Monday through Friday from 6:30 AM to 6:30 PM.

LPA reviewed facility records and verified that all individuals subject to criminal record review have received a clearance or exemption and are properly associated with the facility. A census of the children was conducted, and the count matched the 34 electronic signatures recorded in the facility’s electronic sign-in system. LPA reviewed four (4) children’s files and three (3) staff files. All staff files contained required health screening documentation and Employee Rights forms. Children’s files included Personal Rights, Medical Consent forms, and Identification and Emergency Information. At least one staff member present held a current CPR and First Aid certification.

At approximately 1:00 PM, LPA inspected all four classrooms and observed appropriate teacher-to-child ratios. Classrooms were equipped with adequate play and learning materials. Floors were well maintained, and furniture was appropriately sized for infant and toddler children. All classroom equipment was observed to be in good repair, and room temperatures were comfortable. Each child had proper individual storage space, with cubbies labeled with their names and pictures. The designated isolation area for ill children is located in the director’s office, separate from children in care.

LPA tested the facility’s carbon monoxide detectors and confirmed they were functioning properly. The smoke detector system is hardwired and designed to notify the fire department when activated. Per the Director, the system is fully operational and regularly serviced. The center is equipped with a working telephone, a pull-down fire alarm system, and multiple fully charged 3A40BC fire extinguishers throughout the facility, meeting standards established by the State Fire Marshal. Disaster drills are conducted at least once every six months, with the most recent drill completed on March 10, 2026. All required documents are posted in a publicly accessible area.

See LIC 809-C

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/07/2026
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: STANFORD ARBORETUM CHILDREN'S CENTER
FACILITY NUMBER: 434415326
VISIT DATE: 04/07/2026
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The facility provides snacks for children in care, and monthly menus are posted on-site. LPA observed the areas containing refrigerators and found them to be clean and free of evidence of rodents. Infant food was individually labeled with each child’s name and the date it was prepared. Staff were reminded to discard any uneaten food after 72 hours. LPA also reminded the Director that all individuals involved in food preparation and service must adhere to proper personal hygiene and food sanitation practices to prevent contamination. All solid waste storage containers were observed to have tight-fitting covers and were in good repair.

LPA’s Observations During the Visit:
At approximately 1:30 PM, staff were preparing children for nap time. There were two staff members present in the room; one teacher was observed rocking a child, while the other staff member was placing one of three children into their individual cribs. All cribs were observed to be free of loose items, hanging objects, and blankets, in accordance with safe sleep practices.

The outdoor play area contains a variety of age-appropriate equipment, including balls, crawling tunnels, water stations, bikes, scooters, building blocks, climbing apparatus, sandboxes, and a play structure with a slide equipped with cushioning to absorb falls. There are multiple canopies and trees providing adequate shade for children during outdoor play. All equipment was observed to be in good repair. The outdoor play area is fully fenced and free of defects or hazardous conditions. Multiple storage sheds are present and secured with locks to prevent children’s access to equipment.

LPA inspected the staff bathrooms and was informed by the Director that they are separate from children’s restrooms. Changing tables in the infant rooms were observed to be within arm’s reach of a sink. The facility has adequate supplies, including soap and paper towels, readily available for children in care.



California Law requires Child Care Centers licensees to report unusual incidents or injuries to children in care to child's parents and to the Department of Social Services using the Unusual Incident/Injury form (LIC 624). Incidents must be reported within 24 hours by phone, fax, or electronic mail. The director were also reminded that Mandated Reporter Training ("General" and "Child Care Providers") is required for all staff and is to be renewed every 2 years by visiting www.mandatedreporterca.com.

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-carecenters/. LPA reminded the facility representative that a refrigerator shall be used to store any medications that requires refrigeration. The center is equipped with fully stocked first aid kits that are available in the classrooms.



See 809-C.
NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
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
OAKLAND SOUTH EAST, 1515 CLAY STREET STE 1102
OAKLAND, CA 94612
FACILITY NAME: STANFORD ARBORETUM CHILDREN'S CENTER
FACILITY NUMBER: 434415326
VISIT DATE: 04/07/2026
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Lead Testing – Child Care Centers (CCC) CCC COMPLETED TESTING AND NO LEAD EXCEEDANCES: 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 21-21.1CCP). LPA verified that the lead testing was completed in accordance to the Written Directives outlined in PIN 21-21.1-CCP.

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.

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 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.

The director 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.

There are no deficiencies cited today. A notice of site visit was given and must remain posted for 30 days. Exit interview conducted and report was reviewed with the Assistant Director Mayra Gonzalez.

NAME OF LICENSING PROGRAM MANAGER: Chandra Charles
NAME OF LICENSING PROGRAM ANALYST: Elimika Woods
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2026
LIC809 (FAS) - (06/04)
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