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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504783
Report Date: 09/25/2026
Date Signed: 09/25/2026 12:40:43 PM

Document Has Been Signed on 09/25/2026 12:40 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:LAUREL HILL NURSERY SCHOOLFACILITY NUMBER:
380504783
ADMINISTRATOR/
DIRECTOR:		SABRINA MIRZAIEFACILITY TYPE:
850
ADDRESS:401 EUCLID AVENUETELEPHONE:
(415) 751-8784
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94118
CAPACITY: 59TOTAL ENROLLED CHILDREN: 49CENSUS: 37DATE:
09/25/2026
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Sabrina Mirzaie and Justin VolmertTIME VISIT/
INSPECTION COMPLETED:
12:55 PM
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On 09/25/2026, Licensing Program Analysts (LPAs) Regina Cruz and Hanson Leong arrived at the facility for an unannounced annual inspection. The purpose of the visit was explained to office manager, Jessica Duque who let LPAs in to the facility. Director Sabrina Mirzaie (D1) was not present at the time of arrival, so LPAs initially met with assistant director, Justin Volmert (D2). D1 arrived during the inspection.

The hours of operation are Monday through Friday from 8:00 AM to 5:00 PM.

The facility operates as a co-op and has parents of enrolled children on site to assist with care an supervision. There are 4 classrooms and a 2 level playground.

Present at the facility were 37 children, 5 teachers, and 8 parents of enrolled children. The facility was within capacity limit and staff to children ratios were met that day.

Children are signed in at drop-off and signed out at pick-up by parents or authorized representatives. The number of children present matched the number of children that were signed in that day. Facility license and required documents were found posted on the wall in the front entrance. D2 stated that emergency drills are conducted every 6 months and documented in a log which is available for review. The last emergency drill was done on 04/17/2026.

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Daniel J Oquendo
Regina Cruz
DATE: 09/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/25/2026
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: LAUREL HILL NURSERY SCHOOL
FACILITY NUMBER: 380504783
VISIT DATE: 09/25/2026
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LPAs and D2 inspected the facility for health and safety hazards. The outdoor play area has 2 levels accessible by a wooden staircase. Age-appropriate toys and equipment were observed to be in good repair. Play structures were free of broken or sharp edges. Play structures are placed atop sand which D2 stated is raked each morning.

Each classroom is equipped with a working Carbon monoxide detector, smoke detectors, and a fully charged fire extinguisher. A first aid kit is kept in each classroom as well. A list of children with allergies is kept in each classroom, readily available for review. The classrooms were clean, well ventilated, and at a comfortable temperature at the time of visit.

Age-appropriate furniture and toys in classrooms were in good repair. Cubbies are available for children to individually store their belongings. Cots for children who nap at the school are stored in a closet and wiped with disinfectants every day. Beddings are provided by the school, stored in individual bins labeled with children's names, and sent home weekly to be washed by families. D2 stated that the facility does not provide meals for children. Children bring food and their water bottle from home.

Medicine for children is kept in a closet located in the front office, inaccessible to children in care. Medicine is stored in individual bins clearly labeled with children's names. All prescription medicine was kept in original packaging and had instructions for administering. One medication was found to be expired and LPAs informed D1 not to use that medication until replaced.

There are 2 staff bathrooms and one bathroom for children. The bathroom for children had 4 toilets and 3 sinks and was observed to be clean and in good repair.

5 children’s records were randomly selected and reviewed. All were found complete with required licensing documents and proof of immunizations. 5 staff records were also reviewed. 1 out of 5 staff files reviewed was missing proof of measles immunity. D1 stated that she will remind that the staff member to submit proof of measles immunity as soon as possible. The facility will receive a technical violation note for one staff member missing proof of measles immunity. All staff had current Pediatric first aid and CPR certifications and Mandated Reporter training certifications.
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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Regina Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026
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: LAUREL HILL NURSERY SCHOOL
FACILITY NUMBER: 380504783
VISIT DATE: 09/25/2026
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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.

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

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.

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/.

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.

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NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Regina Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026
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: LAUREL HILL NURSERY SCHOOL
FACILITY NUMBER: 380504783
VISIT DATE: 09/25/2026
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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 [email protected]. 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

There were no deficiencies cited at this time.

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, Sabrina Mirzaie.

NAME OF LICENSING PROGRAM MANAGER: Daniel J Oquendo
NAME OF LICENSING PROGRAM ANALYST: Regina Cruz
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/25/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2026
LIC809 (FAS) - (06/04)
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