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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380500086
Report Date: 04/06/2022
Date Signed: 04/06/2022 01:53:35 PM


Document Has Been Signed on 04/06/2022 01:53 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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066



FACILITY NAME:JCCSF BROTHERHOOD WAY PRESCHOOLFACILITY NUMBER:
380500086
ADMINISTRATOR:BATLIN, JANFACILITY TYPE:
850
ADDRESS:655 BROTHERHOOD WAYTELEPHONE:
(415) 333-4289
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:116CENSUS: 68DATE:
04/06/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Edna VakninTIME COMPLETED:
02:15 PM
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Licensing Program Analyst (LPA) Marie Rodriguez conducted an unannounced Annual inspection. LPA met with Site Director Edna Vaknin and explained purpose of inspection. Center is located at the Brandeis School of San Francisco. Present at the center were the Site Director, 17 staff, and 68 preschool age children. Center is operating within capacity requirements and in compliance to child to staff ratio. Hours of operation are Monday to Friday from 8:00am to 5:45pm but will return to normal hours of 8:00am to 6:00pm this summer.

LPA inspected center with Site Director. Center consists of classrooms Nitzanim, Neta, Nevatim, Elan, and Elan Gardens. The center is in good condition with proper temperature and ventilation and is free of any hazards. All furniture is in good repair. The center has age appropriate toys and equipment which are in good condition in each classroom. Outdoor play area is fenced for supervision. Outdoor toys and equipment are age appropriate and in good condition. Play structure has sufficient cushioning underneath. There are no bodies of water, firearms, or weapons on the premises.

All required postings are properly posted on the bulletin board next to the walkway leading to the classrooms. School provides morning and afternoon snacks. Children bring their own lunch. Kitchen is clean and free of any toxins or contamination. All food is properly stored to avoid contamination. All storage containers for solid waste have a proper lid. All cleaning products and toxins are inaccessible to children. Nitzanim classroom has one bathroom with one toilet and two sinks. Neta and Nevatim classrooms share a bathroom with two toilets, one sink, and a diaper changing table. Neta classroom has two sinks and a diaper changing table. Elan classroom has a bathroom with two toilets and four sinks. Elan Gardens classroom has two rooms with a bathroom with one toilet and four sinks in each room. There is also a separate bathroom for staff. Bathroom and diaper changing areas appear to be clean, in good repair, and free of any hazards.

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SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 04/06/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: JCCSF BROTHERHOOD WAY PRESCHOOL
FACILITY NUMBER: 380500086
VISIT DATE: 04/06/2022
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Twelve children records reviewed were complete. All children have a record of emergency identification information on file. Eighteen staff records reviewed were complete. All staff members have a criminal record clearance on file. Site Director and some teachers have current pediatric first aid/CPR certificates.

Last emergency drill was conducted in March 2022. Emergency drills are conducted at least once a month in-conjunction with the elementary school and are properly logged. The center has a complete record of sign-in/out sheets by authorized pickup person. There is a working fire and carbon monoxide detector, a fully charged fire extinguisher, and a working telephone is available on-site.

No deficiencies cited today under California Code of Regulations, Title 22, Division 12.

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 Evaluator Manual – Regulation Interpretations and Procedures for Family Child Care Homes Section 102417. The following information regarding ADA was provided: US Department of Justice (US DOJ) toll-free ADA Information Line at (800) 514-0301 (voice) / (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http:://www.ada.gov/childqanda.htm.

To improve the quality and value of the new inspection process, a survey will 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 tools, please send them by email 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/process.

Facility representative was reminded that all adults 18 and over, including employees and volunteers, 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 up to $500.00 maximum per day/per person will be assessed if this regulation is violated.



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SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
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
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME: JCCSF BROTHERHOOD WAY PRESCHOOL
FACILITY NUMBER: 380500086
VISIT DATE: 04/06/2022
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LPA discussed the safe sleep regulations with facility representative and discussed the Child Care Licensing Safe Sleep webpage at https://www.cdss.ca.gov/inforesources/child-care-licensing/public-information-and-resources/safe-sleep as an additional resource. LPA also informed facility representative of the importance of checking for recalled infant devices on the United States Consumer Product Safety Commission (CPSC) website at https://www.cpsc.gov/ and recommended they register all infant devices with the CPSC to be notified of any recalls on their purchased equipment.

A notice of site visit was given and must remain posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.

Exit interview conducted and report was reviewed with facility representative Edna Vaknin.
SUPERVISOR'S NAME: Daniel J OquendoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Marie RodriguezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 04/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2022
LIC809 (FAS) - (06/04)
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