380500240-1-19-2022-05-CC-CQUO-CATUH9-20220119143535

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380500240
Report Date: 01/19/2022
Date Signed: 01/19/2022 02:36:17 PM

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:	GLENRIDGE COOPERATIVE NURSERY SCHOOL		FACILITY NUMBER:	380500240
ADMINISTRATOR:	CAMPBELL, MARIELLEN		FACILITY TYPE:	850
ADDRESS:	GLEN PARK CANYON (CHENERY-ELK)		TELEPHONE:	(415) 586-2771
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94131
CAPACITY:	25	CENSUS: 12	DATE:	01/19/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Director, Mame Campbell		TIME COMPLETED:	03:00 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On January 19, 2022 at 12:30pm, Licensing Program Analyst (LPA) Catrina Quimbo conducted an unannounced, annual, required inspection. LPA met with center director, Mariellen "Mame" Campbell and explained the purpose of the inspection. Facility is a co-op program with a morning (9:30am to 12:30pm) and afternoon (12:30pm- 3:30pm) session. Hours of operation are Monday to Friday 9:30am to 3:30pm. Facility is located in Glen Canyon Park near Park and Rec building. Present during inspection included director, teacher (H1), 3 volunteers/parents of enrolled children, and 12 enrolled children. Facility is currently operating within teacher to child ratio on this date. With director, LPA inspected entire facility for health and safety hazards. Program's morning session operates on the second floor of the building with a capacity of 25 children. LPA observed morning session's classroom to be separated into 6 different sections. Sections include multipurpose, dramatic play, arts and crafts, and journal areas. Classroom is equipped with a variety of age appropriate toys and materials. Storage for children's belongings are located inside the classroom, labeled with each child's individual names. Program's afternoon session operates on ground floor of the building with a capacity of 19 children. LPA observed afternoon session's classroom to be designed as morning session's classroom, separated into multiple sections that include dramatic play, arts and crafts and journal areas. Storage for children's belongings are located outside the classroom, labeled with each child's individual names. LPA observed facility has an installation of a fire alarm system as well as multiple smoke and carbon monoxide detectors, fully charged fire extinguishers and emergency kits on each floor of building. All poisons, cleaning solutions and hazardous materials are stored inaccessible to children. Facility does not currently provide a food service. (Continue Report on Page 2...)

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2022

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: GLENRIDGE COOPERATIVE NURSERY SCHOOL	FACILITY NUMBER: 380500240
	VISIT DATE: 01/19/2022

NARRATIVE

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Outdoor area includes an open space in front of facility building. LPA observed facility maintains outdoor waiver. There are a variety of outdoor equipment that are in good working condition. Children are signed in and out of facility by parents' written signatures. Facility has license documentation and information properly posted and available for review.

LPA reviewed facility records that included 10 children's records, sample of volunteers/parents records and 2 staff records (whom were present during inspection). LPA observed children's and staff's records to be complete. Director's CPR and First Aid certificate is current and will expire September 2023. Last emergency drill was conducted 10/25/2021. Emergency drills are conducted at least once every 6 months and are properly logged and documented.

Facility was informed that as of September 1, 2016, a person may not be employed or volunteer at a child care facility unless he or she has been immunized against influenza, pertussis, and measles or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662.

Director is aware that all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com. LPA observed the completion certificate on file. LPA encourages the director to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates.

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/inspection-process.

Director 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: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2022

LIC809 (FAS) - (06/04)

Page: 2 of 3

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: GLENRIDGE COOPERATIVE NURSERY SCHOOL	FACILITY NUMBER: 380500240
	VISIT DATE: 01/19/2022

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LPA discussed the safe sleep regulations with director 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 director 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.

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 Child Care Centers Sections 101173 and 101226.The following information
regarding ADA was provided: US Department of Justice (USDOJ) 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

No deficiencies were issued under CCR, Title 22, Division 12.

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

Exit interview conducted and report was reviewed with director, Mariellen "Mame" Campbell.

SUPERVISOR'S NAME: Cindy Interiano	TELEPHONE: (650) 266-8864
LICENSING EVALUATOR NAME: Catrina Quimbo	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 01/19/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2022

LIC809 (FAS) - (06/04)

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