380504038-6-28-2023-05-CC-LGOZ-CT8QWA-20230628123137

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380504038
Report Date: 06/28/2023
Date Signed: 06/28/2023 12:31:44 PM

Document Has Been Signed on 06/28/2023 12:31 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	BUEN DIA FAMILY SCHOOL		FACILITY NUMBER:	380504038
ADMINISTRATOR:	ARCELONA, ADELINA		FACILITY TYPE:	850
ADDRESS:	589 GUERRERO ST.		TELEPHONE:	(415) 431-3535
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	30	CENSUS: 13	DATE:	06/28/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Danielle Haim, Adelina Arcelona		TIME COMPLETED:	12:45 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 6/28/2023 at 8:35AM., Licensing Program Analyst (LPA), Luis J. Gomez met with Lead Teacher, Danielle Haim. Purpose of inspection was explained and was for an Unannounced, Annual Random inspection. Facility is licensed to operate preschool-age program. Director, Adelina Arcelona arrived during inspection. Present was the director and 4 staff supervising 13 children. Children present had been properly signed in. Staff's have criminal record clearances on file. Program utilizes two classrooms: Areas #1, #2, #3/ Classroom #2 (Sol); Classroom #1/ Lower Classroom (Luna); and one, Outdoor Play Area. Per Director, Luna Classroom is currently closed. Program operates year around. LPA inspected facility, indoors and outdoors, with director for health and safety hazards. At 8:45AM., LPA observed the following: Play Areas, and Lower Level, were clean, orderly, with age-appropriate playthings available for the children. Floor/ground surfaces were free of any obstructions or possible hazards. Labeled cubbies are available for storage of children's belongings. Accessible furniture, shelves, art supplies, were free of sharp corners or splinters. Facility is equipped with child- sized tables and chairs for snack and seated activities. Children’s bathrooms are maintained clean with fixtures (3 toilets, 6 sinks) in operating condition. Staff bathroom is located separately. For napping services, labeled mats are stored in facility closet. Napping mats inspected were made of cleanable material. Per Director, napping sheets are washed weekly. Facility had acceptable ventilation and lighting. Disinfectants, toxins, and cleaning compounds have been stored inaccessible to children. Outlets have been covered. Facility has built-in smoke detector, functioning carbon monoxide detectors (2), telephone service, and fully charged fire extinguishers: 2A:10BC located in on each level. First aid kit reviewed is fully stocked. At 9:10AM, LPA inspected the outdoor play area. Area was completely enclosed, with playthings in good repair. Absorbent material had been installed around structure for added safety. Per Director, sand is reviewed daily by staff, for any hazards or foreign objects. Climbing structures are properly anchored. Shaded rest area, and water services are made available for children. During inspection, LPA reviewed kitchen/ food storage area. Food items inspected had current expiration dates, and were properly stored. Area was clean and free of trash or rubbish. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BUEN DIA FAMILY SCHOOL	FACILITY NUMBER: 380504038
	VISIT DATE: 06/28/2023

NARRATIVE

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At 9:45AM LPA reviewed facility records including three children’s files and six personnel files. Staff’s files contained the: Notice of Employee Rights (LIC9052); Education Verification; Personnel Record (LIC501); required “Mandated Reporter Training’ certifications (AB1207).

At 10:15AM., Based on record review, LPA confirmed staff files missing required proof of immunization. Advisory Note: Technical Violation (LIC9102TV) was issued.

Staff's ‘Cardiopulmonary Resuscitation and First Aid’ certifications on file were current.

Children’s files contained the: Consent for Emergency Medical Treatment (LIC627); Immunization Records, Identification and Emergency Information (LIC700); Personal Rights (LIC613A); and Notification of Parent’s Rights (LIC995).

Emergency disaster drill are conducted monthly. Last drill completed on 6/12/2023, is properly logged.

LPA observed required posting in facility, including the: Facility License; Emergency Disaster Plan (LIC610); Earthquake Preparedness Checklist; Child Passenger Safety Laws (PUB369).

Facility posted the Notice of Parent’s Rights (PUB394) during inspection. Advisory Note: Technical Assistance (LIC9102TA) was issued.

LPA reminded director ensure updated snack menu is posted for families, at least one week in advance.

Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manuel – Regulations Interpretations and Procedures for Child Care Centers Section 101173 and 101226. When an IMS is provided, an updated Plan of Operations that includes IMS must be submitted to the Department. Following information regarding ADA was provided: US Department of Justice (USDOJ) toll- free ADA information line at (800) 514- 0382 (TTY) and link to publications: Commonly asked questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

LIC809 (FAS) - (06/04)

Page: 4 of 6

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: BUEN DIA FAMILY SCHOOL	FACILITY NUMBER: 380504038
	VISIT DATE: 06/28/2023

NARRATIVE

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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 Child Care Center. A civil penalty of $100.00 minimum/ day up to $500.00 maximum per day/per person will be assessment if this regulation is violated.

Based on today's inspection, no deficiencies were cited in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. Exit interview and report was discussed with Director, Adelina Arcelona and Director’s signature of this form acknowledges receipt of these documents.

This report must be made available in the facility for public review. Notice of site visit was provided and must remain posted for 30 days. Director was advised any additional questions to call office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov

SUPERVISOR'S NAME: Ali Zebila	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2023

LIC809 (FAS) - (06/04)

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