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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504229
Report Date: 07/13/2022
Date Signed: 07/13/2022 01:44:37 PM


Document Has Been Signed on 07/13/2022 01:44 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:FRIENDS OF ST. FRANCIS CHILDCARE CENTER, INC.FACILITY NUMBER:
380504229
ADMINISTRATOR:LARGE, SARAHFACILITY TYPE:
850
ADDRESS:50 BELCHER STREETTELEPHONE:
(415) 861-1818
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94114
CAPACITY:38CENSUS: 25DATE:
07/13/2022
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Sarah Large and Maria AllisTIME COMPLETED:
01:45 PM
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Licensing Program Analyst (LPA) Van met with Site Supervisor Maria Allis on 7/13/2022. The inspection's purpose was disclosed, and it was an unannounced mandatory 1-year inspection. During the inspection, Program Director Sarah Large arrived. Present today are 25 children supervised by nine teachers. The facility complies with the staff-children ratios today. Every member of staff has a criminal record clearance on file. The days and operations hours are Monday - Friday from 8:00 am to 5:30 pm.

LPA toured and inspected inside and outside the facility alongside the Site Supervisor to identify any potential health and safety hazards. The facility has proper temperature, with adequate ventilation and lighting. The facility had a working phone, a smoke alarm, a carbon monoxide detector, and fully charged fire extinguishers (3A:40BC). The classrooms are clean and organized, with age-appropriate literature and learning resources for the children. There are no obstacles or hazards on the facility floor or ground surfaces. The furniture and toys are in great condition. Individual cubbies for children's belongings are provided and labeled with the child's name. Each pod has its own set of child-sized tables and chairs. The children's restrooms are evaluated. All bathroom fixtures are in good working order and have adequate on-site supplies. All toilets and handwashing sinks are in good working condition with proper sanitation. There is a separate staff bathroom. Cleaning supplies, disinfectants, and other chemicals are completely inaccessible to children. All electrical outlets have childproofed covered. All solid waste storage containers within the Center have an appropriate tight-fitting cover.

All emergency supplies are kept in a secure location. Medications are appropriately labeled and kept out of the reach of children. First aid products are fully stocked and ready for use by children.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/13/2022
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: FRIENDS OF ST. FRANCIS CHILDCARE CENTER, INC.
FACILITY NUMBER: 380504229
VISIT DATE: 07/13/2022
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The outdoor area is surrounded by high fencing and is clear of debris. The outdoor play structures and toys are observed in good shape. The outdoor has a shaded area for children. All play structures have comfortable padding beneath them to absorb any accidental falls. Drinking water is available for children indoors and outdoors.

Randomly selected children's and personnel records are reviewed. The facility maintained a complete children's file, including all documents required, such as Health History (LIC702), Identification of Emergency Information (LIC700), Consent for Medical Treatment (LIC627), Notification of Parent's Rights (LIC995), and Immunization Records. All personnel or persons requiring caregiver background checks have gotten criminal records and child abuse index clearances or exemptions. Criminal Record Statements (LIC508), Declaration to Report Suspected Child Abuse (LIC9108), Educational Credentials, Notice of Employee Rights (LIC9052), valid Mandated Reporter Training Certification, and Proof of Immunization are all on file for staff. Several members of staff have current CPR certification.

According to the Director, the Center conducts fire and earthquake drills at least once every six months, with the most recent one taking place on 6/15/2022. The isolation location for an unwell child is located in the Director's office, and personnel will observe and supervise the child until parents are notified to come and pick up the child.

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

The 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.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
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: FRIENDS OF ST. FRANCIS CHILDCARE CENTER, INC.
FACILITY NUMBER: 380504229
VISIT DATE: 07/13/2022
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The Director was advised that a one-time General Training is also needed in addition to the AB1207 training that the License holder and any personnel employed are expected to undergo every two years. Training is available online at www.mandaterreporterca.com. In addition, the Director was reminded about pesticide training. On the DPR website, go to www.cdpr.ca.gov/shoolipm/childcare for further information.

LPA encouraged the Director to frequently visit the Licensing website at www.ccld.ca.gov for licensing regulations and new updates. Director can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

During the inspection, LPA requested an up-to-date Emergency Disaster Plan (LIC 610), Personnel Report (LIC 500), and the Designation of Administrative Responsibility (LIC 308), Incidental Medical Services Plan (IMS). In addition, new site Supervisor qualification paperwork and updated Parent's handbook.

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.

Today, no deficiencies have been identified. An exit interview took place, and the report was discussed with the Program Director and Site Supervisor. Today's report and notice of site visit will be emailed to the Director by the end of business on July 13, 2022. Receipt confirmation is necessary. LPA instructed the Director that the site visit notice had to be posted for 30 days. Failure to comply with posting requirements shall result in an immediate civil penalty of $100.
SUPERVISOR'S NAME: Garfield LeungTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon VanTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 07/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/13/2022
LIC809 (FAS) - (06/04)
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