380504354-7-26-2019-05-CC-FBTQ-BEFQBP-20190726120149

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380504354
Report Date: 07/26/2019
Date Signed: 07/26/2019 12:01:59 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:	SFUSD-ZAIDA T. RODRIGUEZ (EES) PRESCHOOL		FACILITY NUMBER:	380504354
ADMINISTRATOR:	MANCINA, JANE		FACILITY TYPE:	850
ADDRESS:	2950 MISSION STREET		TELEPHONE:	(415) 695-5842
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	60	CENSUS: 35	DATE:	07/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Norma Devlin		TIME COMPLETED:	12:30 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	Licensing Program Analyst (LPA), Farhan Bashir-Tariq conducted an Annual/Random inspection on 7/26/19 and met with the staff Norma Devlin (S1). Purpose of the inspection was explained. This is a Preschool program, which operates in Room #3 and Room #4. The hours of operation are M-F, 7:30AM-5:30PM. Present there were 35 children with 6 teachers. Facility is operating within the capacity and ratio limits as of today 7/26/19. LPA and S1 inspected the facility indoors and outdoors for Health and Safety Hazards. Classrooms have age appropriate toys and equipment, which are maintained in good condition. Cubbies and hooks inside each classroom are used to store children’s belongings. Napping equipment is properly stored in each classroom. Restrooms are kept clean, in good repair, and with adequate supplies. Staff restroom is maintained off limits to children. Facility has a fully supplied Emergency Kit and Emergency supplies, which are maintained inaccessible to children. Discipline policy is mainly redirection. Outdoor play area is completely fenced and maintained free of debris and hazardous items. All outdoor toys and equipment are age appropriate and in good repair. Sandbox is covered daily and also checked for debris. Water fountains are available outside in the play yard for children to drink water. All mandatory postings are properly posted near the classrooms and near the main office. Sign in/out sheets were reviewed and are complete. LPA reminded the facility to conduct the fire or emergency drills at least once every six months and drills must be logged. Facility has log for each drill being conducted. Per facility’s log, last drill was conducted on April 2, 2019. Continuation on next page...

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2019

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: SFUSD-ZAIDA T. RODRIGUEZ (EES) PRESCHOOL	FACILITY NUMBER: 380504354
	VISIT DATE: 07/26/2019

NARRATIVE

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There are no pools, spas or other bodies of water at the facility. Facility has multiple smoke detectors, a fully charged fire extinguisher and a working telephone at the site. All of the cleaning solutions, poisons and other chemicals that are dangerous to the children are stored inaccessible to the children. Facility has age appropriate furniture. Furniture is steady and in good repair. Facility floor is in good repair and free of any hazards. All of the play structures are steady, in good repair and free of any loose parts. There is sufficient amount of soft cushioning under the play structures to prevent any fall injuries.
LPA reviewed the facility records. LPA reviewed 8 random children's and 4 staff's files. LPA observed facility has record of names, addresses and telephone numbers of each child's authorized representative. Each child's record contains the record immunization. Multiple staff members have record of valid CPR card in file.
LPA reminded the facility 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.
LPA reminded the facility, as of January 1, 2018, all staff is required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.
LPA encouraged the facility to frequently visit our website at www.ccld.ca.gov for licensing regulations and new updates. Facility can also email at childcareadvocatesprogram@dss.ca.gov and ask to be added to the email list for the updates.

>No deficiencies were cited today under Title 22 Division 12 of the California Code of Regulations:

This report and rights to comment and appeal were discussed with the Principal, D'Andrea Robinson. This report must be available in the facility for public review. Notice of site visit shall be posted for 30 days from today's visit.
Licensee was advised for any additional questions to call Office, M-F, 8AM-5PM at 650-266-8800 . For Rules and Regulations, visit the Website: www.cdss.ca.gov

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8867
LICENSING EVALUATOR NAME: Farhan Bashir-Tariq	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2019

LIC809 (FAS) - (06/04)

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