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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380504354
Report Date: 09/14/2022
Date Signed: 09/14/2022 10:10:47 AM


Document Has Been Signed on 09/14/2022 10:10 AM - 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:SFUSD-ZAIDA T. RODRIGUEZ (EES) PRESCHOOLFACILITY NUMBER:
380504354
ADMINISTRATOR:MANCINA, JANEFACILITY TYPE:
850
ADDRESS:2950 MISSION STREETTELEPHONE:
(415) 695-5842
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94110
CAPACITY:60CENSUS: 18DATE:
09/14/2022
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Lindsey KeenerTIME COMPLETED:
10:25 AM
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On 9/14/2022 at 9:05AM., Licensing Program Analyst (LPA) Luis J. Gomez met with Principal, Lindsey Keener. Purpose of the inspection was explained and was for an unannounced; Plan of Correction inspection. Present was the Principal and six staff supervising and 18 children. Children present have been properly signed in. LPA inspected facility, inside and outside, for health and safety hazards.

During today’s inspection, LPA performed site observations and interviews with staff.

On 7/21/2022, the Department received preschool program’s plan of operation during the schedule renovation for classroom #4. Submitted plan included classroom's reopening date and safety measures implemented to ensure child safety.

At 9:20AM., LPA observed classroom #4 has reopened. Classrooms are free of hazards or dangerous conditions.

Deficiency issued on 7/20/2022, has been cleared and ‘Cleared Plan of Correction Letter’ was provided.

Based on today's inspection, no deficiencies were observed in the areas evaluated according the Title 22 Division 12 Ca. Code of Regulations. Exit interview was discussed with Principal, Lindsey Keener and signature of this form acknowledges receipt of these documents.

This report must be available in the facility for public review. Notice was provided and must remain posted for 30 days. Principal was advised for additional questions to call CCL Office, M-F, 8am-5pm, 650-266-8800 or 1-844-538-8766. Website: www.ccld.ca.gov
SUPERVISOR'S NAME: Cindy InterianoTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis GomezTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:
DATE: 09/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 09/14/2022
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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