380504535-2-7-2020-05-CC-BVAN-BLKQVA-20200207113001

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380504535
Report Date: 02/07/2020
Date Signed: 02/07/2020 11:30:11 AM

COMPREHENSIVE INSPECTION

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:	LITTLE STAR		FACILITY NUMBER:	380504535
ADMINISTRATOR:	DIZON, ELLEN		FACILITY TYPE:	850
ADDRESS:	2540 TARAVAL STREET		TELEPHONE:	(415) 731-7933
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94116
CAPACITY:	45	CENSUS: 39	DATE:	02/07/2020
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Audrey Reed, Ellen Dizon		TIME COMPLETED:	11:45 AM

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) Van met with the lead teacher, Audrey Reed, for an unannounced annual random inspection. The current Director of the site is Ellen Dizon. The purpose of the inspection was explained and granted entry to the facility by the teacher. This facility is a preschool program and operates at the ground level on the right side of the Grace United Methodist Church. Days and hours operations are Monday - Friday 7:00 am-6:00 pm. Present today are 3 teachers, the Director, and 2 TAs supervising 39 children. Staff to children ratio are met. Per the lead teacher, sick children will be separated from the group and will be waited in the cot storage area for parents to pick up. LPA, along with the lead teacher, inspected the facility for health and safety hazards. The facility is in good repair and free of any hazards with proper temperature and ventilation. A variety of age-appropriate toys and learning materials for children are available in the classroom. There are no pools, spas, or other bodies of water at the facility. The facility has a smoke detector, fully charged fire extinguishers, and a working telephone at the facility. LPA observed all cleaning solutions, poisons, and other chemicals that are dangerous stored in the kitchen and are inaccessible to children. Per the lead teacher, the center provides two snacks and lunch for children, and the children's foods are catered from the Three Stars Restaurant. All the bathrooms, toilets, and sinks are clean and well sanitized. There are a total of 3 toilets, 3 sinks, and a urinal in the facility. There is a separate bathroom available for staff inside the Church. The facility has water fountains readily available for children to use outdoor and water pitchers indoor. The outside play area is completely fenced, clean, and in good repair. The playground is free of hazardous materials, and the play equipment is age-appropriate and safe. Climbing structures are securely anchored, free of any loose parts, and have sufficient amounts of cushioning floor to prevent any fall injuries. Per the lead teacher, sandboxes are inspected daily. LPA did not observe any bodies of water in the outdoor area.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

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: LITTLE STAR	FACILITY NUMBER: 380504535
	VISIT DATE: 02/07/2020

NARRATIVE

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In today’s inspection, LPA reviewed the staff and children's records, Care and Supervision of the Children, Medication Policies, Isolation of Sick Children, and Reporting Requirements. LPA observed that the facility has a sign-in/out record for the parent or authorized representative. A review of staff records during today’s visit indicates that all staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions. All staff have a record of valid Pediatric FirstAid/CPR card in file. Also, all staff have the required immunization and verification of the mandated child abuse reporting training as compliant with AB1207. LPA also observed that the facility had posted the required forms. (i.e., License, waivers, Notification of Parent's Rights, Notification of Personal Rights, and Emergency Disaster Plan). The Director stated that Fire and Earthquake drills are done each month, and the last fire drill was conducted on January 27, 2020.

LPA reminded the lead teacher that as of September 1, 2016. A person may not be employed or volunteer at a childcare facility unless he or she has been immunized against influenza, pertussis, and measles.

LPA reviewed AB 1207 with the lead teacher. 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.

ADA information was provided; US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to the publication. Pesticides training was also discussed (Information on the DPR website at www.cdpr.ca.gov/shoolipm/childcare). Incidental Medical Services (IMS) Plan was also discussed with the lead teacher.

LPA also went over the Child Care Center checklist and provided a copy to the lead teacher during the inspection for reference in the future inspection.

No deficiencies are cited today. The copy of this report is reviewed and provided to the director. Notice of site visit is posted and shall remain posted for the next 30 days.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 02/07/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2020

LIC809 (FAS) - (06/04)

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