380504560-7-25-2024-05-CC-LGOZ-D7HUD4-20240725152854

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380504560
Report Date: 07/25/2024
Date Signed: 07/25/2024 03:29:19 PM

Document Has Been Signed on 07/25/2024 03:29 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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	SFUSD-JUNIPERO SERRA EARLY EDUCATION SCHOOL (PS)		FACILITY NUMBER:	380504560
ADMINISTRATOR:	ARI, VANI S.		FACILITY TYPE:	850
ADDRESS:	155 APPLETON STREET		TELEPHONE:	(415) 920-5138
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94110
CAPACITY:	67	CENSUS: 27	DATE:	07/25/2024
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Danielle Loughridge		TIME COMPLETED:	03:40 PM

NARRATIVE

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On 7/25/2024 at 11:55AM., Licensing Program Analyst (LPA), Luis Gomez met with Principal, Danielle Loughridge. The purpose of today's visit was explained and was for an unannounced, Annual Random inspection. This facility is licensed to operate a preschool program. Present was principal and 6 staff supervising 23 children. Children present had been signed-in by guardians. Program utilizes three classrooms: #3; #4; and #5 and the shared, outdoor play area. Signed waiver, for rotational use of outdoor space, was observed posted in facility. Per principal program operates year around, and classroom #4 is closed. LPA inspected facility, indoors and outdoors, for health and safety hazards.

At 12:10PM., LPA observed the following: Classrooms were clean, neat, with age-appropriate materials and playthings available. Floors and surfaces are clear of obstructions. Classrooms were equipped with tables and chairs, scaled to the appropriate size. LPA observed individual cubbies for storage of children’s belongings. Furniture and materials inspected were and free of sharp corners or splinters. The children’s bathrooms were clean with the fixtures in operating condition. Classrooms had additional drawers and cabinets available for staff. LPA observed trash bins and outlets have been covered.

For scheduled rest/ nap services, facility has foldable plastic mats stored inside the cubbies. Per director, blankets are taken home weekly to be washed.

LPA reminded facility to remove napping mats with rips or any exposed padding. Advisory Note: Technical Violation (LIC9102TV) was issued. (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SFUSD-JUNIPERO SERRA EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380504560
	VISIT DATE: 07/25/2024

NARRATIVE

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(Page 2)
Classrooms had ventilation; adequate lighting; and was a comfortable temperature. Facility had a functioning telephone service; carbon monoxide (CO) detector; and fire extinguishers.

At 12:45PM, LPA reviewed the outdoor play area. LPA observed climbing structure was securely anchored, with an absorbent rubber flooring for added safety. Outside play area has fountains for children to drink water as they wish. Outdoor play yards were enclosed with accessible shaded rest areas. Storage shed was reviewed during inspection.

The food preparation area/ kitchen was reviewed by LPA. Kitchen area was observed clean, free of any litter or rubbish.

At 1:10PM., LPA reviewed facility records including a sample of the children and personnel files. The personnel files reviewed contained the Teacher Qualifications; Notice of Employee Rights (LIC9052); Acknowledgement to Report Suspected Child Abuse (LIC9108); and Personnel Record.

At 1:30PM., Based on record review, LPA confirmed several substitute staff records missing from facility files. Advisory Note: Technical Violation (LIC9102TV) was issued.

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

Principal’s Cardiopulmonary Resuscitation / First Aid certification expires on: 10/2024.

Facility is conducted required emergency disaster drills every six months, with last drills (Fire and Earthquake) completed on 6/12/2024.

LPA observed required postings including the: Facility License; Notification of Parent’s Rights (PUB394); Personal Rights (LIC613A); Passenger Safety Laws (PUB269); Outdoor Space Waiver; Menu (July); and Emergency Disaster Plan (LIC610). (REFER TO 809C, FOR CONT.)

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024

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 CC RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: SFUSD-JUNIPERO SERRA EARLY EDUCATION SCHOOL (PS)	FACILITY NUMBER: 380504560
	VISIT DATE: 07/25/2024

NARRATIVE

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Assembly Bill (AB) 2370, chapter 676, statues 2018 requires all licensed child care centers (CCC’s) constructed before January 1, 2010, to test their water (used for drinking and food preparation) for lead contamination before January 1, 2023, and every five years after the date of the first test.

LPA verified that the lead testing was completed in accordance with the Written Directives outlined in PIN21-21- CCP.

LPA advised the principal to post result of lead water testing results in visible location.

Incidental Medical Services (IMS) policy was discussed. For IMS information see PIN 22-02CCP. When any IMS is provided, an updated Plan of Operation that includes IMS must be submitted to the Department. The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice) or (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA are available at: https://www.ada.gov/resources/child-care-centers/.

Community Care Licensing Division (CCLD) regularly sends information to licensed facilities, providers, and stakeholders by way of Provider Information Notices (PIN), Program Quarterly Update Newsletters and other important information communication platforms. To receive important licensed related information to licensed facilities, visit the CCLD Important Information website athttps://www.cdss.ca.gov/inforesources/community-carelicensing/subscribe and select the Child Care option to receive email communication. (REFER TO 809C, FOR CONT.)

Based on today's inspection, no deficiencies were observed in the areas evaluated according to the Title 22 Division 12 Chap. 1 Ca. Code of Regulations. An exit interview discussing the facility evaluation report was conducted with principal, Danielle Loughridge. Administrator’s signature on this form acknowledges receipt of these documents.

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

SUPERVISOR'S NAME: Marie Rodriguez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Luis Gomez	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 07/25/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2024

LIC809 (FAS) - (06/04)

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