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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 380505320
Report Date: 10/18/2019
Date Signed: 10/18/2019 01:59:30 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:KROUZIAN-ZEKARIAN-VASBOURAGAN ARMENIAN PRESCHOOLFACILITY NUMBER:
380505320
ADMINISTRATOR:ANDONIAN, GRACEFACILITY TYPE:
850
ADDRESS:825 BROTHERHOOD WAYTELEPHONE:
(415) 586-8686
CITY:SAN FRANCISCOSTATE: CAZIP CODE:
94132
CAPACITY:42CENSUS: 19DATE:
10/18/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Grace AndonianTIME COMPLETED:
02:15 PM
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3, Licensing Program Analyst, LPA conducted an annual random inspection today. The purpose of the inspection was explained. LPA toured the preschool areas with the school principal, Ms. Andonian. There are 19 napping children and 4 staff members present today. No change in the daycare areas. Day-care areas: blue room, red room, yellow room, and preschool yard. The preschool yard is shared with the kindergarten when preschool children are not using it. The waiver is posted. The facility operates Monday - Friday, 8:00 a.m. - 3: 45 p.m., Mid-August thru the first week of June. The school is closed during the summer. The children's toys and furniture appear to be age-appropriate and in good repair. There are 3 toilets and 3 sinks available for the children. Isolation areas for a sick child are in the school office then calling parents for pick up. The school is equipped with carbon monoxide, smoke detector, and a fully charged fire extinguisher. The school provides hot lunches on Tuesday, Wednesday, and Thursday. Grandparents/parents volunteer to make lunches for the children. On Monday and Friday, children bring their own lunches. Snacks are provided by the facility morning and afternoon. The food is prepared on-site (kitchen). Required staff immunization was reviewed by the previous inspection. The staff has a current CPR & 1st aid certificate which expires 9/2020. LPA discussed the Mandated Reporter Training, AB1207 that was effective on 1/1/2018. All staff must take the training and keep the certificate on file. The training needs to be renewed once every 2 years. Child Abuse Mandated Reporter Training, AB1207. https://www.mandatedreporterca.com/ Staff members have completed AB1207 and the certificates are on file. The children's files were reviewed and in order.
The facility is in compliance.

Website: www.ccld.ca.gov. Title 22, Div 12, Chp 1
SUPERVISOR'S NAME: Alma MaligTELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Jennifer YeeTELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:

DATE: 10/18/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/18/2019
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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