380505334-11-26-2019-05-CC-BVAN-BJATMR-20191126135135

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380505334
Report Date: 11/26/2019
Date Signed: 11/26/2019 01:51:41 PM

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:	SFUSD-NORIEGA (EES) SCHOOL AGE		FACILITY NUMBER:	380505334
ADMINISTRATOR:	NG, IVY		FACILITY TYPE:	840
ADDRESS:	1775 44TH-AVENUE		TELEPHONE:	(415) 759-2853
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94122
CAPACITY:	112	CENSUS: 48	DATE:	11/26/2019
TYPE OF VISIT:	Annual/Random	UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Daisy Chan		TIME COMPLETED:	02:00 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) Van met with Lead teacher, Daisy Chan for an unannounced annual random inspection. Director/Principal, Ivy Ng is on vacation. The purpose of the inspection was explained. This is a school-age program. Facility operates in the SFUSD Noriega Early Education School in rooms #4, #7, #9, #10. Days and hours of operations in the morning program are: Monday - Friday 8:00 AM -9:30 AM and after school program are 2:00 PM - 6:00 PM. During recess periods and summer, the operations hours are Monday – Friday 8 AM – 6 PM. Present today are 48 children with 6 teachers. Staff to children ratio are met. Along with Lead teacher, LPA inspected the facility for health and safety hazards. The facility is in good repair and free of any hazards with proper temperature and ventilation. 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. Facility has smoke detector, carbon monoxide detectors, fully charged fire extinguisher and a working telephone in each classroom. All cleaning solutions, poisons and other chemicals that are dangerous stored inaccessible to children. Sick children will be separated from the group and will be waited in the office for parents to pick up. LPA observed unused electrical outlets have covers installed. All the bathrooms, toilets and sinks are clean and well sanitized. All solid waste bins have proper tight fitted lid on top. Facility has water bottles and water fountains readily available for children. Outdoor playground area is in good repair, and play structures are free of any loose parts. In today’s inspection, LPA reviewed staff and children records, Care and Supervision of the Children, Child Discipline Procedures, Medication Policies, Isolation of Sick Children, and Reporting Requirements. LPA observed that facility has an electronic sign in / out record for parent or authorized representative. All staff have criminal record clearance through the SFUSD. All staff have record of valid Pediatric FirstAid/CPR card in file. Staff have the required immunization, and verification of the mandated child abuse reporting training as compliant with AB1207. LPA also observed facility has posted the required forms (i.e. License, waivers, Notification of Parent's Rights, Notification of Personal Rights, and Emergency Disaster Plan). Lead teacher stated Fire and Earthquake drills are done each month, the last fire drill was conducted on 11/2/19 and earthquake drill was conducted on 9/20/19.

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Brendon Van	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019

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-NORIEGA (EES) SCHOOL AGE	FACILITY NUMBER: 380505334
	VISIT DATE: 11/26/2019

NARRATIVE

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LPA reminded the lead teacher 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 observed the facility has record of required immunization of all staff.

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.

The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm.

Pesticides training was also discussed (Information on the DPR website at: www.cdpr.ca.gov/shoolipm/childcare),

LPA also went over the Child Care Center checklist, and provided a copy to the Director during the 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 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: 11/26/2019

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2019

LIC809 (FAS) - (06/04)

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