380505734-4-6-2023-05-CC-WLYY-CQMVL7-20230406163128

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 380505734
Report Date: 04/06/2023
Date Signed: 04/06/2023 04:31:51 PM

Document Has Been Signed on 04/06/2023 04:31 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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME:	K.E.E.P., INC. (LAWTON)		FACILITY NUMBER:	380505734
ADMINISTRATOR:	PAST, ROSALIE		FACILITY TYPE:	840
ADDRESS:	1570 - 31ST AVENUE		TELEPHONE:	(415) 681-0930
CITY:	SAN FRANCISCO	STATE: CA	ZIP CODE:	94122
CAPACITY:	76	CENSUS: 40	DATE:	04/06/2023
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	02:45 PM
MET WITH:	Mimi Sarkisian		TIME COMPLETED:	04:45 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	On April 06, 2023, at approximately 2:45pm, Licensing Program Analyst (LPA) Ly arrived at facility to conduct an Unannounced Required - 1 Year Inspection. When LPA arrived, LPA was lead to the cafeteria but no one was present at the time as program does not begin until 3:45pm. LPA sat infront of the cafeteria and wait for program staff. Staff and Director arrived at facility at 3:15pm. LPA met with Director, Mimi Sarkisian. Purpose of the visit was explained. Program operates M,T, Th,F after-school, 3:45pm-6:00pm during the School year. For Wednesday program operates from 2:30pm-6pm. Present during the visit is Site Director and 4 staff caring for 40 School Age children. LPA and Site Director conducted and inspection of the school age activity areas for Health and Safety Hazards. Per Director due to low enrollment this school year, after school program is only being held in the cafeteria. The cafeteria is clean and orderly. There are no bodies of water present at the center. Per Site Director, there are no firearms or weapons. Disinfectants, cleaning solutions and other potentially harmful items were inaccessible to the children. Medications are stored out of reach of the children. The furniture and equipment are in good condition, free of sharp, loose or pointed parts. The kitchen/food prep area was clean and free from litter or debris. All food was stored appropriately. All solid waste storage containers have secure, tight fitting lids. Program offer snacks to the children. Children are observed to have their own water bottles. The cafeteria is equipped with a fully charge fire extinguisher. Females' restrooms and males’ restrooms are separated from each other. All restrooms were in safe and sanitary operating condition. LPA and Site Director also toured the outdoor play area. LPA observed outdoor equipment is in good condition. The play structure appears to be age appropriate for children in care. Areas under slides and other climbing equipment is adequately cushioned. Children are signed in by facility staff when they arrived from the day school. First Aid Kit are available and Emergency supplies are properly maintained. Cleaning products and Toxins are maintained inaccessible to children. During today's visit, a random sample of children's files were reviewed and found to be complete. LPA also reviewed staff files and staff files are found to be complete. At least one staff have current Pediatric First Aid and CPR. Facility has posted all the required licensing forms in a prominent accessible location. CONTINUED>>>

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie Ly	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023

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 CHILD CARE, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: K.E.E.P., INC. (LAWTON)	FACILITY NUMBER: 380505734
	VISIT DATE: 04/06/2023

NARRATIVE

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Incidental Medical Services (IMS) policy was discussed. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226. 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)/ (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

Facility was also informed 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 or qualifies for an exemption pursuant to Health and Safety code 1596.7995 and 1597.662. All staff have proof of Immunization.

LPA discussed Child Abuse Mandated Training AB1207 with the Director. As of January 1, 2018 all staff will be required to complete Mandated Reporter Training every two years. The training can be obtained online at www.mandatedreporterca.com.

Pesticide regulations were discussed with the Director. In accordance with the Healthy Schools Act, California law requires that anyone using any pesticide must be trained every year in integrated pest management and the safe use of pesticides around children. The director was advised that a free one hour online course is available on the Department of Pesticide Regulation's Web site: www.cdpr.ca.gov/schoolipm/training. For questions, email ccipmlist@cdpr.ca.gov.

An Exit Interview was conducted with Director. No deficiencies were issued today under Title 22 Division 12 of the California Code of Regulations. A copy of this report and appeal rights were discussed and will be emailed Licensee whose signature on this form confirm have read these reports. Notice of Site Visit will also be emailed to licensee. Licensee was advised Notice of Site Visit to remain posted for 30 days. For updates on Licensing information, go to CCL website: www.ccld.ca.gov. For Provider Information Notice: ccld.ca.gov/PG5098.htm

SUPERVISOR'S NAME: Garfield Leung	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR NAME: Winnie Ly	TELEPHONE: (650) 266-8800
LICENSING EVALUATOR SIGNATURE:	DATE: 04/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023

LIC809 (FAS) - (06/04)

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